Only Serena few in training but I never seen it done this way always thought it's better to do posterior due to the vessel anatomy. Does anyone do this?
Positive Tinnel's at the occiput or a pain pattern clearly in the distribution medial(GON) or lateral(LON) scalp leads to me to the former. Less localized pain more at the base of the skull leads me to more a TON diagnosis.
Pulse RF C2 DRG. Difficult to get reimbursed. I’ve had quite a few occipital neuralgia and chronic migraine patients sent by neurology who responded profoundly but for short period to GON blocks. One patient was getting bilateral blocks performed by neurology Q2 weeks. I was very reluctant to proceed but was quite surprised with results.
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