Occipital Nerve Block

What is an Occipital Nerve Block?

The occipital nerves run from the top of the spinal column up to the back of the scalp.

An occipital nerve block involves an injection of local anaesthetic and steroid onto the area of the occipital nerves. This is performed in order to treat headaches arising from the following causes:

  • Occipital neuralgia (pain is typically located in the back of the head / neck);
  • Whiplash injuries;
  • Tension headaches.

Prior to the Procedure

  • All blood thinning products (except aspirin) must be stopped prior to your procedure. You will be advised by letter when to stop taking these medications at the time your admission date is arranged.
  • You will need to organise someone to drive you home after the procedure as you will not be able to drive for a minimum of 4 hours after your procedure.

What Will Happen?

  1. You will be admitted to hospital and be seen by a neurosurgeon who specialises in these procedures.
  2. The Anaesthestist will speak with you and insert a cannula (plastic needle) into your hand or arm if you are having sedation.
  3. In the procedure room, you will be positioned onto the X-ray table.
  4. The tender spots will be felt at the back of your skull. The area will then be cleaned with a chlorhexidine solution.
  5. Corticosteroid and local anaesthetic will then be injected into the target site.
  6. Some pressure will be applied to the area for a couple of minutes at the end of the injection.

Post Procedure

  • You will not be able to drive for 4 hours after your procedure.
  • You will be allowed home 1 hour after sedation with your carer/driver.
  • If you have local anaesthetic only, you may be required to stay 20 minutes.
  • If a strong local anaesthetic has been used, it will wear off in 12 – 18 hours.
  • The steroid will take approximately 48 hours to start working. During this time there may be a window of increased discomfort or pain.
  • We suggest you take it easy for 24 hours prior to returning to your pre-injection activities.
  • A follow up appointment or repeat injection may be arranged prior to leaving hospital.
  • The effect of the nerve block may be felt for 1 – 6 months, depending on the amount of irritation or inflammation present.
  • If you have any issues, you should follow up with your usual treating neurosurgeon.

Patient and staff safety is our highest priority at Briz Brain & Spine.

For patients with appointments, if you are suffering any symptoms such as fever, dry cough, sore throat, tiredness or shortness of breath or have recently travelled interstate, overseas or been in contact with someone who has returned from interstate or overseas, or have been in contact with a confirmed case of COVID-19, please contact our friendly reception team before attending the clinic. A telehealth appointment may be an alternative method of speaking with our surgeons.

Protecting the health of our staff is vital to ensure they can continue to provide great service.  Patients are encouraged to prepay accounts over the phone prior to appointments or via payWave or other contactless payment methods. Patients are also asked to complete the Patient Details Form and sign the Privacy Policy Agreement electronically prior to their appointment. These forms can be found under our Contacts page on the website or by clicking here. Please note, patients are asked to bring only ONE support person to their appointment and maintain appropriate social distances to help reduce the risk of Covid-19 transmission.

During this current outbreak of Covid-19 coronavirus we want to assure all of our patients that we will continue to implement procedures to maintain a hygienic clinical environment. This includes:

-          Disinfecting and wiping down all treatment surfaces

-          Regular cleaning of rooms and shared equipment

-          Thorough cleaning of all communal items including reception chairs, tables, door handles, pens and other shared items

-          All staff have access to infection control procedures and training to implement these as necessary

We are carefully monitoring the directions and advice of Queensland Health, the Australian Government Department of Health and the World Health Organization. In the meantime, it is still business as usual and our doors are open.

Briz Brain & Spine wishes to apologise for the inconvenience caused and thanks you for your cooperation and understanding during this unprecedented situation.