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Nerve Blocks for Headache and Neck Pain: What to Expect From Treatment

Scott Loeb DO
Medically reviewed by Dr. Loeb
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Scott Loeb DO
Medically reviewed by Dr. Loeb

Millions of Americans struggle with chronic pain conditions, particularly debilitating headaches. While headaches are common and often dismissed as normal occurrences, they can range from stress-related tension to symptoms of serious neurological diseases. Causes vary widely, from overwork and stress to underlying medical conditions. When conventional treatments fail, many neurologists recommend nerve blocks for headaches. This effective treatment offers relief for patients suffering from persistent migraines, especially those experiencing concurrent neck tension. These targeted injections work by calming irritated nerves and reducing inflammation at the source.

Many patients choose this procedure because of its quick administration and minimal downtime, allowing them to return to normal activities rapidly. The primary advantage of the neurologist’s nerve block procedure is its precision, enabled by advanced imaging guidance. These visualization methods enable physicians to target affected nerves with exceptional accuracy. The procedure is ideal for patients experiencing persistent pain unresponsive to other treatments. With scientifically proven effectiveness, nerve blocks significantly improve quality of life. The treatment combines a fast-acting anesthetic with an anti-inflammatory agent. Within hours to days after the procedure, most patients report substantial pain relief.

How Nerve Blocks Work for Headache and Neck Pain Relief

Nerve block injections target specific nerve fibers that generate and transmit pain signals. Physicians administer a precise combination of local anesthetic and anti-inflammatory medication directly to the affected nerves, effectively blocking pain transmission to the brain. Patients seeking prompt relief from chronic pain benefit from specialized neurological care. Professional medical teams provide comprehensive treatment plans that facilitate rapid recovery. After the procedure, patients typically experience significant pain reduction and improved daily functioning. Injection therapy for headaches effectively addresses chronic migraines, persistent headaches, occipital region pain, trigeminal neuralgia, and cervical spine-related discomfort.

Here are the primary mechanisms and benefits of nerve block therapy:

  • Provides targeted, precise treatment directly to affected nerves
  • Reduces inflammation and tissue swelling at the pain source
  • Integrates seamlessly with comprehensive chronic migraine treatment options, including preventive medications and lifestyle modifications
  • Produces rapid results, typically within 24–72 hours
  • Can be combined with Botox or other therapies to extend pain relief duration

The primary advantages of nerve blocks for headaches include their safety profile and controlled administration. Patients experience minimal downtime and often notice relief shortly after treatment. This approach is particularly valuable when oral medications prove ineffective or cause intolerable side effects. Specialized neurological care is available throughout major metropolitan areas for patients seeking timely intervention. Selecting a qualified, experienced specialist and undergoing a thorough evaluation are essential steps toward successful pain management.

Occipital Nerve Block for Migraine: When It’s the Right Choice

How-Nerve

Patients suffering from chronic migraines often benefit from an occipital nerve block for migraine therapy. This highly effective treatment targets both the greater and lesser occipital nerves, reducing inflammation and interrupting pain signals for extended periods. The procedure quickly decreases migraine intensity and is particularly effective for chronic migraines and cluster headaches. Side effects are minimal, typically limited to temporary injection site sensitivity or mild swelling. For patients experiencing recurrent migraines, physicians may recommend a periodic occipital nerve block for migraine treatment as part of a long-term pain management strategy.

Key aspects of occipital nerve block treatment include:

  • Administration of a local anesthetic combined with anti-inflammatory medication
  • Precise injection into the occipital nerve region at the base of the skull
  • Extended pain relief lasting from several days to several weeks
  • Professional administration in a clinical setting under a neurologist’s supervision

Nerve Block for Neck Pain: Targeting Cervical Nerves for Faster Relief

Neck pain frequently triggers or exacerbates headaches, creating a debilitating cycle. Without proper treatment, this condition can progress to serious neurological complications. Patients should monitor symptoms carefully and seek medical evaluation promptly. Nerve block for neck pain effectively targets the cervical nerves and facet joints, reducing inflammation at its source. Patients typically experience significant pain reduction and improved neck mobility following treatment.

