• Treatment Resistant Migraine

Treatment Resistant Migraine

GON block is a reliable, simple and effective treatment method for migraine patients.

Migraine attacks significantly reduce quality of life for many patients. For those who do not respond adequately to standard drug treatments, occipital nerve block (GON block) has become a reliable, simple, and effective treatment option.

At the Liv Hospital Pain Clinic, GON block is applied both as a preventive method to reduce the frequency of migraine attacks and as a supportive treatment during acute headache episodes.

Treatment-Resistant Migraine Treatment at Liv Hospital

Occipital nerve block (GON block) is a minimally invasive injection technique increasingly used in recent years, particularly for patients with chronic migraine who:

• Experience severe and frequent migraine attacks
• Rely heavily on painkillers
• Show resistance to conventional drug therapies

The GON block procedure is safe and free of significant side effects. In addition to alleviating migraine headaches, it:

• Enhances overall quality of life

• Reduces the need for chronic medication

Minimizes the risks associated with long-term drug use

Occipital Nerve Blocking Procedures

The occipital nerve is directly linked to the trigeminovascular system, the brain region that plays a central role in migraine attacks.

During the procedure:

• Local anesthetic and/or steroid (cortisone) or radiofrequency current is applied to the occipital nerve under guidance with ultrasound or nerve stimulation techniques.
• This blocks the reversible sodium channels in the nerve fibers, preventing the transmission of pain signals to the trigeminovascular system.
• As a result, the triggers associated with migraine pain are suppressed.

In radiofrequency applications, an additional modulation effect is achieved, regulating the neurological mechanisms that generate migraine pain.