A Review of the Recent Findings in Minimally Invasive Treatment Options for the Management of Occipital Neuralgia

Abstract Occipital neuralgia (ON) is unilateral or bilateral neuralgia in the dermatomal nerve distribution of the greater, lesser or third occipital nerves and is a very common presentation of neuropathic pain. ON, although common and well defined, is still a poorly understood pain syndrome. It oft...

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Main Authors: Ivan Urits, Ruben H. Schwartz, Parth Patel, Justin Zeien, Denton Connor, Jamal Hasoon, Amnon A. Berger, Hisham Kassem, Laxmaiah Manchikanti, Alan D. Kaye, Omar Viswanath
Format: Article
Language:English
Published: Adis, Springer Healthcare 2020-06-01
Series:Neurology and Therapy
Subjects:
Online Access:https://doi.org/10.1007/s40120-020-00197-1
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author Ivan Urits
Ruben H. Schwartz
Parth Patel
Justin Zeien
Denton Connor
Jamal Hasoon
Amnon A. Berger
Hisham Kassem
Laxmaiah Manchikanti
Alan D. Kaye
Omar Viswanath
author_facet Ivan Urits
Ruben H. Schwartz
Parth Patel
Justin Zeien
Denton Connor
Jamal Hasoon
Amnon A. Berger
Hisham Kassem
Laxmaiah Manchikanti
Alan D. Kaye
Omar Viswanath
author_sort Ivan Urits
collection DOAJ
description Abstract Occipital neuralgia (ON) is unilateral or bilateral neuralgia in the dermatomal nerve distribution of the greater, lesser or third occipital nerves and is a very common presentation of neuropathic pain. ON, although common and well defined, is still a poorly understood pain syndrome. It often requires invasive treatment for long term and significant pain alleviation; however, the evidence supporting different options is still limited. Several minimally invasive techniques have proven to be efficacious and safe, and the selection depends mostly on response to nerve blocks, patient choice and provider preference. This is a comprehensive review of the latest and seminal literature available about occipital neuralgia and currently available minimally invasive treatment options. It covers the anatomical and physiologic biology at the base of neuralgia, the presentation and diagnostic process. It then reviews the available literature to provide description and comparison of the available methods for alleviation.
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spelling doaj.art-bebaea037a95433a9c76f32c0f62eb682024-04-14T11:33:44ZengAdis, Springer HealthcareNeurology and Therapy2193-82532193-65362020-06-019222924110.1007/s40120-020-00197-1A Review of the Recent Findings in Minimally Invasive Treatment Options for the Management of Occipital NeuralgiaIvan Urits0Ruben H. Schwartz1Parth Patel2Justin Zeien3Denton Connor4Jamal Hasoon5Amnon A. Berger6Hisham Kassem7Laxmaiah Manchikanti8Alan D. Kaye9Omar Viswanath10Department of Anesthesiology, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical SchoolDepartment of Anesthesiology, Mount Sinai Medical CenterDepartment of Anesthesiology, University of Arizona College of Medicine-PhoenixDepartment of Anesthesiology, University of Arizona College of Medicine-PhoenixDepartment of Anesthesiology, Creighton University School of MedicineDepartment of Anesthesiology, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical SchoolDepartment of Anesthesiology, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical SchoolDepartment of Anesthesiology, Mount Sinai Medical CenterPain Management Centers of AmericaDepartment of Anesthesiology, Louisiana State University Health ShreveportDepartment of Anesthesiology, University of Arizona College of Medicine-PhoenixAbstract Occipital neuralgia (ON) is unilateral or bilateral neuralgia in the dermatomal nerve distribution of the greater, lesser or third occipital nerves and is a very common presentation of neuropathic pain. ON, although common and well defined, is still a poorly understood pain syndrome. It often requires invasive treatment for long term and significant pain alleviation; however, the evidence supporting different options is still limited. Several minimally invasive techniques have proven to be efficacious and safe, and the selection depends mostly on response to nerve blocks, patient choice and provider preference. This is a comprehensive review of the latest and seminal literature available about occipital neuralgia and currently available minimally invasive treatment options. It covers the anatomical and physiologic biology at the base of neuralgia, the presentation and diagnostic process. It then reviews the available literature to provide description and comparison of the available methods for alleviation.https://doi.org/10.1007/s40120-020-00197-1GONLONNerve blockNeuropathic painOccipital neuralgia
spellingShingle Ivan Urits
Ruben H. Schwartz
Parth Patel
Justin Zeien
Denton Connor
Jamal Hasoon
Amnon A. Berger
Hisham Kassem
Laxmaiah Manchikanti
Alan D. Kaye
Omar Viswanath
A Review of the Recent Findings in Minimally Invasive Treatment Options for the Management of Occipital Neuralgia
Neurology and Therapy
GON
LON
Nerve block
Neuropathic pain
Occipital neuralgia
title A Review of the Recent Findings in Minimally Invasive Treatment Options for the Management of Occipital Neuralgia
title_full A Review of the Recent Findings in Minimally Invasive Treatment Options for the Management of Occipital Neuralgia
title_fullStr A Review of the Recent Findings in Minimally Invasive Treatment Options for the Management of Occipital Neuralgia
title_full_unstemmed A Review of the Recent Findings in Minimally Invasive Treatment Options for the Management of Occipital Neuralgia
title_short A Review of the Recent Findings in Minimally Invasive Treatment Options for the Management of Occipital Neuralgia
title_sort review of the recent findings in minimally invasive treatment options for the management of occipital neuralgia
topic GON
LON
Nerve block
Neuropathic pain
Occipital neuralgia
url https://doi.org/10.1007/s40120-020-00197-1
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