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Papers of the Week

2020 04

Clin J Pain



Targeting Occipital Headache Pain: Preliminary Data Supporting an Alternative Approach to Occipital Nerve Block.


Vanterpool SG, Heidel RE, Rejoub L R
Clin J Pain. 2020 04; 36(4):289-295.
PMID: 31972707.


Occipital nerve block (ONB) is an effective procedure for treating occipital headache pain. However, traditional sub-occipital approaches to ONB remain underutilized in the acute and chronic settings. An alternative location for ONB is the superior nuchal line, where anatomic studies show a reliable relationship between occipital artery and greater occipital nerve. This study evaluated the efficacy and validity of an alternative, single skin insertion, paresthesia-based approach to block both the greater and lesser occipital nerve.