There are several non-surgical steps you can take to try and relieve occipital neuralgia pain. One is to take medications that include over-the-counter anti-inflammatory drugs, and prescription muscle relaxants, and anticonvulsant medications. Placing a heating pad on the area of pain often helps. The doctor can do a nerve block – an injection of medication that numbs the nerve. The injection is used to diagnose and treat the medical condition. Botox injections are sometimes used to decrease inflammation. Still more options include massaging the painful neck muscles and resting in a quiet room. Surgery is a last resort and seldom used as a treatment option.