Yes, I have had it done three times.  My Pain Management provider does not like to do them often, because it is basically injecting steriods into your body.  But due to my chronic daily headaches we were going to do them every 6-8 weeks.  Fortunately, around the time of the appointment I can manage my headaches with a good massage and my midrin.

But I have to say those three times I have needed them and they have helped a lot!  I have not had it to Prevent a migraine exactly, more to get ride of one.  And the relief is almost instant.

I don't know if this is applicable, but my 13 year old son son has been receiving botox injections for the last 9 months.  They're the only thing that stops his severe chronic pain.  The botox lasts @ 3 months.  Last week he had over 20 shots into his neck, head, temples, forehead & brows.  His pain originates in his neck and comes up and stabs him in the left eye.  Prior to the botox, he was totally disabled, missed 7 months of school. (The pain had started at age 4, progressed to every day.  He would freqeuntly vomit & pass out w/ the pain.)   Nothing was working and the constant pain led to depression & suicidal thoughts.  He's at a teaching hospital and is the first child they've used this on.  He's totally pain free for the 3 months the botox is in effect , back to school, off all meds now that we've found the botox.  He has his life back!  Note, however, that it is not being paid for by insurance because it is considered experimental.  We had not tried nerve blocks prior to the botox, but had tried lidocaine patches that did not help.  When the botox wears off, he's non-functioning until we get the botox again.  The doctor will only use the botox when the pain returns vs. preventive.  The advantange with the shots is that he's off all of the meds he was on vs. having the meds go into his organs.  Hope this helps.

I have the nerve blocks done every 90 days....sometimes they work for 2 mths and sometimes it only works for a couple weeks, but to be honest it's well worth it to get relief from migrains for a few days, because of the severity of mine....i would highly recommend them...and no my bcbs will not pay for them.  i have to pay out of pocket 90 dollars every time i get them.  Hope this help you!

I had occipital nerve blocks -- I think twice -- but without success. My insurance did cover them. I tried trigger point injection, too, after that. I haven't wanted to do the one where a needle is guided into my neck by X-ray (can't remember the name). I have fibromyalgia and each time the pain from the injections was worse than the headache.

I give this experience, but I'm a "sensitive" when it comes to treatment, medication especially. I've heard it's done wonders for other people, so I still suggest it to people with chronic neck pain and headaches. What doesn't work for me might work for someone else.

I have had a combo of numbing medication and steroids. I have not personally found the steroid medication to have a lasting effect, however the numbing medication can be helpful. I did find that just the occipital block did not relieve the head pain in and of itself and when the doc came back he tracked down other areas where the pain was and I found that I had further nerves involved with the migraine. When he got each one the head pain stopped for a while no pain then it came back on in a few days.. worked for the acute situation or to get me out of the the several days of pain and that particular episode and not unfortunately long term so I tried radiofrequency ablation and that did not work at all on the occipital nerve despite the migraine headache clinic neurologists swearing it would because the "acute situation" was relieved after several days of an attack being better....  and it was very painful (the ablation).

Following a third (!) auto accident in 10 years I was daignosed w post-traumatic migraine after experiencing head pain for 14 days straight!  (Plus nausea, fatigue, weakness. )The doctor hooked me up to heart and blood pressure monitors and, with a nurse present, injected my skull muscles in the back of my head (suboccipital areas) with "Marvacaine."  I had partial relief 1-2 days later.  A second injection was done, again with partial relief 1-2 days later. These injections are difficult: the patient must be brave and the doctor must be sure of his skills.  A third injection was done (2002) and I have never -repeat never- had another migraine. (7 years)