Occipital nerve block is typically used in patients who have pain originating primarily from the neck and occiput area. Numbing medications like lidocaine and steroid is injected in the greater occipital nerve area. This has been proven to abort a migraine and help patients with occipital neuralgia. The procedure Occipital nerve block is typically used in patients who have pain originating primarily from the neck and occiput area. Numbing medications like lidocaine and steroid is injected in the greater occipital nerve area. This has been proven to abort a migraine and help patients with occipital neuralgia. The procedure takes minutes and afterwards the patient often is headache free and is always able to drive home.