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The treatment involves the use of mild electrical impulses to stimulate the greater occipital nerve and lesser occipital nerve [1] which are part of the peripheral nervous system and are located at the back of the head just above the neck area.
Occipital nerve block is a procedure involving injection of steroids or anesthetics into regions of the greater occipital nerve and the lesser occipital nerve used to treat chronic headaches. These nerves are located in the back of the head near in the suboccipital triangle along the line between the inion and the mastoid process .
Migraine surgery is an outpatient procedure which addresses peripheral nerves through limited incisions. Depending on the symptoms of the patient and the screening results following nerve blocks or Botox, different areas of the head and neck may be addressed to treat the nerves found to be the migraine trigger in a given patient.
Occipital nerve stimulation, may be effective but has the downsides of being cost-expensive and has a significant amount of complications. [61] There is modest evidence for the effectiveness of non-invasive neuromodulatory devices, behavioral therapies and acupuncture in the treatment of migraine headaches. [53]
Simultaneous treatment of both disorders may lead to good outcomes. [28] Medications within the tetracycline family, mexiletine, corticosteroids and nerve blocks are being studied. [24] Occipital nerve block have been reported to be helpful for some people. 23/71 people had undergone a nerve block for their severe headache. The NDPH-ICHD group ...
Greater occipital nerve (GON) block comprising 40 mg Depomedrone and 10 mls of 1% Lignocaine injected into the affected nerve is effective, up to a period of approximately three months. Changing the 'cocktail' to include (for example) 10 mls of .5% Marcaine and changing to 2% Lignocaine, whilst in theory should increase the longevity, renders ...
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