Valium and a medrol dose pack. That's what fixed my occipital neuralgia. I've had my finger torn off, kidney stones, nothing compares to this. This is for anyone suffering like I did. I was confined to my couch for 3 weeks straight because I couldn't lay may head down to sleep. I had lighting like pains in my head non stop, the only thing that would help is taking a very hot shower. I was on oxycodone, oxycarbazepine, methocarbamol, indomethacin, Diclofenac sod dr, cyclobenzaprine, nortriptyline, gabapentin. I went to a pain clinic and got nerve blocks in both sides of my head, it didn't help. After trying everything and considering surgery, what helped it go away was Valium and a medrol dose pack.