An athlete engaged in contact sport may develop occipital neuralgia.

Mechanism: entrapment of one or more occipital nerves (greater, lessor or third)


Risk factors:

(1) contact sport

(2) sports concussion


Clinical features:

(1) chronic headache over the posterior head, which may be diagnosed as migraine

(2) chronic neck pain

(3) variable tenderness, dysesthesia or allodynia over the affected nerve


Decompression or nerve block to the affected nerve results in symptom relief.

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