Occipital Nerve Blocks for Acute Treatment of Pediatric Migraine 2025

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Pain may be relieved within a few minutes, and the effects of the procedure can last weeks to months. A nerve block is a temporary treatment for severe pain. It may be recommended when other medications do not relieve symptoms or when other treatments are contraindicated.
Licensed medical professionals treat migraines by injecting botulinum toxin into multiple areas around the head and neck. The treatments are approved for select people age 18 and older who experience 15 or more migraine days per month.
The classical landmark technique involves an injection medial to the palpated occipital artery at the level of the superior nuchal line. In comparison, the ultrasound guided technique is more target specific thus the results are more favourable as demonstrated in a number of clinical studies.
The first line of treatment should include over-the-counter (OTC) pain medications like nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen and naproxen. For severe migraines, your childs provider may prescribe medications such as triptans (for example, sumatriptan).
An occipital nerve block injection is a minor procedure that can be very effective so is worth trying. They are particularly successful for children with one-sided headaches or headaches where the scalp is tender. However, they do not work for everyone, in which case, other treatments will be suggested.
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Targets include the greater occipital nerve, lesser occipital nerve, auriculotemporal nerve, supratrochlear and supraorbital nerves, sphenopalatine ganglion, cervical spinal roots, and facet joints of the upper cervical spine.
A Greater Occipital Nerve (GON) block is an injection into the back of your head. It can help to prevent migraine attacks.

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