I have done blocks for years and this is a wonderful video---I offered to teach other docs but sadly, so often, they declined----it is SO useful. Now that I am retired, I am getting calls to help patients, and NOW an interest in learning techniques for various cranial blocks.
Just had a patient that I suspected was suffering from occipital neuralgia, learned how to do the block from your video, blocked the greater occipital nerve with full resolution of her pain! Thanks a lot!
I don’t know how you guys have the confidence to do this. I’m a nurse, I also get these injections and watching this video even more-so makes me amazed that doctors can do this. It’s just so much responsibility makes me so nervous working with nerves 😬 like how do you know you are at the right spot when you are going in and out like that. So stressful lol
You better go work on your pain instead of taking those shots. And that docter has to learn uncoventiional thinking but therefore he isnt wise enough he dont know as you do any better. Both happy is the solutiion. Listen to pain be happy with pain no life whitout pain! Pain lets us know where doing something wrong like i already saw you sitting and your eyelids are telling me something aswell go find your self. Dont see the doctor unless you really need him
@@mrvvrm5951 Obviously you have never suffered from occipital neuralgia. Imagine burning, shooting, zapping pain in the back of your head that never goes away. it will ruin your life if you don't get treatment. Its tantamount to torture. It make people suicidal, no joke. And yes you do need to work on other things (posture, muscle strengthening, relaxation, diet) and not just rely on shots, but these shots can offer much needed relief to people who are in complete and debilitation misery.
Thank you for your very informative video from a nurse ;). I just had this done for Cluster headaches, i reallllllly hope it helps as i have tried so many medications and daily lithium to try control them but unsucsessful so i am looking forward to the relief this could bring. Do not be alarmed by the injection it is not bad at all. My neurologist just told me to put my head on her desk and did 3 block on the left and i barley felt the needle !
How have felt since the injection?? ANY improvements??I had two today with minimal results so far.... Staying optimistic, but pain came back as numbing went away.
Sorry late reply to the updated. I had this done twice and unfortunately it did not work either time and I am now getting a neuro stimulant. The injections are not bad and have helped so many people so don’t be scared and just try it - if it works that’s amazing and a good solution. If not go back to neurologist they will see what else is available for you.
@@sgcc4477 Sorry late reply to the updated. I had this done twice and unfortunately it did not work either time and I am now getting a neuro stimulant. The injections are not bad and have helped so many people so don’t be scared and just try it - if it works that’s amazing and a good solution. If not go back to neurologist they will see what else is available for you
I just got diagnosed with this and will start this process soon. I'm scared but actually so excited because before I was just being treated for migraines and cluster headaches and I just knew there was something deeper than that. Thank God for all doctors especially pain doctors #LeudaPainCenterFortWorthTx
Don’t be scared! It really isn’t that bad! I just had my second one today ♥️ just be prepare you might be sore for a day or so after don’t let that discourage you! Mine take a couple days to go into effect but SO worth it! 😊 Good luck!!
I live in Arlington, TX. So not far from Fort Worth? About how long did it take from when you first saw them about your pain until they diagnosed and did the procedure? I have been seeing my pain management doctor for about 2-3 months now as I had a fall late last year where I injured my back and neck/head area. I feel like I have occipital neuralgia because they tried diagnosing me with migraines but none of the three different migraine medications they have given me have worked. Also curious how you feel now that you have possibly gotten it done. Thank you.
I had an attack of Vertigo/dizziness about 2 months ago. ENT physician suggested it was BPPV, but I've also had a sore occipital process on the right side of my head, with soreness extending down into my right trapezius. I occasionally get sharp pains in the occipital area and behind my right ear. Dizziness has subsided mostly, but my balance is still off. I'm doing PT for vestibular issues and that helps. I saw a neurologist a couple of days ago and I mentioned I thought the BPPV diagnosis was incorrect and suspected my imbalance was more related to my neck pain/sore shoulder and sensitive occipital process on the right. She agreed and suggested she could do this Nerve Block treatment to help with the pain. Does it also improve the balance issues? Balance is getting better, but after 2 months I'm at about 90% of normal. I'm continuing Physical Therapy and push myself to get up and out doing stuff in the yard, that makes me feel better. BTW, I'm well into my 60's and recently retired-a seasoned citizen!
@@prellia I ended up not getting it. PT helped me get my balance back and I've made some changes in my lifestyle to put less stress on the occipital part of my head. I don't use a pillow when I sleep, just a folded up towel, for example. Small things, but they all add up to less strain on that part of your body.
I had these sorts about once a month for 2.5 years after a severe concussion. They saved my life, . The pain was so severe that I was suicidal more than once. Thank God for my pain doctor. The nerve healed itself and the pain just stopped.
I've had severe headaches since ninth grade.(40 years) and tried many physical and chemical ways to treat them. I've had two ONB's a year apart. Within 8 hours I get the WORST headache! So they don't work for everyone, and there is risk. So far indocin works best to relieve my pain , but it's hard on my organs long term.
I've been experiencing occipital neuralgia pain for about 2 months. Im now waiting for a neurologist office to call and schedule me to possibly have this done. The shooting pain in the nerve feels like someone is stabbing me in the back of the head. I've tried the chiropractor, oral anti-inflammatories, ice and heat but nothing gives me 100% relief.
@J Justice I’ll DEFINITELY check back in. I’m optimistic. The Pain MD wanted to put this on facet joint issues when my last cervical ESI didn’t work, but the pain was sudden and different. I’ve HAD the facet joint issue for a long time. 2 minutes with the neurologist and he landed straight on occipital neuralgia, when I looked it up... it fit SO much better. I avoided the RFA because it also entailed 3 Covid tests and now glad I waited for the neuro consult. I don’t need the Covid Test for this procedure and I TRULY believe this is the answer. To NOT feel like my eyeball is being shoved out of my head will be a huge relief. Not to mention that struck in the back of the skull with a baseball bat pain.
