What Are Occipital and Supraorbital Nerve Blocks Like?


For many unfortunate migraineurs preventative medication don’t work. I believe this is because they are largely repurposed and there are few medications made specifically for migraine or any headache disorder for that matter. So many of us are sent to pain management specialists that coordinate care with our headache specialists. When your only option is procedure you’re likely down to abortive as a choice or nothing works because you can only use an abortive like a triptan so often it cannot be used for a chronic migraineur every time we have a migraine attack. I call it an attack because that’s what I feel it is a complete assault on my senses, unfortunately I become extremely sensitive to sound and light when I’m having a horrid migraine.

It takes a lot of guts to go through with such a procedure one really has to be near the end of their rope before it’s typically offered. The injection is a mix of steroids and anesthetics injected into the back of the neck and/or the forehead. Keep in mind they don’t always do both sometimes it’s one or the other that is chosen to see how a patient reacts prior to doing more blocks in different areas. You are awake but they numb the location. The actual shot scares me every time I hear and feel a crunch it’s a frightening experience especially the first time having 4 shots done like I did. Afterwards you just sit in recovery for a bit and then walk out. This procedure actually works for a lot of people. I just happen to dislike the general feeling of the shot going in. I unfortunately didn’t have success with the procedure after 5 tries, 3 regular and 2 under fluoroscopy. Fluoroscopy means that they can see where they’re injecting with an x-ray machine as they go in.

I’m quite pleased with how I explained the whole procedure. It’s one of my least favorite procedures to have done but my pain management specialist was so hopeful it would work for me that I was willing to try it. I was willing to try anything to get out of pain and still am since I still have chronic migraines 24/7. I never have a break from debilitating head pain. Yet I’ve trained myself to write and think through the pain, it’s imperative I keep my mind strong and working often. Thank you for reading and I hope you’ve learned a little something about nerve blocks and how they feel from a patient himself.

5 thoughts on “What Are Occipital and Supraorbital Nerve Blocks Like?

  1. Been there done that. Had nerve block injections done and experienced several hours of relief. Had RF blocks done which are more permanent and they never took hold. Such has been my story. Still praying and hoping for a cure.

    • Indeed failing nerve blocks is the story for many of us who go the extra length to fight this battle and help others. You’re a good man Ted and someday the good karma will come back around good things happen to good people I guess we just have to wait out turn now.

  2. Yes, I am fairly certain, from reading this, that is what I had done. Mine were just with freezing, in my neck, my head down on a table in the pain specialist’s office. I was numb for several hours and it was the strangest feeling when that began to wear off. Then I was back to the pain. Had other shots in my lower back and hip. The lower back one seemed to work, but not the others. I have had needles in so many places that I don’t really flinch at most things now, even in my eye I had one. I hear bone marrow biopsy, which my brother did have and I did not, is one of the more painful needles you can get.

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