Chief Complaint: Shooting pains in (L) occipital and parietal regions of the head, radiates to top of the head.
Western Diagnosis: Occipital neuralgia
Medical History: 73 yr old status post surgery for throat cancer. Developed tingling and pressure sensation in occipital region which developed into severe shooting pains over a period of about 8 months. Shooting pains are rated at 9/10 level and occur 3-4 times/day. Patient has had 7 nerve blocks and surgery none of which helped to reduce symptoms.
Pertinent Medical History: Throat cancer 1997 treated with chemo therapy and radiation for 13 weeks. Developed inability to swallow due to scarring from radiation which required placement of gastric tube for feeding. Surgery to reduce scarring in the throat was unsuccessful.