@J Justice ok, he did just the right side since that was where the pain was worse. Admittedly I was concerned it wouldn’t work because it really DID feel like it was both sides thing. It wasn’t a painful injection but when he was fanning around injecting the medication there WAS one particular spot that was pretty intense (but anyone that’s had injections near an irritated or inflamed nerve knows when you FEEL that, it means they are in the right place so you stick it out). It really is only a few seconds of discomfort because the numbing agents work fast. About 5-6 minutes afterward, I actually felt relief and my VISION was notably clearer. I hadn’t even realized HOW blurry my vision was becoming until it cleared. Ever see those allergy medicine commercials where things suddenly get clearer ? Like a veil lifted. That’s exactly what happened and I didn’t expect it. I was surprised by that AND the fact I really didn’t need bilateral injections. Pain is gone from both sides. The entire back side of my head, behind my ear, down the back of my head was pretty numb for several hours. I didn’t wake up with the jabbing pain behind my head and eyes. First time in MONTHS. The injection site IS tender today so there will be no hair brushing. I wish I could get the same pain relief in other regions as quickly and efficiently. How long this will last ? I guess I’ll check back in !! I’m hoping this isn’t a recurring thing. I’ve never had this before. Fingers crossed. Good luck !! I have an AMAZING pain management doctor. I mean really great, so I hope you have an equally good result.
I did not see any aspiration before and in between injections. This is really important if you’re injecting bupivacaine all around an artery. Intravascular bupivacaine can cause some major problems. Also no mention of having intralipids immediately available. Since this is a teaching video for other practitioners to perform this block it seems prudent to mention it. Otherwise very instructional!
@@medicatedforyoursafety9349 I get very severe migraines no lights sounds can't lift my head migraines. Neurologist wanted me to do the ajovy injections but I've seen to many horrible reviews on it
@@teresat5503 same, I’ve had this migraine since my injury in 1999. Everyday. Helps me by 50-70%. If enough meds aren’t used I can tell and or doesn’t last as long. Usually looks like I have some pretty large lumps left and right of the inion area. Lumps from meds go away within a few hours. Sore to lay down on back of head for 2-4 days but I’ll take a little soreness over this migraine everyday. I mean it’s still there. But at least I’m not vomiting everywhere all the time.
@@medicatedforyoursafety9349 mine make me so nauseous it isn't funny. I can barely lay with a lil blanket behind my head that will instantly give me a headache. Only thing that help even just a little bit is sleeping with ice packs(cold packs not frozen lol) on my forehead and back of my head. I'm nervous but I can't wait to not have migraines. How often do you have to get them
Went to the doctor for migraines for 10 years and gave up. Began doing my own research and found your video, I was 100% sure this was my issue...on both sides. Can this issue be caused by air accessing the nerve from an opening such as a TBI of some kind?
Getting my first today. Ordered by doc. Not sure why because I don’t have pain, but we’ll see what happens! Lol. Not really sure what effects I’m supposed to be looking for 🥴
Nice video but I’d still do an Ultrasound guided block just to be sure I’m not in the occipital artery. As always head and neck scares the hell outta me
what is the difference please, between this treatment, and a cortisone injection for occipital neuralgia? And, which is more commonly used for this condition? Thank you.
These treatments are just numbing agent (lidocaine, etc), and will usually only offer short term relief. Cortisone injections are usually a combination of a numbing agent and a steroid. The numbing agent will offer immediate although short term numbing of the area (days to maybe weeks), and the steroid will help reduce inflammation long term (weeks to months). Its kind of like a one two punch.
I just had a second round of injections after 6 months. Mine went in the back of my neck though... definitely still in pain. Last time took 3 weeks before I got relief from constant head pain.
I do this procedure. When I insert the needle I withdraw the plunger (aspirate) to see if there's blood. If there's none that means to say it's safe to push the Lidocaine knowing that I did not hit an artery. I always withdraw/aspirate the plunger when I target the greater and lesser occipital nerves to make sure I did not hit the occipital artery. It was not done in this video.
Still waiting to be accepted for this medicine. They wanted me to try everything else they could think of first. Years have gone by. Hope I will get this medicine soon🙏🏾
I’ve been having this done for the past 2 months now and I was just curious exactly what he is doing. Watching this makes me a little nervous. My doctor has been doing this for 25 years, he doesn’t push on my head first to make sure if it hurts worse or not, and he also doesn’t have me hold pressure. He just feels around makes marks and does it. He also gives me trigger point injections up and down my neck and upper back. It helps amazing I can’t complain, I just hope I don’t get nerve damage lol
Can i ask if my dr just shoots without touching for nerve. Is that ok. I feel no difference. This is my 2nd time from same dr no results. The first doctordr. Tried to find a nerve and it helped immensely. I get botox shots to in my scalp. Im suffering terribly
I have chronic ON from a whiplash injury. I’m needle phobic & was wondering if getting injections is painful. I’ve heard Botox injections help but read you should only do 2 injections a few months a part. It’s not recommended as long term treatment as too many of the injections can lead to other health problems. Also, finding a good pillow is key to helping this condition. But, I haven’t found one that relieves the aching. I’ve tried memory foam, memory foam & down, down & polly fiber, down, Sleep Number pillows, and other foam neck support pillows and they’re either too firm or need fluffing.
The needle stick is not painful, but the medication thats administered can burn/sting a little when its injected. Its worth the discomfort in my opinion because it really helps ease the pain.
RollerCoasterLisa Hi I had car accident last sept 29,2019 up to now Im still having headaches all the time I’ve tried a few medications like Naproxen, maxalt, Amitriptyline, duloxetine, Keterolac and gabapentine. Ketereloc and gabapentine is the only one that helps for a while but up to now Im still having headaches and pain. My doctor adviced me to consider this Occipital nerve block injection. How long ago is your car accident if you dont mind.
Jsarumi allen-kehinde agreed, the pain is nothing compared to the pain and suffering you are already experiencing. They use this numbing spray that makes you not really feel anything
You don’t have to do Botox, my doctor uses steroid one visit then will skip the steroid the next visit and just use lidocaine the next visit and then so on and so on. Some people only use lidocaine and no steroid at all. They know how much steroid they can use and are careful not to overdo it. My doctor explained to me that sometimes just poking the muscles and nerves with the needle is enough to help some people reduce that tension. I’d highly suggest going and getting the nerve block I’ve had it and it’s made a significant difference in my migraine and muscular tension pain. It doesn’t barely hurt you will only feel a little tiny tiny sting as the medicine is going in as another poster posted but it’s so minor it isn’t even worth saying.
Have the Doctor sedate you, then you won't feel any pain at all. Just tell them. They will do it unless your Insurance won't pay for it. I've had the shot's done for 6 years and 5 Radio Frequent Ablations. They always sedate me.
Had this procedure done today (9/11/20) UK London....Both sides! without boast, i could hardly feel it and was speaking pretty much through the whole procedure.
