While headache is often considered the main symptom of occipital neuralgia (ON), dizziness may also occur with this condition.

An older 2016 study notes that up to 50% of people with ON may experience dizziness.

The connection between occipital neuralgia and dizziness likely involves the complex relationship between cervical nerves and vestibular function (the system in your inner ear and brain that manages your balance).

When the occipital nerves are irritated, nearby structures and pathways can sometimes be affected, causing a disturbance in balance and spatial orientation.

If you experience dizziness with ON, it’s important to speak with your doctor to determine the best treatment for you.

Several treatment approaches may help manage ON and its associated symptoms, such as dizziness:

  • Manual therapy techniques that target the occipital region
  • Exercise programs designed to reduce nerve irritation
  • Stretching routines that focus on the neck and upper back
  • Nerve release techniques that may provide relief from compression
  • Self-care strategies that help manage symptoms at home. This may include a warm compress or NSAIDs.
  • Medications and nerve blocks

Some people may experience another type of headache, known as cervicogenic headache, along with ON. These conditions can sometimes occur together as they originate from similar areas of the head. Both ON and cervicogenic headache can cause dizziness.

Studies have shown that injections such as occipital nerve blocks and trigger point injections can help relieve pain in both of these conditions.

It’s important to note that treatment effectiveness varies by individual, and what works for one person may not work for another.

Healthcare professionals typically recommend personalized treatment plans based on the specific symptoms and needs of each person.

If you’re experiencing symptoms of ON, such as persistent headaches and dizziness, speaking with a healthcare professional is a good idea.

A proper diagnosis is essential for developing an effective treatment plan and ruling out other potential causes of your symptoms.

Healthcare professionals can help determine whether your symptoms are actually related to occipital neuralgia or if there might be another underlying condition that needs other treatment.

Secondary ON can sometimes occur as a result of other conditions, such as:

  • osteoarthritis
  • nerve compression
  • diabetes
  • tumor
  • gout
  • infection
  • blood vessel inflammation