What Is Occipital Neuralgia?
Occipital Neuralgia is a nerve pain condition that affects the occipital nerves at the back of the head and upper neck. The pain may feel sharp, burning, or electric, and it can travel toward the scalp, behind the eyes, or near the ears. Neck movement or pressure may worsen symptoms.
Quick Facts About Occipital Neuralgia
Category
Neuropathic head and neck pain
Used for
Identifying pain from occipital nerves
Common confusion
Migraine or tension headache
Also called
Occipital nerve pain, Arnold's neuralgia
Often discussed with
Headache Treatment, Occipital Nerve Blocks
Key Takeaways About Occipital Neuralgia
- Pain follows the path of nerves behind the head.
- Scalp tenderness can help separate it from some headaches.
- Occipital neuralgia isn't the same as a migraine.
How Occipital Neuralgia Works

Occipital Neuralgia starts when the occipital nerves become irritated or sensitive. These nerves carry feeling from the upper neck and back of the head to the scalp. Pain often follows that path instead of staying in one small spot.
Related glossary terms: Neuropathic Pain, Diagnostic Nerve Block, Cervical Radiculopathy.
Clinicians check the pain pattern, scalp sensitivity, neck motion, and tender areas during an exam. A diagnostic nerve block may help show whether an occipital nerve contributes to the pain. The result is considered with the full history because other headache disorders can cause similar symptoms.

From the Premier Injury Specialists team
When we evaluate Occipital Neuralgia, we review the headache pattern, neck symptoms, scalp sensitivity, and tenderness near the occipital nerves. We also check for signs that point toward migraine, cervical pain, or another condition. For Headache Treatment, our team uses the exam findings to guide the next clinical step.
Occipital Neuralgia in Practice: A Real-World Example
A person develops sharp pain from the upper neck to the back of the scalp after a neck injury. During Headache Treatment, the pain pattern and tender areas help the clinician assess whether an occipital nerve is involved.
Related Services
Related Terms
Neuropathic Pain
Neuropathic Pain is pain caused by damage, irritation, or abnormal signaling in the nerves that carry…
Diagnostic Nerve Block
A Diagnostic Nerve Block is an injection used to test whether a specific nerve or nerve…
Cervical Radiculopathy
Cervical Radiculopathy is a condition that develops when a nerve root in the neck becomes irritated…
Pain Scale
A pain scale is a tool that helps a person describe pain intensity in a consistent…
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Contact Premier Injury Specialists for practical guidance on Occipital Neuralgia and related pain management physician work in McDonough.
