Occipital Nerve Ablation
Occipital neuralgia, also known as Arnold’s neuralgia, is defined by the International Headache Society as a paroxysmal, shooting or stabbing pain in the greater, lesser, and/or third occipital nerve distributions. Pain intensity is often severe and debilitating, with an associated negative impact on quality of life and function. Most cases of occipital neuralgia are idiopathic, with no clearly identifiable structural etiology. Treatment of occipital neuralgia poses inherent challenges as no criterion standard exists. Initially, conservative treatment options such as physical therapy and pharmacotherapy are routinely trailed. When occipital neuralgia is refractory to conservative measures, a number of interventional treatment options exist, including local occipital nerve anesthetic and corticosteroid infiltration, botulinum toxin A injection, occipital nerve subcutaneous neurostimulation, and occipital nerve pulsed radiofrequency ablation. Of these, pulsed radiofrequency ablation has garnered significant interest as a potentially superior, safe, non-invasive treatment with long-term efficacy.
At Pain Spa Dr. Krishna is very experienced in interventional treatments. Dr. Krishna always performs occipital nerve block under ultrasound guidance for greater accuracy and improved safety.