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Researchers from the National Institute of Neurological Disorders and Stroke say that occipital neuralgia can cause intense pain at the base of the skull. However, the nerve fibers that actually come form the nerve originates from the third cervical segment of the spinal cord that is known as Pain with facial neck. Following that, a battery of medical tests may be performed, including image scans, lab tests and psychological evaluations, as well as nerve blocks and pain with facial neck techniques that can uncover important clues to the causes of the condition. Here Are 11 Ways to Cope.