Although there are different treatment interventions for trigeminal neuralgia versus occipital neuralgia, below are the common treatment options that may address both:

• Chiropractic care — A qualified chiropractor aligns your spine, which may reverse nerve compression. A misaligned upper spine is a likely cause of your trigeminal or occipital area getting compressed or irritated. Blood vessel (vascular) inflammation may also be triggering occipital or trigeminal pain, but a misaligned upper spine may also be the reason your blood vessels are inflamed. Talk to a chiropractor who specializes in orthospinology about your trigeminal or occipital pain.
• Acupuncture — It sounds too good to be true, but scientific studies have shown acupuncture is an effective treatment for both TN symptoms and ON symptoms. This is a better option than medication or surgery, but chiropractic care is the only direct treatment for TN and ON root causes.
• Botox injection — Botulinum toxin A (Botox) has been shown to manage both ON symptoms and TN symptoms. This is not a natural solution, however. Instead of addressing the root cause, botox injections dull the pain attacks without fixing the origin of your medical condition. Botulinum toxin is one of the most potent neurotoxins known to man — it literally just kills the nerves causing your pain.
• Anticonvulsant medication — Although different medications are prescribed for TN and ON, anticonvulsants (anti-seizure meds) such as gabapentin may be prescribed to treat both neuralgias. Carbamazepine is the conventional first-line treatment for TN, despite its side effects and danger to individuals of Asian descent.
• Neurectomy — The name of this last-resort surgery literally means “to sever the nerve.” In extreme cases, some doctors may refer you to a neurosurgery expert who can create lesions in the nerve fibers to halt pain signals. Side effects of neurectomies vary but may include dizziness or tingling sensations around the affected area.
• Peripheral nerve stimulation — This technique is where a neurosurgeon places electrodes along the peripheral nerves to control pain. This treatment aids in placing trigeminal or occipital nerve blocks.
• Nerve block — Both TN and ON can be treated with nerve blocks. Although this does not address the root cause of neuralgia, pain can be dulled with the use of local anesthetic such as lidocaine and a steroid. A block only provides temporary pain relief.
• Avoiding triggers — Touching the skin over your occipital or trigeminal nerves can trigger severe headache pain. Avoiding triggers like touching those parts of your face, head, or neck can naturally prevent the neuralgia pain from flaring up in the first place.