Occipital neuralgia is very common problem in clinic,Most of case can lead to headache and vision change,so treatment of occipital neuralgia become more and more important for practitioners.

New research from Chinese medicine hospital in Guangzhou showed: Acupuncture plus acupoint-injection is effective for greater occipital neuralgia, better than the routine western medication.(1)

In my persional opinion,Acupuncture can help circulation of occipital nerves and lead to relive inflammation,that's main reason of acupuncture works. Medication can help symptoms but this results seems temporary.Acupuncture resulted in reduction of headache frequency, duration and severity over the course of treatment. However, this was not accompanied by a corresponding increase in the phosphene threshold over a similar time course. The baseline threshold before acupuncture treatment had no predictive value for outcome of treatment.[2]

New research found although acupuncture was effective in treating migraine, the use of occipital cortex excitability as an adjunctive parameter to evaluate treatment response was not suitable. The relief of migraine with acupuncture may be related to separate neural pathways independent of occipital or visual processes in the human brain[3].
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(1)J Tradit Chin Med. 2008 Sep;28(3):175-7.
[2][3]Acupunct Med. 2010 Jun;28(2):74-7.

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Patient have so far been to every doctor for his migraines, which come from his neck under the base of his skull. he had mri's of his brain, sinuses and next he's going for his neck. He went this week to a physiatrist. He started pinching patient skin on patient back to patient neck and it was getting very red. He said he wasn't not even touching me hard and there is something going on with my nerves and muscles. He felt patient neck and pressed on the exact spots where he get the pain which leads to his migraines. He then said ok well you can either go get acupuncture or hometherapy. Then said patient can get an MRI but don't really need it! ....

Zak said:It sounds like what you're describing is soft tissue injuries in the neck, which can become worse over time and lead to occipital nerves pain.Occipital neuralgia is very common problem in clinic,Most of case can lead to headache and vision change,so treatment of occipital neuralgia become more and more important for practitioners.

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