@@RelishWithReCheil Got worse for 2 weeks....overall since then...i personally dont think its lessened my pain...but maybe after a 2nd procedure it will.....i'll update again
I have had this pain for a year and a half. Saw a pain management dr, gave me trigger point injections, but i felt worse. Had x-rays done yesterday and the tech told me it seemed like i have occipital neuralgia. I googled it and ..BANG!!! YUP THATS IT. I have all those symptoms. Will ask my dr when they call me for x-ray results. 🤔🤔🤔
I would assume it didn’t work. I have had 2 of these injections and it hasn’t touched my pain. I’m also on 1,800mg of Gabapentin and 40mg of prednisone daily. Nothing has helped so far
@@thetattooedguy1413 Damn that sucks. Prednison has helped me and made me try this injection again (3rd time) after 2 years of pain. It hurt like hell but now after 3 days it really seems to start to help a bit. I did go to a different doctor tho. It might be worth letting someone else give it a try?
@@Bones.x I’m in the process of getting a different doctor now. I was on prednisone for a while. I ended up gaining almost 50lbs ( which is a lot for me ) then when Covid broke out they said I needed to be careful with the steroids. I can’t understand why this isn’t better treated ! So many of us suffer and it’s difficult to treat or get help for it
@@the_vukeim gonna do mine soon as well. im wondering do they help? like do they give pain relief? i saw many people saying they last for couple of days only.
@@cioverangel I’m not going to lie it did nothing for my migraines. But I have a friend that swears by them so it seems it’s very hit or miss. Good luck! I hope it works wonders for you!
@@thegrowthmindsetchannel4627 My doctor always giving me a pain reliever and not even doing anything like injecting steroid to stop the pain i guess ill be goin to neuro surgeon.Bothers me everytime at work SMH😪
Sir please I have one also problem.please tell me my head bone back side is some loag .and head look like eag so how can I change this head shape please
My doctor gave me 12 injections at a time in neck, back sides of neck... With a minute my pain is gone but I still feel dizzy. I have total 6 seatings and feel 50% pain free .
Thank you, I wil do it with Procain on the Occipitalis major. I have nothing else here, the pain kills me. And I don’t want to go to hospital, because there is corona everywhere. 🙏
I had this done (Gon and lon blocks "injected local unaesthetic, not steroid") I got more pain right after it. Especially the night was horrible. I felt like my head is gona explode. I talked to my doctor. The doctor gave me decort (anti inflamatory ) ivy . Today is "day 2". I am kind of better but am afraid the pain will come back and little discouraged if it helped or not. My doctor said it is normal to have more pain for 2-3 days but after day the pain will stop. Did you experience something like that with your patiences? For the readers: The needles were not that bad. Especially not as bad as your pain in the head.
sorry to hear that! im waiting to do mine soon. im wondering if the nerve blocks worked well on you? do u feel better now? and how much pain relief do they give u? im scared mine won’t last for long. i hopw you are feeling better.
@@cioverangel Hello Joudi, turns out I had neuro-sarcoidosis and needed prednisone (a corticosteroid) for treatment. Still on it. It got worse before it got better but I am much better. These blocks help to those who have no underlying cause for the headaches. In my case, I had severe inflammation so these didn't help. But it helps a lot of chronic pain patients.
@@seda_in_wonderland happy to hear that you’re doing better! can you tell me you symptoms? im struggling with daily chronic headaches, neck stiffness, pain in the legs and left arms. My headache would come from the back of my head so my doctor said it could be ON.
@@cioverangel It took me a year to get a diagnosis. My headache helped the doctors to find it. First they thought it is occipital neuralgia, then cluster headache. It was coming from the back of my head and on the right side. It got worse. I got an MRI, they saw some "spots" in my brain. They turned out to be inflammation. They did lots of tests to diagnose my sarcoidosis. After I got the diagnosis, I remembered having shortness of breath, heart palpitations, aches in different parts of my body. But since they were not as bad as my headache, I didn't think they are related. So I don't know if you have a chance to do it but maybe an MRI to make sure you don't have anything. And also a lot of autoimmune diseases causes aches and pain in the body. Just keep researching. It is hard to have a constant pain but I am sure you will find the right treatment. Also, watch out your diet, walk if you can, drink lots of water, no sugary foods and drinks... They also help...
@@seda_in_wonderland i did a DT to my brain but they told me by brain is as healthy as it could be and they don’t know what is the reason behind my chronic daily headaches :( i’ve been suffering for almost 6 months now without finding the right treatment. I live in sweden and it’s so hard to do MRI here or even get the chance to see a head specialist. it took me months and i had to travel to another town to see someone who could finally say to me that it could be ON and now im waiting to see him. Its so hard when no one is listening to you, nor feel your pain and doctors here tend to tell you that everything you feel is “anxiety”. i think my neck problems is causing my headaches that’s why im trying to get them to do a MRI for me, let’s see if they listen. im glad you found the right treatment and right diagnosis tho, hoping the best for you, Seda ❤️.
I found out I got occipital nerve damage I've been in pain for the last week..it feels so tight in my head..that needle going in is making me feel sick looks painful
@@lifessensational2944 ive had mine for a month now or 2, ive been using pain meds and got prescribed an anti-inflamatory cream to rub on the area and i got told to get a heat pack, its working for now but when i sleep the meds wear off and it starts aching again, usually lying on my back with a rolled up towel under my neck usually helps, but im really waiting to see a chiropractor to see if it can help
@lifes sensational I’ve had ON as well as another condition called NDPH for 9 months and the shots really aren’t bad! Yes it does hurt but it is so worth it in the long run! For me personally, it was more of a pressure than pain. I just had my second block today and would HIGHLY recommend asking about them. It helps my pain and makes it so much easier to sleep and lay on your head ♥️ a couple minutes of pain and a few days of soreness is completely worth WEEKS of relief
Please any one knows the tablet of this neck pain nerve help me I'm feeling it 3 weeks my somalia doctor gives me declofine only 75bmg nothing get changed
I am in the US have had this for 10 plus yrs. I have gotten boxtox for years and it helps until a month out for next injection. I just had this done a few days ago and I am not really sold on it as it seems to have increased my pain. I know this does not work for everyone but a lot it helps. Why are the Norway doctor's against it?
Swelling,pain, I feel like someone hit me in the back of the head with a claw hammer for the next 2 days. Ice pack it. Can cause sudden death or blindness..but rare. Your vision may be blurry or lightheaded afterwards so not supposed to drive after. But, it does help block the pain. Been getting them for 2 years.
