Occipital Neuralgia

Most people are aware that one of the common conditions we treat as Salt Lake City chiropractors is neck pain.

 Less known is the fact that headaches are a condition that frequently responds well to chiropractic adjustments. One particular headache condition that is often treatable with chiropractic care is known a Occipital Neuralgia (ON.) This is a condition in which the occipital nerves become irritated or inflamed. Frequently patients with ON are misdiagnosed with migraine headaches. This is because the symptoms can be similar to many of the symptoms associated with Migraines. Frequently patients will experience pain at the base of the skull which radiates up and over the head to behind the eye. Most commonly the pain is one sided, although both sides can be affected.    

While the exact cause of ON is unknown, we know that it stems from the occipital nerves as they exit from between the 1st and 2nd vertebrae in the the neck. ON commonly begins after some trauma to the neck such as a car accident and is frequently accompanied by spasm of the neck and upper back musculature. If it is not resolved it can get progressively worse over time.    There are a variety of options to treat

this condition ranging from massage to microdecompression surgery. Many patients are given prescriptions for medications commonly used to treat Migraine headaches, but do not find any relief.

The most effective treatments for ON are those that have a direct effect on the occipital nerves. As with most conditions it is recommended to start with the least invasive treatment options first and progress to more invasive procedures if needed. One of the least invasive options for treating ON is chiropractic adjustments of the upper cervical spine. The adjustment helps to restore the normal function and alignment of the spine, which in turn can help reduce muscle spasm and nerve compression.

 Typically your Salt Lake City chiropractors will recommend a series of treatments over a number of weeks. In most cases improvement is noted within just a few weeks of treatment. If improvement is not seen within 4-6 weeks more invasive treatment such as a nerve block will likely be recommended. In my time as chiropractic physician at The Joint - Sugar House, I have seen a number of patients with ON show significant reduction and in some cases even total elimination of the flare ups associated with their Occipital Neuralgia.