OCCIPITAL Injections
Occipital Injections
These are tiny pinprick injections which inject a mixture of lidocaine and marcaine - two potent anti pain medications - throughout the back of the head and possibly near the top of the neck. These tiny injections work to relax the nerve fibers within the muscles to prevent headaches.
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Following the injection
The back of your head may feel a little numb.  This is perfectly normal.   Check that any bleeding has stopped before you leave the office.  If not, press gently with a tissue on the injection site.What side effects might I get?You may notice a lump at the injection site for a few or several days.  About one in 30 patients experience transient worsening of their head pain.   Very rarely, patients can faint with injections; these patients should be lying down to have injections.How long will it be before I notice any benefit?
Improvement may be noticed shortly after injection or within a few days. How many do I need to have?
The injection can be repeated after a month if symptoms are improved but are transient.   Other wise, it can be repeated as often as every two months. If the injections need to be repeated every two months for a year then it may be better to consider another treatment.Not all treatments work the same every time; if you have two successive greater occipital nerve blocks with insufficient benefit, it’s probably best to try a different treatmentWho cannot have a nerve block?
You cannot have this nerve block if you are allergic to any of the medications being injected or if you have an active infection near the injection site.Please make the doctor aware of any other medical problems you have now or have had in the past before having the nerve block.
Trigger Point Injections
Trigger point injection (TPI) may be an option for treating pain in some patients.  TPI is a procedure used to treat painful areas of muscle that contain trigger points, or knots of muscle that form when muscles do not relax.  Many times, such knots can be felt under the skin.  Trigger points may irritate the nerves around them and cause referred pain, or pain that is felt in another part of the body.The Procedure
In the TPI procedure, your provider inserts a small needle into the patient’s trigger point.  The injection contains a local anesthetic or saline, and may include a corticosteroid.  With the injection, the trigger point is made inactive and the pain is alleviated.  Usually, a brief course of treatment will result in sustained relief.  Injections usually take just a few minutes.  Several sites may be injected in one visit.

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  • 7625 Mesa College Drive
    San Diego, CA 92111

  • (858) 223-2172

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