For me to tell if this will work for me or not, how long could if take for the bupivicaine to work? Thanks.. I just had my first occitpal nerve block with the same bupivicaine agent. My head still feels the same so far, about 10 hours later
I get this treatment,but now they don't work anymore. After a treatment,2-3 days after the pain comes back. What's the next step to followed? Please help.( I miss too many days of work)
I have constant dizziness/vertigo and balance issues and vision issues. I have pain in my head on both sides in back and in front and my vision is messed up after one wrong chiropractor adjustment. Do you think this could help me?
I have done blocks for years and this is a wonderful video---I offered to teach other docs but sadly, so often, they declined----it is SO useful. Now that I am retired, I am getting calls to help patients, and NOW an interest in learning techniques for various cranial blocks.
Are they really safe?
I also feel some swelling in my back head and cramp on my neck
For all the people worried about the pain of the needle, it's not as bad as it looks don't worry about it!
I beg to differ! When you are already in a flare and go in for these to get some relief it hurts like heck!
I felt the immediate needle entry, but it wasn’t bad at all, and the block was wonderful. It only lasted 7 weeks, though. 🤦🏼♀️
@@nancysquyres4103 Were you in an Occipital flare when you got them? Everytime I received them I was in a ON flare,so it hurt worse.
Thank you for the video. I had this nerve block done by my doctor a few days ago. Wonderful relief!
How often do you get the injection. And how is your headaches now. Thanks.
Did you have insomnia because of the nerve block?
@@benjiprice9008, did you have this done and now experience insomnia?
How long does the relief last?
You have cluster headeaches??
Just had a patient that I suspected was suffering from occipital neuralgia, learned how to do the block from your video, blocked the greater occipital nerve with full resolution of her pain! Thanks a lot!
Awesome to hear :)
I don’t know how you guys have the confidence to do this. I’m a nurse, I also get these injections and watching this video even more-so makes me amazed that doctors can do this. It’s just so much responsibility makes me so nervous working with nerves 😬 like how do you know you are at the right spot when you are going in and out like that. So stressful lol
My doctor spoke about a lidocaine only injection with the steroid, is that possible? I don't want a steroid in my head.
@@DannaGoat esp when you read “i did this on a patient after watching one youtube video” yikes haha
Did it truly help her? I'm scared to have it but been told I need it.
I get these done every two months for my ON. The muscle aches are killer but after a day or two the shots do their magic and I no longer have pain!!
How long does your relief last?
@C Klan mine on eyes
You better go work on your pain instead of taking those shots. And that docter has to learn uncoventiional thinking but therefore he isnt wise enough he dont know as you do any better. Both happy is the solutiion.
Listen to pain be happy with pain no life whitout pain! Pain lets us know where doing something wrong like i already saw you sitting and your eyelids are telling me something aswell go find your self. Dont see the doctor unless you really need him
@@mrvvrm5951 Obviously you have never suffered from occipital neuralgia. Imagine burning, shooting, zapping pain in the back of your head that never goes away. it will ruin your life if you don't get treatment. Its tantamount to torture. It make people suicidal, no joke. And yes you do need to work on other things (posture, muscle strengthening, relaxation, diet) and not just rely on shots, but these shots can offer much needed relief to people who are in complete and debilitation misery.
I was first given trigger point injections when I went to the ER with migraine. First real relief I’d had in the previous decade. Highly recommended.
Thank you for your very informative video from a nurse ;). I just had this done for Cluster headaches, i reallllllly hope it helps as i have tried so many medications and daily lithium to try control them but unsucsessful so i am looking forward to the relief this could bring. Do not be alarmed by the injection it is not bad at all. My neurologist just told me to put my head on her desk and did 3 block on the left and i barley felt the needle !
How have felt since the injection?? ANY improvements??I had two today with minimal results so far.... Staying optimistic, but pain came back as numbing went away.
Update please
Estas mejor , funcionó ?
Sorry late reply to the updated. I had this done twice and unfortunately it did not work either time and I am now getting a neuro stimulant. The injections are not bad and have helped so many people so don’t be scared and just try it - if it works that’s amazing and a good solution. If not go back to neurologist they will see what else is available for you.
@@sgcc4477 Sorry late reply to the updated. I had this done twice and unfortunately it did not work either time and I am now getting a neuro stimulant. The injections are not bad and have helped so many people so don’t be scared and just try it - if it works that’s amazing and a good solution. If not go back to neurologist they will see what else is available for you
I just got diagnosed with this and will start this process soon. I'm scared but actually so excited because before I was just being treated for migraines and cluster headaches and I just knew there was something deeper than that. Thank God for all doctors especially pain doctors #LeudaPainCenterFortWorthTx
Don’t be scared! It really isn’t that bad! I just had my second one today ♥️ just be prepare you might be sore for a day or so after don’t let that discourage you! Mine take a couple days to go into effect but SO worth it! 😊 Good luck!!
@@allshookup1640 oh wow Thank you so very much 💖
@@Umstead2011no problem! Good luck! I hope you feel better soon! 😊
@@allshookup1640 Thank you Dear...you as well
I live in Arlington, TX. So not far from Fort Worth? About how long did it take from when you first saw them about your pain until they diagnosed and did the procedure? I have been seeing my pain management doctor for about 2-3 months now as I had a fall late last year where I injured my back and neck/head area. I feel like I have occipital neuralgia because they tried diagnosing me with migraines but none of the three different migraine medications they have given me have worked.
Also curious how you feel now that you have possibly gotten it done. Thank you.
I had an attack of Vertigo/dizziness about 2 months ago. ENT physician suggested it was BPPV, but I've also had a sore occipital process on the right side of my head, with soreness extending down into my right trapezius. I occasionally get sharp pains in the occipital area and behind my right ear. Dizziness has subsided mostly, but my balance is still off. I'm doing PT for vestibular issues and that helps. I saw a neurologist a couple of days ago and I mentioned I thought the BPPV diagnosis was incorrect and suspected my imbalance was more related to my neck pain/sore shoulder and sensitive occipital process on the right. She agreed and suggested she could do this Nerve Block treatment to help with the pain. Does it also improve the balance issues? Balance is getting better, but after 2 months I'm at about 90% of normal. I'm continuing Physical Therapy and push myself to get up and out doing stuff in the yard, that makes me feel better. BTW, I'm well into my 60's and recently retired-a seasoned citizen!
