Nerve Block: Occipital

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Background

  • Therapeutic and diagnostic for occipital neuralgia
  • Nerve is between ~8-18 mm deep[1]

Procedure

  • 1% bupivicaine, 2-3 cc
  • Traditionally done "blindly" with palpation of occipital protuberance
    • Then palpate laterally to find the tender nerve on the side of the headaches
    • Palpate the occiptal artery above the superior nuchal line, and inject just medially to that

</references>

  1. ↑ M. Greher, B. Moriggl, M. Curatolo, L. Kirchmair and U. Eichenberger. Sonographic visualization and ultrasound-guided blockade of the greater occipital nerve: a comparison of two selective techniques confirmed by anatomical dissection. Br. J. Anaesth. (2010) 104 (5): 637-642.
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