Nerve block for neck pain addresses several key areas and conditions:

  • Cervical nerve branches and facet joints
  • Chronic neck pain and persistent muscle tension
  • Neck pain that contributes to or accompanies chronic migraine treatment options
  • Restricted neck mobility and muscle spasms

Most patients notice pain reduction after the initial session, with relief often beginning within 24-72 hours. This allows them to resume daily activities and responsibilities more comfortably. Repeated treatments can provide sustained, long-term relief for chronic conditions. A nerve block for neck pain is most effective when used as part of a comprehensive pain management program. This may include physical therapy, medications, and lifestyle modifications. This integrated approach maximizes symptom relief while minimizing treatment invasiveness. The procedure’s minimally invasive nature ensures rapid recovery with minimal disruption to daily life.

What to Expect From the Neurologist Nerve Block Procedure

Patients considering nerve block procedures commonly have questions about the process and what to expect from nerve block treatment. The procedure is typically quick, beginning with a comprehensive consultation. During this initial visit, the physician reviews the patient’s complete medical history and conducts a thorough pain assessment. Understanding the specific type of headache or neck pain helps identify affected nerve locations. Reviewing prior treatments helps the physician develop a targeted approach.

The procedure itself involves careful preparation to ensure patient comfort. After positioning the patient appropriately on the treatment table, the physician thoroughly cleanses the injection site. Local anesthesia is applied to minimize discomfort during the procedure.

The neurologist’s nerve block procedure includes these key steps:

  • Comprehensive consultation and symptom analysis
  • Skin preparation and thorough cleansing of the injection site
  • Application of local anesthesia to minimize discomfort
  • Use of ultrasound or fluoroscopy imaging for precise needle guidance
  • Injection of an anesthetic and anti-inflammatory medication into the targeted nerve
  • Post-procedure assessment of patient response and recovery instructions

The procedure’s effectiveness is enhanced when integrated into comprehensive chronic migraine treatment options that may include various treatment modalities. The entire nerve block procedure typically takes approximately 20 minutes from start to finish. Patients may feel mild tingling or warmth at the injection site, which is normal and temporary. When performed by experienced neurologists, nerve block procedures have excellent safety profiles. Recovery time is minimal, allowing patients to resume most normal activities shortly after treatment. Injection therapy for headaches delivers effective, precise pain relief directly to the source.

How Long Relief Lasts and When Patients Need Repeat Injections

Pain relief following nerve block procedures typically lasts from several weeks to several months, depending on individual factors. Most patients notice improvement within a few days, though some require slightly longer to experience full benefits. Relief duration varies depending on the type of headache, the pain location, and the underlying condition. For patients receiving occipital nerve block for migraine treatments, this therapy enables them to maintain normal daily activities and responsibilities. The procedure’s minimal impact on recovery time allows for quick adaptation. With a low risk of side effects and customized treatment protocols, physicians tailor each plan to each patient’s needs and response patterns.

Expected outcomes and treatment schedules include:

  • Relief duration typically ranges from three to 12 weeks, varying based on individual response
  • Repeat treatments may be scheduled approximately four times annually, depending on effectiveness and physician recommendation
  • Seamless integration with other chronic migraine treatment options, including physical therapy and preventive medications
  • Compatibility with comprehensive pain management approaches for optimal results

Who Is a Good Candidate for Nerve Blocks?

Many patients seek nerve block therapy for relief from persistent migraines and chronic headaches. Proper evaluation and complete medical history review help determine the most appropriate treatment approach. Qualified neurologists provide thorough consultations to ensure patients understand what to expect from nerve block procedures and the expected outcomes. Ideal candidates for cervical nerve blocks include patients who have not achieved adequate relief from current treatments. The procedure is particularly beneficial for those with chronic migraines unresponsive to medication. In such cases, nerve blocks offer a highly effective alternative that can significantly improve recovery outcomes. Patients with post-traumatic neck pain and resulting headaches also frequently benefit, especially when neck dysfunction triggers or perpetuates head pain.

Ideal candidates for nerve block therapy include patients with:

  • Chronic pain or migraines inadequately controlled by oral medications
  • Medication-resistant migraines that don’t respond to standard therapies
  • Neck pain that radiates to the head or triggers headaches
  • No medical contraindications to injectable treatments or local anesthetics
  • Need for multimodal treatment approaches combining various chronic migraine treatment options

Physicians carefully identify the precise nerves and optimal injection sites for medication administration. This targeted approach provides rapid, sustained pain relief, enhancing the effectiveness of comprehensive headache management programs. Side effects are minimal, typically limited to mild injection site sensitivity or temporary warmth that resolves quickly. Most patients can resume regular activities shortly after treatment. Nerve block therapy has established itself as a gold standard intervention for restoring quality of life in patients with chronic head and neck pain. Understanding what to expect from nerve block procedures helps patients approach treatment with confidence and realistic expectations, reducing anxiety and improving treatment outcomes.

