How is occipital neuralgia to return a responsibility?

summary

Occipital neuralgia is a kind of neuropathic pain, which requires patients to keep enough attention to accept the treatment of this disease, which will have a great impact on our life and work. Therefore, when we find occipital neuralgia, we must treat it in time, not delay. So we must do a good job of the disease related work, then occipital neuralgia is how to return a responsibility?.

How is occipital neuralgia to return a responsibility?

First: often caused by cold, cold, but also because of cervical trauma, proliferative cervical spondylosis and other cervical lesions, some etiology from time to time. Acupuncture like, knife cutting like or burning like pain in occipital part or neck part, and the patient dare not turn his head when pain occurs The area innervated by the greater occipital nerve is hypersensitive or hypoesthesia, and the outlet of the greater occipital nerve has obvious tenderness, which can radiate to the ipsilateral top of the head. It is also seen in cervical hyperplasia.

Second, the clinical manifestations are acupuncture like, knife like or burning like pain in one or both sides of the occipital region or neck region. When the pain occurs, the patient does not dare to turn his head, and sometimes the head and neck region is in a straight state. Physical examination showed tenderness at the outlet of the great nerve, hyperalgesia or hypoesthesia in the distribution area of the great occipital nerve (C2-3), that is, from the ear top line to the hairline. Second only to vascular headache and functional headache, but also involving the small occipital nerve and the third nerve.

Third: greater occipital neuralgia refers to the disease with the main clinical manifestation of radiation pain within the distribution range of greater occipital nerve (occipital top) caused by local soft tissue exudation, adhesion and spasm, stimulation, compression or traction of greater occipital nerve due to strain, inflammatory stimulation and other reasons. The incidence rate of occipital neuralgia is high. It is more common in middle-aged women, and affects the quality of daily life of patients. The treatment methods of the disease are various, including oral medicine, acupuncture, small needle knife, massage, pain point injection, comprehensive treatment, surgery and so on.

matters needing attention

(1) there is a lack of objective criteria for the diagnosis of the disease（ 2) The description of pain indicators is too rough and lack of accurate data, which is easy to lead to errors in the evaluation of curative effect before and after treatment（ 3) The treatment method is lack of standard, and the specific parameters are not detailed enough（ 4) Lack of strict large sample control study（ 5) The long-term curative effect of the disease is lack of observation and research.