Thanks all for the responses. I have tried Botox, PT, vestibular, acupuncture. Most of the meds I've tried have had bad side effects. Here's a list:

• Migranol (B2, feverfew), Migra-eeze (B2, butterbur)
• CBD tincture and smoking
• Imitrex, 100mg
• Nortriptyline, 10mg, 5 days (horrible side effects)
• Topamax, 25mg
• Cyclobenzaprine
• Occipital Nerve Block
• Botox, x2
• Cymbalta, 30mg, 7 weeks; then again for 6 weeks
• Synapsin nasal spray
• Epidural
• Lyrica, 50mg, 5 days (bad side effects)
• Aimovig
• Ajovy
• Medrol 4mg pack, 12 days
• Kratom
• Occipital Nerve Block with cortisone

Doctors I've seen include:
o 3 Neurologists
o Physical Therapist
o Acupuncturist
o Therapist
o Pain Management
o Sports Medicine
o Vestibular PT
o Psychiatrist

I am scheduled to try ketamine infusion next week.

Are there others who have gotten a diagnosis of occipital neuralgia? After reading more about it, seems what I have could be classified more as OM than PCS, since the headache is the only symptom. But then again, the occipital nerve block didn't do anything...