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3D anatomical illustration of a human skull and upper cervical spine highlighting the occipital nerves, used to demonstrate how occipital nerve blocks relieve migraine and headache pain.


Migraines are a widespread neurological condition affecting millions of Australians.


Research indicates that approximately 4.9 million Australians, or 20.5% of the population, suffer from migraines.

This condition is more prevalent in women, with around 71% of migraine sufferers being female. Furthermore, migraines significantly impact daily life, particularly among working-age individuals, as 86% of those affected are in the workforce.

The economic and social burden of migraines is substantial, making effective treatment options essential for improving quality of life.

For many, traditional treatments like medication provide relief, but some require additional therapies. One such option is the occipital nerve block (ONB).


What is an Occipital Nerve Block?

An occipital nerve block is a minimally invasive procedure designed to reduce headache and migraine symptoms by targeting the greater and lesser occipital nerves at the base of the skull.

These nerves can contribute to persistent headache pain, making them a key focus for treatment.


How Does the Procedure Work?

  • A healthcare provider injects a local anaesthetic (sometimes combined with a corticosteroid) near the occipital nerves.
  • The injection disrupts pain signals traveling from the nerves to the brain, providing relief from headaches and migraines.
  • The procedure is quick and typically performed in a clinic, often taking less than 10 minutes.

How Long Does the Relief Last?

  • Many patients experience immediate pain relief following the injection.
  • The duration of relief varies but generally lasts from a few days to several months.
  • Some individuals require repeat injections to maintain long-term relief.

A Non-Medicated Approach to Treating Migraines

While occipital nerve blocks can be effective, addressing the root cause of migraines and headaches is crucial for long-term management.

Our clinicians at the Brisbane Headache and Migraine Clinic utilises the Watson Headache® Approach, a scientifically backed method that focuses on identifying and treating dysfunction in the upper cervical spine, which can be a key driver of headaches and migraines.

This approach is combined with lifestyle modifications and patient education to help individuals manage triggers and reduce stress, leading to sustainable relief.

If you’re looking for a holistic, long-term solution, book a consultation today at 1800 432 322 and take the first step toward a migraine-free life!


Written by:

Bryan Wong

Associate Headache Clinician


References

Deloitte Access Economics. (2018). Migraine in Australia whitepaper. Painaustralia. Retrieved from https://www.painaustralia.org.au/static/uploads/files/deloitte-au-economics-migraine-australia-whitepaper-101018-wfsydysdysky.pdf

Cleveland Clinic. (n.d.). Occipital nerve block. Retrieved from https://my.clevelandclinic.org/health/treatments/24934-occipital-nerve-block

Blumenfeld, A. M., Ashkenazi, A., Napchan, U., Bender, S. D., Klein, B. C., Mays, M., … & Freitag, F. (2013). Expert consensus recommendations for the performance of peripheral nerve blocks for headaches—A narrative review. Headache: The Journal of Head and Face Pain, 53(3), 437-446. https://doi.org/10.1111/head.12053

Watson, D. H., & Drummond, P. D. (2014). Head pain referral during examination of the neck in migraine and tension-type headache. Headache: The Journal of Head and Face Pain, 54(6), 1035-1045. https://doi.org/10.1111/head.12346