Neuralgia Occipital, Dor Atrás da Cabeça – Dr. André Mansano Tratamento da Dor.

In this video, Dr. André discusses Occipital Neuralgia, one of the main causes of pain in the back of the head. Let's start by explaining the Occipital Nerve. The occipital nerves originate in the cervical spine, where the greater and lesser occipital nerves are located on both sides of the head. They are the nerves responsible for the sensitivity of the back of the head (occipital region). These nerves pass between some muscles in the neck, which, in some cases, can end up compressing them between these muscles, especially in stressful situations, when the muscles are very contracted. In these cases, the patient may experience burning pain, usually on only one side of the back of the head, but occasionally on both sides. In some cases, this pain is associated with a change in the patient's sensitivity, with the patient feeling a difference when touched between the left and right sides of the back of the head. In other cases, it can be caused by surgery in this area, where surgical scars can end up compressing these nerves. How is the treatment performed? Initially, we use medications to control the pain. When this doesn't work, we then move on to interventional procedures for pain management, always starting with the simplest and least risky, moving on to the more complex and more invasive. The first procedure we typically perform is an Occipital Nerve Block. We locate these nerves between the muscles using ultrasound and then, with the patient sedated, we insert a small needle through which we inject an anesthetic and anti-inflammatory substance. We also have the option of performing Radiofrequency, a procedure similar to the previous one. Using ultrasound, we locate the nerves and insert a needle. However, instead of injecting anesthetic and anti-inflammatory substances, we emit an electrical current to reduce the pain impulses coming from these nerves. A third option, also minimally invasive, is to freeze these nerves, in what we call cryoablation. Also using a small needle, we lower the nerve's temperature to -60 or -70 degrees, inactivating it. In more severe cases, we perform neuromodulation, or occipital nerve stimulation. In this procedure, we place electrodes around the occipital nerves that are causing the pain. These electrodes are connected to a type of pacemaker, which is a generator placed under the skin, emitting electrical impulses 24 hours a day in an attempt to inhibit the pain process. You may be interested in: Neck Pain After a Traffic Accident.    • Dor no Pescoço Após Acidente de Transito –...   Cervical Spine Osteoarthritis - What it is and how we diagnose it.    • Artrose da coluna cervical  - O que é e co...   Cervicogenic Headache, Headache Coming from the Neck.    • Cefaleia Cervicogênica, Dor de Cabeça Que ...   Follow us on Instagram:   / drandremansano   Visit our website: http://www.drandremansano.com.br/ Schedule appointments: WhatsApp: 11971175715 Or via the link: https://agendar.amplimed.com.br/andre... Important: Before starting any treatment, seek medical evaluation. Dr. André Mansano - Pain Management Specialist. São Paulo – SP. __ #occipitalneuralgia #wellbeing #headache