Just an update. I did get the steroid nerve blocks without any imaging. The pain doc felt next to the suboccipital muscles where the symptoms were reproduced a couple weeks ago. Unfortunately I felt no relief from this, and it's been 6 days. I did receive some trigger point injections also(seems my whole upper back is one big trigger point) and those seemed to relax that area a bit.

So now I'm not sure if the steroid block didn't work, or if it was in the wrong spot. Not sure what the plan is next.

Take care, Diana