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Edward Medina
Edward Medina
15:34 30 Jun 22
Just such an amazing staff that makes you feel like part of their family. I’ve been going there for over 5 years now... and each visit I get the very best care and treatments that I have ever received in the 20+ years that I’ve been dealing with severe debilitating migraines. Since i started seeing them the number of my migraines has dropped from 15-20 a month to 2-3 every 3 month. I highly recommend them …they will change your life!read more
Daneisha Johnson
Daneisha Johnson
22:20 19 May 22
Dr. Askari was very kind and explained everything so I could understand. The other staff were nice as well. I would... have gave 5 stars but I was a little taken aback when I checked in and had to pay 600.00 upfront. I think that should have been discussed in a appointment confirmation call or email just so I could have been prepared.read more
Jean Cooper
Jean Cooper
16:54 29 Apr 22
I love the office staff they are friendly and very helpful. Dr. JODIE is very caring and understanding to your needs... and wants to help you. I will go back. would recommend Dr. Dr. Jodie to other Patients in a heart beat. The team works well together.read more
Linda M
Linda M
19:40 02 Apr 22
I was obviously stressed, needing to see a neurologist. The staff was so patient and Dr. Ansari was so kind. At one... point he told me to relax, we have time, when I was relaying my history of my condition. That helped ease my stress. I have seen 3 other neurologists and he was the only one who performed any assessment tests on my cognitive and physical skills. At one point I couldn't complete two assessments and got upset and cried. I was told, it's OK. That's why you're here. I was truly impressed, and super pleased with the whole experience!read more
Leslie Durham
Leslie Durham
15:05 01 Apr 22
I've been coming here for about 5 years. The staff are ALWAYS friendly and knowledgeable. The Doctors are the absolute... best!! Jodie Moore is always in such a great mood which is a plus when you are already stressed. Highly recommendedread more
Monica Del Bosque
Monica Del Bosque
14:13 25 Mar 22
Since my first post my thoughts have changed here. It's unfortunate. My doctor and PA were great, but the office staff... is horrible. They never call you back when they say they will, they misinform you, they cause you too much stress wondering what's going on, they don't keep you posted. They never answer the phone. At this point I've left four messages in the last week, and I have sent three messages. Twice from their portal and one direct email. No response. My appointment is on Monday morning at 8:30am, no confirmation on my insurance and what's going on. What the heck is going on, this is ridiculous!I've given up... the stress her office staff has put me through is just not worth it. You can do so much better, please clean house, either change out your office staff, or find a way for them to be more efficient please. You have to do something. This is not how you want to run your practice. It leaves a very bad impression on your business.read more
Ron Buckholz
Ron Buckholz
23:32 23 Mar 22
I was actually pleasantly surprised with this visit! It took me a long time to get the appointment scheduled because no... one answers your phones EVER! After a month, I finally got in, and your staff was warm, friendly, and I was totally impressed! I feel like you will take care of my needs!read more
Steve Nabavi
Steve Nabavi
16:28 16 Mar 22
It was a nice visit. Happy staff doing all they can do to comfort the patients in a very calming environment. You ask... me they are earned a big gold star on the fridge. My only complaint they didn't give me any cookies.read more
Katie Lewis
Katie Lewis
16:10 10 Feb 22
Had very positive appointments with Jodie and Dr. Sheth for my migraine care. Jodie was so fast with the injections and... has so much valuable info. I started to feel light headed during checkout and the staff was SO helpful—giving me a chair, water, and taking me into a private room until I felt better. Highly recommend this practice for migraine patients, they know what they’re doing!!read more
Joshua Martinez
Joshua Martinez
16:02 10 Dec 21
I was scheduled to be checked and just want to say that the staff was fantastic. They were kind and helpful. I was... asked many questions related to what was going on and not once did I feel as though I was being brushed off. The front desk staff was especially great in assisting me. I'm scheduled to go back for a mri and am glad that I'll be going there.read more
Isabel Ivy
Isabel Ivy
21:42 03 Nov 21
I had such a good experience with Lone Star Neurology, Brent my MRI Tech was so awesome and made sure I was very... comfortable during the appointment. He gave me ear plugs, a pillow, leg support and blanket, easiest MRI ever lol 🤣 My 72 hour EEG nurse Amanda was also so awesome. She made sure I was take care of over the 3 days and took her time with the electrodes to make sure it was comfortable for me! Paige was also a huge help in answering all my questions when it came to my test results, and letting me know her honest opinions about how I should go forth with my treatment.read more