How are you doing now after the injection?
@@prellia I ended up not getting it. PT helped me get my balance back and I've made some changes in my lifestyle to put less stress on the occipital part of my head. I don't use a pillow when I sleep, just a folded up towel, for example. Small things, but they all add up to less strain on that part of your body.
I had these sorts about once a month for 2.5 years after a severe concussion. They saved my life,
. The pain was so severe that I was suicidal more than once. Thank God for my pain doctor. The nerve healed itself and the pain just stopped.
How long did it take for nerve to heal itself?
@@joelajspawnshop6376 he said 2.5 years so I'm guessing he got 24 shots total
Me too
Is this worth it? Have been dealing with serious neck pain for the past 3 years. Have been essentially living off over the counter meds.
Three weeks?!?! Damn I wish I’d gotten my headaches figured out after three weeks as opposed to two years!!
Same here.
Right! But even then 2 weeks is to short idk 😭
Im 10 years in.. hoping my doctor tells me next week that this is it!
I've had severe headaches since ninth grade.(40 years) and tried many physical and chemical ways to treat them. I've had two ONB's a year apart. Within 8 hours I get the WORST headache! So they don't work for everyone, and there is risk. So far indocin works best to relieve my pain , but it's hard on my organs long term.
Does it help the pain though?
Didn't it do nothing for your pain?
check dr mandell treatment Natural!
Poor guy he was like “give me the f***ing needle stop talking”
Neuro did my first one this morning and it was more of a pressure than pain. A little stiff at first but i walked out of the doc and had no troubles 😊
Well done doc! Ty! Perfecting my scalp blocks and this was great! 😊
I've been experiencing occipital neuralgia pain for about 2 months. Im now waiting for a neurologist office to call and schedule me to possibly have this done. The shooting pain in the nerve feels like someone is stabbing me in the back of the head. I've tried the chiropractor, oral anti-inflammatories, ice and heat but nothing gives me 100% relief.
Please tell is it bad to have it im 16 and i think i have it too, does it damage the vision?? Please answer me
@shadow no it's a common headache but neck exercises really helps
Getting mine today at 4:30...
@J Justice I’ll DEFINITELY check back in. I’m optimistic. The Pain MD wanted to put this on facet joint issues when my last cervical ESI didn’t work, but the pain was sudden and different. I’ve HAD the facet joint issue for a long time. 2 minutes with the neurologist and he landed straight on occipital neuralgia, when I looked it up... it fit SO much better.
I avoided the RFA because it also entailed 3 Covid tests and now glad I waited for the neuro consult. I don’t need the Covid Test for this procedure and I TRULY believe this is the answer.
To NOT feel like my eyeball is being shoved out of my head will be a huge relief. Not to mention that struck in the back of the skull with a baseball bat pain.
@J Justice ok, he did just the right side since that was where the pain was worse. Admittedly I was concerned it wouldn’t work because it really DID feel like it was both sides thing.
It wasn’t a painful injection but when he was fanning around injecting the medication there WAS one particular spot that was pretty intense (but anyone that’s had injections near an irritated or inflamed nerve knows when you FEEL that, it means they are in the right place so you stick it out). It really is only a few seconds of discomfort because the numbing agents work fast.
About 5-6 minutes afterward, I actually felt relief and my VISION was notably clearer. I hadn’t even realized HOW blurry my vision was becoming until it cleared. Ever see those allergy medicine commercials where things suddenly get clearer ? Like a veil lifted. That’s exactly what happened and I didn’t expect it. I was surprised by that AND the fact I really didn’t need bilateral injections. Pain is gone from both sides.
The entire back side of my head, behind my ear, down the back of my head was pretty numb for several hours. I didn’t wake up with the jabbing pain behind my head and eyes. First time in MONTHS. The injection site IS tender today so there will be no hair brushing.
I wish I could get the same pain relief in other regions as quickly and efficiently. How long this will last ? I guess I’ll check back in !! I’m hoping this isn’t a recurring thing. I’ve never had this before. Fingers crossed. Good luck !! I have an AMAZING pain management doctor. I mean really great, so I hope you have an equally good result.
👌🙏👍Thanks!
🌹2:20 枕N 有兩分支
在做尋壓疼痛點時：
A. 2:27 在枕骨粗隆點向外一大拇指幅範圍內
B.2:41 摸觸出枕動脈，在靠其內側處按壓查找壓痛點。
🌹0:35 1:02 壓在大枕神經穿行的3:01枕部位置通常能複製出顯著頭痛即可考慮做大枕神經阻斷。
5cc針筒，27G針頭Xylocain 1cc
2:10 Inion枕後凸隆點
2:14 乳突
🌹3:48 令患者坐床邊並以雙手掌掩面低頭姿執行注射。
🔯4:25 實際注射
100% educator level speaking skill
I did not see any aspiration before and in between injections. This is really important if you’re injecting bupivacaine all around an artery. Intravascular bupivacaine can cause some major problems. Also no mention of having intralipids immediately available. Since this is a teaching video for other practitioners to perform this block it seems prudent to mention it. Otherwise very instructional!
what is the purpose of the intralipids for this?
@@topgun213 it’s the reversal agent for local anaesthia toxicity ie you injected all 5 cc into the artery and your patient has a seizure or something
this is the ONLY thing that has ever worked for my migranes, i get this procedure done every 12 weeks through the VA
I'm scheduled to get my 1st one next week. Does it hurt
@@teresat5503 If it’s done correctly not so much. It’s not comfortable for sure but I wouldn’t say painful. Not any worse than my migraines.
@@medicatedforyoursafety9349 I get very severe migraines no lights sounds can't lift my head migraines. Neurologist wanted me to do the ajovy injections but I've seen to many horrible reviews on it
@@teresat5503 same, I’ve had this migraine since my injury in 1999. Everyday. Helps me by 50-70%. If enough meds aren’t used I can tell and or doesn’t last as long. Usually looks like I have some pretty large lumps left and right of the inion area. Lumps from meds go away within a few hours. Sore to lay down on back of head for 2-4 days but I’ll take a little soreness over this migraine everyday. I mean it’s still there. But at least I’m not vomiting everywhere all the time.
