Skip to content

Conditions Headaches — occipital neuralgia and cervicogenic

Conditions we treat

Headaches — occipital neuralgia and cervicogenic

Headaches that start at the base of the skull or in the neck and wrap forward over the head, often mistaken for migraines.

Head & Face

What it feels like

You will usually feel this around the head, jaw, or face — sometimes on one side, sometimes spreading from the back of the skull forward. Light, sound, and ordinary movements like chewing or turning your head can make it sharper. Many people first describe it as a headache that just will not let up.

How we approach it at our clinic

Wherever possible, we start with the least invasive option that has good evidence — and we use live image guidance (ultrasound or fluoroscopy) for any injection so the medication goes exactly where it needs to. Many of the procedures we offer for this condition are OHIP-covered when ordered for an appropriate clinical reason; we will be straight with you about what is and what is not before you book.

Procedures

Procedures we use for Headaches — occipital neuralgia and cervicogenic

These are the procedures we most commonly use for the head & face area. The right one depends on your imaging, history, and what has helped before.

Botox Injection for Pain

Not OHIP

Botox can quiet overactive nerves and muscles that drive chronic migraine, post-traumatic headache, or muscle-related neck and jaw pain. Effect builds over 1 to 2 weeks and typically lasts about 3 months.

Peripheral Nerve Block Injection

✓ OHIP

An injection that targets a specific nerve outside the spine — for example, the occipital nerve at the base of the skull, or the suprascapular nerve at the shoulder. Calms the nerve that is feeding your pain.

Browse all procedures for the head & face area →

When to call us

If Headaches — occipital neuralgia and cervicogenic has been getting in the way for more than a few weeks, ask your family doctor for a referral. We will take it from there.

Submit a referral Call us