Pulsed radiofrequency of the supraorbital nerve for the treatment of supraorbital neuralgia

According to the International Headache Society, supraorbital neuralgia can be diagnosed by the presence of the following three criteria: (1) pain in the distribution of the supraorbital nerve, (2) tenderness to palpation of the nerve, and (3) temporary resolution of pain with supraorbital nerve block. [3] Interestingly, the refractory nature of this condition to pharmacological therapy can help distinguish supraorbital neuralgia from other diagnoses in the differential. A 22-gauge 1.5-inch insulated needle with 5 mm active tip was inserted along the groove and advanced perpendicular until the needle approached the periosteum of the underlying bone.