@@medicatedforyoursafety9349 mine make me so nauseous it isn't funny. I can barely lay with a lil blanket behind my head that will instantly give me a headache. Only thing that help even just a little bit is sleeping with ice packs(cold packs not frozen lol) on my forehead and back of my head. I'm nervous but I can't wait to not have migraines. How often do you have to get them
Went to the doctor for migraines for 10 years and gave up. Began doing my own research and found your video, I was 100% sure this was my issue...on both sides. Can this issue be caused by air accessing the nerve from an opening such as a TBI of some kind?
why did i watch this the day before i am having this done lmaooo i am gonna throw up
How was your experience? Considering getting it done.
Ahh bless ya I’m waiting to have this done x
Did it help?
Helps severe migraines
@@user-zk8ck3my3l it does
June 16th, 2023. 2 days after this. Headache free. It's been 20 years of pain that started with a brain tumor.
How long has this lasted for you?? Any dizziness present??
Getting my first today. Ordered by doc. Not sure why because I don’t have pain, but we’ll see what happens! Lol. Not really sure what effects I’m supposed to be looking for 🥴
How did it go
Nice video but I’d still do an Ultrasound guided block just to be sure I’m not in the occipital artery. As always head and neck scares the hell outta me
what is the difference please, between this treatment, and a cortisone injection for occipital neuralgia? And, which is more commonly used for this condition? Thank you.
These treatments are just numbing agent (lidocaine, etc), and will usually only offer short term relief. Cortisone injections are usually a combination of a numbing agent and a steroid. The numbing agent will offer immediate although short term numbing of the area (days to maybe weeks), and the steroid will help reduce inflammation long term (weeks to months). Its kind of like a one two punch.
@@AndrewHopkinsOT thank you. that is clear and helpful. :)
I just had a second round of injections after 6 months. Mine went in the back of my neck though... definitely still in pain. Last time took 3 weeks before I got relief from constant head pain.
ارجو ممن يفهم العربية ان يشرح لي العلاج و التاثيرات وهل العلاج ناجع مع الشكر
How do you avoid the occipital artery if you are putting the needle in laterally to get both nerves?
That’s what I’m saying, I don’t know how they do this it’s so risky
I do this procedure. When I insert the needle I withdraw the plunger (aspirate) to see if there's blood. If there's none that means to say it's safe to push the Lidocaine knowing that I did not hit an artery. I always withdraw/aspirate the plunger when I target the greater and lesser occipital nerves to make sure I did not hit the occipital artery. It was not done in this video.
Don’t be fucking stupid. If they thought it was so risky they wouldn’t do the procedure dumbass.
@@mandihennessy7987 relax
My doctor uses an ultrasound before injections. I'm surprised the video didn't mention it.
Still waiting to be accepted for this medicine. They wanted me to try everything else they could think of first. Years have gone by. Hope I will get this medicine soon🙏🏾
Same!! Im 10 years waiting for relief. I hope this is it !!!
dont you need to aspirate first?
I’ve been having this done for the past 2 months now and I was just curious exactly what he is doing. Watching this makes me a little nervous. My doctor has been doing this for 25 years, he doesn’t push on my head first to make sure if it hurts worse or not, and he also doesn’t have me hold pressure. He just feels around makes marks and does it. He also gives me trigger point injections up and down my neck and upper back. It helps amazing I can’t complain, I just hope I don’t get nerve damage lol
How is the soreness afterwards for both?
Not gonna lie, I curse at my doctor every time because it hurts so bad for me lol.
Can i ask if my dr just shoots without touching for nerve. Is that ok. I feel no difference. This is my 2nd time from same dr no results. The first doctordr. Tried to find a nerve and it helped immensely. I get botox shots to in my scalp. Im suffering terribly
How about botox help?
This solution affective for how long?
3 months
Thank you. I'm in misery every day of my life waiting for ablation. This will be the 1st step.
Ha funcionado?
How are you doing now?
I have chronic ON from a whiplash injury. I’m needle phobic & was wondering if getting injections is painful. I’ve heard Botox injections help but read you should only do 2 injections a few months a part. It’s not recommended as long term treatment as too many of the injections can lead to other health problems.
Also, finding a good pillow is key to helping this condition. But, I haven’t found one that relieves the aching. I’ve tried memory foam, memory foam & down, down & polly fiber, down, Sleep Number pillows, and other foam neck support pillows and they’re either too firm or need fluffing.
The needle stick is not painful, but the medication thats administered can burn/sting a little when its injected. Its worth the discomfort in my opinion because it really helps ease the pain.
RollerCoasterLisa Hi I had car accident last sept 29,2019 up to now Im still having headaches all the time I’ve tried a few medications like Naproxen, maxalt, Amitriptyline, duloxetine, Keterolac and gabapentine. Ketereloc and gabapentine is the only one that helps for a while but up to now Im still having headaches and pain. My doctor adviced me to consider this Occipital nerve block injection. How long ago is your car accident if you dont mind.
Jsarumi allen-kehinde agreed, the pain is nothing compared to the pain and suffering you are already experiencing. They use this numbing spray that makes you not really feel anything
You don’t have to do Botox, my doctor uses steroid one visit then will skip the steroid the next visit and just use lidocaine the next visit and then so on and so on. Some people only use lidocaine and no steroid at all. They know how much steroid they can use and are careful not to overdo it. My doctor explained to me that sometimes just poking the muscles and nerves with the needle is enough to help some people reduce that tension. I’d highly suggest going and getting the nerve block I’ve had it and it’s made a significant difference in my migraine and muscular tension pain. It doesn’t barely hurt you will only feel a little tiny tiny sting as the medicine is going in as another poster posted but it’s so minor it isn’t even worth saying.
Have the Doctor sedate you, then you won't feel any pain at all. Just tell them. They will do it unless your Insurance won't pay for it. I've had the shot's done for 6 years and 5 Radio Frequent Ablations. They always sedate me.
My 5years old daughter is suffering a pain behind her head,while pressed she supposed to cry. How can I help her without injection?
The comments on here are more scarier than the injection
I'm so nervous that its going to hurt really bad. U havd to get this done in a little over a few weeks.
مرحبا دكتور افضل علاج سخونة الراس من الخلف مثل ماعلاجه
If occipital neuralgia is the culprit, will the pain always worsen upon palpating? What if palpating the area provides relief?
I wonder this too. When I press on the back of my head where those nerves are supposedly located, my pain in my head goes away 🤔
Hi! I have noise în that area ,if I did this operațional its ok for me, 8 will fix it please?!
1:07 That “yes” scared the shit out of me.
