Occipital Neuralgia

The main causes of occipital neuralgia recurrence are: ① incomplete correction of cervical joint dysfunction, ② re-adhesion of posterior cervical fascia, ③ persistence of central sensitization, and ④ failure to improve lifestyle habits (anterior head posture, overwork, exposure to cold). To prevent recurrence, maintenance therapy once or twice a month, deep cervical muscle strengthening exercises (cervical flexion and extension stabilization), and sleeping posture correction (using a low pillow) are recommended for six months after the completion of treatment. Receiving intensive treatment during the early stages of recurrence (within one week) can prevent it from becoming chronic. From a Korean medicine perspective, preventing recurrence is expressed as restoring the body's defenses and maintaining the stability of Qi and blood pathways. If the energy of the kidneys and bladder is robust, recovery is rapid even when cold energy invades; however, if the foundation is weak, recurrence occurs even with minor stimuli. At Dongjedang, we recommend maintenance acupuncture treatment during the changing seasons (especially autumn and winter) after the completion of treatment. If necessary, we also assist in the body's recovery by administering herbal medicine for a short period that nourishes kidney energy and clears blocked energy. Many patients manage to live without recurrence through this management.