
Occipital neuralgia is a type of nerve pain in which the nerves that run through the scalp, the occipital nerves, are irritated, injured, or inflamed.
Occipital neuralgia frequently causes: persistent intense headaches characterized by:
- Severe piercing, throbbing, aching, burning, shock-like, or shooting pain
- Pain is often described as migraine-like and symptoms may be similar to those of migraines and cluster headaches
- Pain usually starts in the upper neck and moves to the back of the head, the scalp on one or both sides of the head, or behind the ears
- Pain may also occur behind the eye of the affected side of the head
Pain can be triggered by light touch or movements such as brushing hair, washing hair, wearing a hat, laying down on a pillow, or turning the head to one side.
Primary occipital neuralgia may be caused or triggered by:
- Pinched nerves in the neck
- Chronic muscle tightness in the neck
- Head or neck injury that results in trauma to the greater and/or lesser occipital nerves
- Osteoarthritis of the upper cervical spine
- Cervical disc disease
- Tumors affecting the C2 and C3 nerve roots
- Blood vessel inflammation
- Diabetes
- Gout
- Infection
- Secondary occipital neuralgia is associated with an underlying disease.
How Is Occipital Neuralgia Treated?
Treatment for occipital neuralgia is meant to relieve pain, but is not a cure. Treatments for occipital neuralgia include
Non-surgical treatments:
- Medications
- Anti-inflammatory medications
- Muscle relaxants
- Anticonvulsants
- Percutaneous nerve blocks
- Injections are used both to diagnose and treat occipital neuralgia
- Botulinum toxin (Botox) injections may be used to decrease nerve inflammation
- Heating pads
- Physical therapy or massage therapy
Surgical treatments:
From 
References
https://www.aans.org/en/Patients/Neurosurgical-Conditions-and-Treatments/Occipital-Neuralgia
https://nwapain.com/occipital-neuralgia/
https://nwapain.com/occipital-neuralgia/