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Osteopathic Manipulative Treatment in Occipital Neuralgia

Journal: The AAO Journal Date: 2024/06, 34(2):Pages: 21-22. doi: Subito , type of study: case report

Full text    (https://meridian.allenpress.com/aaoj/article/34/2/16/500954/LBORC-NUFA-Poster-Abstracts-2024-Students)

Keywords:

case report [705]
cranium [81]
female [594]
neuralgia [23]
OMT [3746]
osteopathic manipulative treatment [3766]
women [550]

Abstract:

Introduction/Background: Occipital Neuralgia (ON), a debilitating condition involving severe scalp and head pain with 3.2/100,000 people incidence. It is associated with trauma or stress, and significant qualify of life effects. Treatments are conservative or surgical. Using an alternative noninvasive treatment of osteopathic manipulative treatment (OMT), ON symptoms and nerve compression can be relieved. Case: A 45-year-old female presented to clinic with three-week history of right-sided headache with onset while driving. Following ER presentation, MRI and CT were performed, which were negative. A neurologist diagnosed ON. Treated with steroid injection, numbness and tingling significantly reduced, but not pain. At clinic, pain was 7/10, constant, throbbing, pulsing, and radiated from occiput to temporal. She noted numbness, tingling, and weakness in this region. The pain disrupted work and sleep significantly. Techniques included cranial, balanced membranous tension, myofascial release to occiput, and muscle energy to cervical spine and soft tissue. Results: She received 2 OMT sessions. Following session 1, burning and pressure headaches were eradicated for 5 weeks. Headache returned 2 days before session 2 without burning or tingling. Quality of life significantly improved as pain or headache no longer affected work and sleep. After session 2, she experienced vertigo with no headache and returned for treatment. Due to lack of follow-up, it is unknown how vertigo is still impacting her. Discussion: A 45-year-old female with 3-week ON history, improved in 2 clinic visits. ON’s impact on sleep and work, headache, burning, weakness, and scalp tingling resolved. OMT is not in the current ON standard of care (SOC). This demonstrates OMT effectiveness in diminishing ON symptoms, indicating more studies should be conducted on its use in the SOC. Case limitation includes limited follow-up.


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