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More than half of all adults experience headaches every year, with headaches being the third leading cause of missed work. People who suffer headaches experience not just pain, but also personal suffering and financial strain.

  • Tension Headaches
  • Migraine
  • Occipital Headaches
  • Headaches caused by medication overuse

Headache management specialists understand how disrupting frequent headaches and intense migraines can be. At Interventional Spine of Vermont, we undertand how debilitating headaches can be.
Treatment may vary depending on the causes and severity of your pain. Our board-certified physicians offer many treatments for headache including occipital nerve injections, trigger point injections, cervical ablations and sphenopalatine ganglion blocks.

Occipital Nerve Block

It is primarily used to address chronic migraines and headaches. We inject medication (local anesthetic and steroid) to the area surrounding the occipital nerve.Some headaches are due to irritation of the occipital nerve, typically starting at the base of the skull and traveling either along the top of the head and behind the eyes or to the area behind the ears. This type of headache is called occipital neuralgia and can be caused by a number of reasons.

Treatment usually involves physical therapy, medications, massage, acupuncture, reiki, injections, and craniosacral therapy. At Interventional Spine of Vermont, our board-certified pain specialists will evaluate your headache, diagnose it, and perform occipital nerve injections if indicated. These injections can lead to profound pain relief for several months.Contraindications to the injections include allergy to steroid medication or an active infection. An occipital nerve block is commonly used to reduce chronic head pain. It is used to address particular conditions including:

  • Migraines
  • Cluster Headaches
  • Occipital neuralgia

Sphenopalatine Ganglion Block

Also known as SPG, the Sphenopalatine Ganglion is thought to be involved in multiple types of headaches. In addition, the ganglion is in close proximity to the trigeminal nerve, which is a major nerve involved in chronic headaches or migraines. The mechanism behind migraines is not understood completely, but it has been shown that blocking the SPG can alleviate chronic headaches.

This procedure can be helpful for patients with frequent, recurrent episodic or severe migraines as well as patients with chronic facial pain. It involves inserting a device in both sides of the nose to deliver medication. Patient can start experiencing relief within 30 minutes.

  • Trigeminal neuralgia
  • Mouth/tongue pain
  • Migraine headaches
  • Chronic atypical face pain
  • Cluster headaches
  • Sphenopalatine neuralgia