, Volume 7, Issue 2, pp 197–203

Nerve blocks in the treatment of headache

Review Article

DOI: 10.1016/j.nurt.2010.03.001

Cite this article as:
Levin, M. Neurotherapeutics (2010) 7: 197. doi:10.1016/j.nurt.2010.03.001


Nerve blocks and neurostimulation are reasonable therapeutic options in patients with head and neck neuralgias. In addition, these peripheral nerve procedures can also be effective in primary headache disorders, such as migraine and cluster headaches. Nerve blocks for headaches are generally accomplished by using small subcutaneous injections of amide-type local anesthetics, such as lidocaine and bupivicaine. 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. Although definitive studies examining the usefulness of nerve blocks are lacking, reports suggest that this area deserves further attention in the hope of acquiring evidence of effectiveness.

Key Words

Nerve blocks occipital nerve greater occipital nerve occipital neuralgia 
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Copyright information

© Springer 2010

Authors and Affiliations

  1. 1.Department of NeurologyDartmouth Hitchcock Medical CenterLebanon

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