😂😂😂😂😂😂
It is illegal to be scared.
Had this procedure done today (9/11/20) UK London....Both sides! without boast, i could hardly feel it and was speaking pretty much through the whole procedure.
Did you feel better afterwards?
@@RelishWithReCheil Got worse for 2 weeks....overall since then...i personally dont think its lessened my pain...but maybe after a 2nd procedure it will.....i'll update again
hi, any updates on your experience yet, thanks in advance
@@usernametaken3792 Its not worked for me alas.
I have had this pain for a year and a half. Saw a pain management dr, gave me trigger point injections, but i felt worse. Had x-rays done yesterday and the tech told me it seemed like i have occipital neuralgia. I googled it and ..BANG!!! YUP THATS IT. I have all those symptoms. Will ask my dr when they call me for x-ray results. 🤔🤔🤔
u still in pain or?
I have it as well from a herniated disc in neck
I will be getting this shot soon. I'm nervous. Will I be able to work the day of the shot?
did you work
I would assume it didn’t work. I have had 2 of these injections and it hasn’t touched my pain. I’m also on 1,800mg of Gabapentin and 40mg of prednisone daily. Nothing has helped so far
Brian you really have to find the right point.
@@thetattooedguy1413 Damn that sucks. Prednison has helped me and made me try this injection again (3rd time) after 2 years of pain. It hurt like hell but now after 3 days it really seems to start to help a bit. I did go to a different doctor tho. It might be worth letting someone else give it a try?
@@Bones.x I’m in the process of getting a different doctor now. I was on prednisone for a while. I ended up gaining almost 50lbs ( which is a lot for me ) then when Covid broke out they said I needed to be careful with the steroids. I can’t understand why this isn’t better treated ! So many of us suffer and it’s difficult to treat or get help for it
I have my nerve block on wednesday and this helped my anxiety but watching the needle was rough!
سلام واش خديتي هاد الابرة اشنو الام لي عنذك
@@rawaaalmrani I had this done and I don't know if the doctor did it wrong or what but it was so painful I almost passed out.
@@the_vuke كتبي بالعربية
@@the_vukeim gonna do mine soon as well. im wondering do they help? like do they give pain relief? i saw many people saying they last for couple of days only.
@@cioverangel I’m not going to lie it did nothing for my migraines. But I have a friend that swears by them so it seems it’s very hit or miss. Good luck! I hope it works wonders for you!
Thank you so much for showing us this!!!!
is there a way to know if this will help my migrane before trying ?
My pain is on the right side 90 % of the time. Are the occipital nerves the same on both sides?
I have the same issue in the head with this patient quite a week now mine was left side at back of the head🤕
Same bro
@@thegrowthmindsetchannel4627 My doctor always giving me a pain reliever and not even doing anything like injecting steroid to stop the pain i guess ill be goin to neuro surgeon.Bothers me everytime at work SMH😪
@Wang Gee how is your pain now I'm getting pain in left side shoulder, neck shoulder blades and in the back of my head while pressing it pains
وكيف اصبحت الأن عندي الام في نفس المنطقة في الراس جانب الايمن وتحول الى الجانب الايسر وصداع @@blankspace3676
@@rawaaalmrani gni man di ko matindihan hambl mo pre ano na?
My doctor spoke about doing a lidocaine only injection without the steroid. Is that possible? I don't want a steroid injection
Sir please I have one also problem.please tell me my head bone back side is some loag .and head look like eag so how can I change this head shape please
I’m scheduled for this tomorrow and not sure I can go through with it after seeing this.
How did it go ?
My doctor gave me 12 injections at a time in neck, back sides of neck... With a minute my pain is gone but I still feel dizzy.
I have total 6 seatings and feel 50% pain free .
Wow...long as it's working with the pain.
I have been having this pain for almost six years
Can he not get a sub occ lift to release it
"it's ok if you go as deep as the skull" that's gotta hurt like fucking hell
I just had one today, and it definitely feels bizarre!
The procedure contains a nerve blocker, shouldn’t hurt
This doesnt reach the muscles.
It’s not that bad, does hurt a little though
I've been getting them for almost 2 years and I cry every time and about throw up. One woman peed herself
“And no resident will say: “I am sick.”
New world translation?
No matter the procedure being performed written consent is Paramount. A verbal consent is not legally binding.
Thank you, I wil do it with Procain on the Occipitalis major. I have nothing else here, the pain kills me. And I don’t want to go to hospital, because there is corona everywhere. 🙏
I'm suffering with this last 4 months.. couldn't see a dctr yet.. finally appointment on 27th June
ماهي الٱلام التي تشعر بها؟
Reminds me of Andrew Taylor Still's "Screaming Cat" analogy
Is this kind of headache effect in eyes ?
yes
Definitely.
ls this a Long-time Solution?
Sir pain right side of the head and burning nerve problem any solution
What does it mean if the nerve blocks make symptoms worse????!!!
I have an infiltration last Monday in the nerve arnold....its now 4 days and i have a lot of pain....what can i do?
Does it hurt to get a shot in the head?
"...wishing you...all the best."
- Dr. J.C.
If it is just a nerve block those wear off. Why not a steroid injection?
I had this done (Gon and lon blocks "injected local unaesthetic, not steroid") I got more pain right after it. Especially the night was horrible. I felt like my head is gona explode. I talked to my doctor. The doctor gave me decort (anti inflamatory ) ivy . Today is "day 2". I am kind of better but am afraid the pain will come back and little discouraged if it helped or not. My doctor said it is normal to have more pain for 2-3 days but after day the pain will stop. Did you experience something like that with your patiences?
For the readers: The needles were not that bad. Especially not as bad as your pain in the head.
sorry to hear that! im waiting to do mine soon. im wondering if the nerve blocks worked well on you? do u feel better now? and how much pain relief do they give u? im scared mine won’t last for long. i hopw you are feeling better.
@@cioverangel Hello Joudi, turns out I had neuro-sarcoidosis and needed prednisone (a corticosteroid) for treatment. Still on it. It got worse before it got better but I am much better. These blocks help to those who have no underlying cause for the headaches. In my case, I had severe inflammation so these didn't help. But it helps a lot of chronic pain patients.
@@seda_in_wonderland happy to hear that you’re doing better! can you tell me you symptoms? im struggling with daily chronic headaches, neck stiffness, pain in the legs and left arms. My headache would come from the back of my head so my doctor said it could be ON.
