Evidence checklist
Occipital Neuralgia
Evidence strength
Mark what you already have below and your evidence strength appears here.
Specialist opinion
Highest value0 of 3 collectedClinical evaluation documenting unilateral or bilateral paroxysmal shooting pain in the distribution of the greater/lesser occipital nerve with tenderness over occipital nerve emergence points.
Not marked
Records of a diagnostic nerve block with local anesthetic showing temporary pain relief, which both confirms the diagnosis and establishes the specific nerve involved.
Not marked
Medical opinion connecting occipital neuralgia to in-service cervical injury, TBI, muscle tension from load-bearing (ACH helmet, body armor), or other service event.
Not marked
Treatment records
0 of 2 collectedMRI of the cervical spine and craniocervical junction to evaluate for structural causes of occipital nerve irritation such as C2 root compression or atlantoaxial instability.
Not marked
Records of serial occipital nerve blocks, pulsed radiofrequency ablation, or occipital nerve stimulator implantation with treatment response documentation.
Not marked
Lay statements
0 of 2 collectedA personal log recording frequency, duration, severity, and functional impact of occipital neuralgia attacks. Supports rating under the headache diagnostic code.
Not marked
A written statement from someone who can describe observable symptoms and how your condition affects daily life.
Not marked
Benefits questionnaire
0 of 1 collectedVA standardized form capturing cranial/upper cervical nerve involvement and functional impact.
Not marked
Service records
0 of 1 collectedMilitary medical records showing in-service treatment, complaints, or injuries related to this condition.
Not marked
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