I have been diagnosed with bi-lateral occipital neuralgia(ON) following cervical spine surgery fusing C2-C5(with C5-C6 congenitally fused). I have a long history of spinal surgeries due to congenital severe osteoarthritis, especially of the spine. My ON has been treated, after multiple evaluations using local blocks, with radio frequency ablation of the greater and lesser occipital nerves. This treatment manages head pain from below my ears to the sides of my eyebrows. However, serious neck pain, up into the back of my skull remains. I still have other pain arising from continuing degeneration of my spine including radiating pain from my trapezius muscle to my right shoulder. My local pain manager is refusing to attempt more proximal blocks at C1-C2 levels due to presence of fusion apparatus(rods and screws) and suggests the neck pain may be arising just from the presence of that apparatus. I am currently using NSAIDs and opiodes to help function. Any suggestions?