@@cioverangel It took me a year to get a diagnosis. My headache helped the doctors to find it. First they thought it is occipital neuralgia, then cluster headache. It was coming from the back of my head and on the right side. It got worse. I got an MRI, they saw some "spots" in my brain. They turned out to be inflammation. They did lots of tests to diagnose my sarcoidosis. After I got the diagnosis, I remembered having shortness of breath, heart palpitations, aches in different parts of my body. But since they were not as bad as my headache, I didn't think they are related. So I don't know if you have a chance to do it but maybe an MRI to make sure you don't have anything. And also a lot of autoimmune diseases causes aches and pain in the body. Just keep researching. It is hard to have a constant pain but I am sure you will find the right treatment. Also, watch out your diet, walk if you can, drink lots of water, no sugary foods and drinks... They also help...
@@seda_in_wonderland i did a DT to my brain but they told me by brain is as healthy as it could be and they don’t know what is the reason behind my chronic daily headaches :( i’ve been suffering for almost 6 months now without finding the right treatment. I live in sweden and it’s so hard to do MRI here or even get the chance to see a head specialist. it took me months and i had to travel to another town to see someone who could finally say to me that it could be ON and now im waiting to see him. Its so hard when no one is listening to you, nor feel your pain and doctors here tend to tell you that everything you feel is “anxiety”. i think my neck problems is causing my headaches that’s why im trying to get them to do a MRI for me, let’s see if they listen. im glad you found the right treatment and right diagnosis tho, hoping the best for you, Seda ❤️.
01:25 Too much info.....now Im gonna try it myself....
Virginbreaker the patient??
Not gonna lie, DIY reasons is why *I* watched it.
😂😂
I’m 15 and have got it 2 times now prob gonna get a third
I have a palpation on the back of my head. But no pain. I feel a throbbing sensation when I lay down. Can somebody help??
I found out I got occipital nerve damage I've been in pain for the last week..it feels so tight in my head..that needle going in is making me feel sick looks painful
i also got occipital neuralgia, this is going to SUCK! im trying to avoid this by trying out a chiropractor
@@juansome5440 how long have you had this..mine going on a month and kts not getting better it feels so painful and im going to try physical therapy
@@lifessensational2944 ive had mine for a month now or 2, ive been using pain meds and got prescribed an anti-inflamatory cream to rub on the area and i got told to get a heat pack, its working for now but when i sleep the meds wear off and it starts aching again, usually lying on my back with a rolled up towel under my neck usually helps, but im really waiting to see a chiropractor to see if it can help
@lifes sensational
I’ve had ON as well as another condition called NDPH for 9 months and the shots really aren’t bad! Yes it does hurt but it is so worth it in the long run! For me personally, it was more of a pressure than pain. I just had my second block today and would HIGHLY recommend asking about them. It helps my pain and makes it so much easier to sleep and lay on your head ♥️ a couple minutes of pain and a few days of soreness is completely worth WEEKS of relief
@@allshookup1640 are you talking about the nerve block injections and mine is also pressure in the head nothing is helping
يادكتور مرحبا انا اغاني من سخونة الراس من الخلف ماعلاجه
Available for cluster headaches
For how long it works ,
Please any one knows the tablet of this neck pain nerve help me I'm feeling it 3 weeks my somalia doctor gives me declofine only 75bmg nothing get changed
Iv'e had this for a year now - is this for life or can it stop by itself? Doctors in Norway where i live won't do the blocking.
I am in the US have had this for 10 plus yrs. I have gotten boxtox for years and it helps until a month out for next injection. I just had this done a few days ago and I am not really sold on it as it seems to have increased my pain. I know this does not work for everyone but a lot it helps. Why are the Norway doctor's against it?
This dude sped thru ur crazy
What are the symptoms of having an occipital nerve block?
Symptoms of a block or after or before
@@nikki10114 after?
Swelling,pain, I feel like someone hit me in the back of the head with a claw hammer for the next 2 days. Ice pack it. Can cause sudden death or blindness..but rare. Your vision may be blurry or lightheaded afterwards so not supposed to drive after. But, it does help block the pain. Been getting them for 2 years.
What is the root cause? And how can it be treated?
@Jen i hope you've fully recovered. Thanks for giving insights on the subject
Mine is herniated disc
I've optical nervous unbearable pain since 3 weeks. how to overcome it
I don’t know why I watch this video now I am scared 😱
Is this one only once? how long does it last?
Mine lasted about 2.5 months but some peoples last up to 4 I’ve been told!
My doctor took his time wtf
Lol long time explaining
Thanks for the video. Can we use needless or needle free injector for this procedure?
I have it is it normal?
Idk if i have this or sumthin cuz mine is just hard @ me
For me to tell if this will work for me or not, how long could if take for the bupivicaine to work? Thanks.. I just had my first occitpal nerve block with the same bupivicaine agent. My head still feels the same so far, about 10 hours later
it takes up to a couple weeks to kick in. Did it work for you!?!
I get this treatment,but now they don't work anymore.
After a treatment,2-3 days after the pain comes back. What's the next step to followed? Please help.( I miss too many days of work)
Try sphenopalatine ganglion block
have you have MRI or brain scan??have you any herniated disk in your neck??
@@myrnahall6168 yes I had them done , and I had PRF but still getting flares back.
i've had a headache for over a year now.. and my doctor wont help me treat it.. Yippy!
I downloaded 20 to 30 aspirin a day for a week. Would not recommend it.
Have u tried occipital lift at a Chiropractors office? Look it up on YT. OR Botox to the face?
You need to ask too see a pain management doctor
swelling this area when i wakeup morning. Can anyone help me please please please...
Apply coconut oil 2 parts mixed with 1 part amla oil 3 times a week
@@FPT84 is it work?
i had this today, not that bad. I've been suffering for over a year now. I got bad heachaches and a lot of vertigo. I hope this will work
Hi!! did this help your vertigo???
Did it help ?
@@samuelc6787 Yes it did. But nothing works better than patience.. Still have some slight symptoms even today
I have constant dizziness/vertigo and balance issues and vision issues. I have pain in my head on both sides in back and in front and my vision is messed up after one wrong chiropractor adjustment. Do you think this could help me?
@@joelajspawnshop6376 For how long have you been feeling that way?
الحل دكتور
Well done 47 now head out to the exit
wtff i cant do needles that was nasty
youre telling me, i absolutely HATE needles, this is my worse fear
Or we can stay in pain ...