Pulsed Radiofrequency for the Treatment of Occipital Neuralgia
- 1 March 2010
- journal article
- research article
- Published by BMJ in Regional Anesthesia & Pain Medicine
- Vol. 35 (2), 148-151
- https://doi.org/10.1097/aap.0b013e3181d24713
Abstract
Background and Objectives: Occipital neuralgia is a paroxysmal nonthrobbing, stabbing pain in the area of the greater or lesser occipital nerve caused by irritation of these nerves. Although several therapies have been reported, no criterion standard has emerged. This study reports on the results of a prospective trial with 6 months of follow-up in which pulsed radiofrequency treatment of the greater and/or lesser occipital nerve was used to treat this neuralgia. Methods: Patients presenting with clinical findings suggestive of occipital neuralgia and a positive test block of the occipital nerves with 2 mL of local anesthetic underwent a pulsed radiofrequency procedure of the culprit nerves. Mean scores for pain, quality of life, and medication intake were measured 1, 2, and 6 months after the procedure. Pain was measured by the visual analog and Likert scales, quality of life was measured by a modified brief pain questionnaire, and medication intake was measured by a Medication Quantification Scale. Results: During a 29-month period, 19 patients were included in the study. Mean visual analog scale and median Medication Quantification Scale scores declined by 3.6 units (P = 0.002) and 8 units (P = 0.006), respectively, during 6 months. Approximately 52.6% of patients reported a score of 6 (pain improved substantially) or higher on the Likert scale after 6 months. No complications were reported. Conclusions: Pulsed radiofrequency treatment of the greater and/or lesser occipital nerve is a promising treatment of occipital neuralgia. This study warrants further placebo-controlled trials.Keywords
This publication has 18 references indexed in Scilit:
- Botulinum Toxin Occipital Nerve Block for the Treatment of Severe Occipital Neuralgia: A Case SeriesPain Practice, 2007
- Craniocervical Junction Schwannoma Mimicking Occipital NeuralgiaHeadache: The Journal of Head and Face Pain, 2007
- Occipital Neuralgia As a Presenting Symptom of Cervicomedullary Dural Arteriovenous FistulaHeadache: The Journal of Head and Face Pain, 2007
- C2 myelitis presenting with neuralgiform occipital painNeurology, 2005
- Greater occipital neuralgia and arthrosis of C1‐2 lateral jointEuropean Journal of Neurology, 2004
- Surgical Treatment of Greater Occipital Neuralgia by Neurolysis of the Greater Occipital Nerve and Sectioning of the Inferior Oblique MuscleSpine, 2004
- Application of Radiofrequency Treatment in Practical Pain Management: State of the ArtPain Practice, 2002
- Osteochondroma of the servical spine causing occipital nerve neuralgia. Case reportNeurological Research, 2001
- Occipital neuralgia secondary to exuberant callus formationJournal of Neurosurgery, 1996
- Flunarizine in Prophylaxis of Childhood Migraine: A Double-Blind, Placebo-Controlled, Crossover StudyCephalalgia, 1988