Leslie Luce
Leslie Luce
17:37 20 Oct 21
The professionalism and want to help attitude of this office was present from the moment I contacted them. The follow... up and follow through as well as their willingness to find a way to schedule my dad was above and beyond. We visited two offices in the same day with the same experience. I am appreciative of this—we spend a lot of time with doctors and this was top notch start to finish.read more
robert Parker
robert Parker
16:38 16 Apr 21
I love going to this office. The staff is friendly and helpful. The doctor is great. I am getting the best... neurological tests and treatment I have ever had. The only reason I did not give them a 5 star rating is because it is impossible to reach a live person at the office to reschedule appointments. Every time I have tried to get through to the office it says all people are busy and I am sent to a voicemail. If they could get their phone answering fixed, I would give them a strong 5 stars.read more
MaryAnn Hornbaker
MaryAnn Hornbaker
00:26 25 Feb 21
Dr. Harney is an excellent Dr. I found him friendly , personable and thorough. I evidently am an unusual case. ... Therefore he spent a Hugh amount of time educating me. He even gave me literature to further explain my condition and how to follow up. This is something you rarely get from your doctors. So I am more than please with my doctor and his staff.read more
Roger Arguello
Roger Arguello
03:05 29 Jan 21
Always courteous, professional. The staff is very friendly and always work with you to find the best appointment time.... The care team has been great. Always taking the time to listen to your concerns and to find the best treatment.read more
Margaret Rowland
Margaret Rowland
01:12 27 Jan 21
I have been a patient at Lone Star Neurology for several years. Now both my adult daughters also are patients there. I... love Jodie. She is always so prompt whether it is a teleamed call are a visit in the office. She takes the time to explain everything to me and answers all my questions. I am so blessed to have Jodie as my doctor.read more
Susan Miller
Susan Miller
03:01 13 Jan 21
My husband had an accident 5 years ago and Lone Star Neurology has been such a blessing to us with my husbands care.... Jodie Moore is his provider and she is amazing! Jodie is very knowledgeable, caring, and thorough. She takes her time with you, making sure your needs are met and she is happy to answer any questions you may have. Lone Star Neurology’s patients are very lucky to have Jodie providing their care. Thank you Lone Star Neurology and especially Jodie for everything you have done for us. Jodie, you are the best!read more
Windalyn C
Windalyn C
01:32 09 Jan 21
Jodie is wonderful. She is very caring and knowledgeable. I have been to over a dozen neurologists, and none were able... to help me as much as they have here. Thanks!read more
Katie Kordel
Katie Kordel
00:40 09 Jan 21
Jodi Moore, nurse practitioner, is amazing. I have suffered from frequent, debilitating headaches for almost 20 years.... She has provided the best proactive and responsive care I have ever received. My quality of life has been greatly improved by her caring approach and tenacity in finding solutions.read more
Ellie Natsis
Ellie Natsis
15:41 07 Jan 21
I have had the best experience at this neurologist's office! For over a year I have been receiving iv treatments here... each month and my nurse, Bobbie is beyond wonderful!! She's so attentive, knowledgeable, caring, and detail oriented. She makes an otherwise uncomfortable experience much more pleasant and definitely puts me at ease! She also helps me with my insurance,ordering this specialty medication and dealing with the ordering process which is no easy feat.Needless to say, she goes above a beyond in every way and I'm so grateful to this office and to Bobbie for all they do for me!read more
Matt Morris
Matt Morris
15:39 07 Jan 21
Let me start by saying that I have been coming here for years. Due to my autoimmune disease, I am in this office... once every three weeks for multiple hours at a time. The office is very clean and the staff very friendly. My only complaint would be there communication via phone. They aren't the best at responding if you leave a voicemail and expect a call back. I understand that this is prob just due to the sheer number of alls they receive daily. What I can say I like the best about the office are the people. Bobby who handles my infusions is great. I never have any issues with her setting up my infusions. She is very quick to reply to messages sent via text and if she were to leave then my whole opinion of the office may change. I also enjoy people like Matt, Lauren, and Jodi. I appreciate all that they do for me and without this team I'm not sure I would be as happy as I am to visit the office as frequently as I have to. Please ensure that these folks are recognized as they are what makes my visit to this office so tolerable :).read more
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