Occipital neuralgia symptoms can be weird, fatiguing and very painful, not to mention anxiety-producing. I was diagnosed (after a normal MRI and CT scan) with occipital neuralgia several years ago. Previous to the diagnosis I endured some disturbing and frightening symptoms for several months: stabbing pain in the top and back of my scalp, a near constant uncomfortable tingling/itching all over my scalp, and, most disturbing of all, frequent bouts of burning, searing pain in the back of my head accompanied by a really creepy "dripping" sensation, as if fluid was running down inside the back of my head.
My doctor really didn't offer much help in dealing with this nightmarish situation other than to say it would eventually go away. Not long thereafter, it did indeed go away, but not without some effort on my part. I had discovered that there was a slightly swollen area behind my left ear at the top of my neck (where it meets the skull) that also felt sensitive to the touch. I began to think that maybe this swollen area was somehow related to my neuralgia symptoms. Somewhere on the internet--I can no longer find where-- I found a reference to holding an ice cube directly on the spot of any swelling as a technique for treating symptoms of occipital neuralgia. Thankfully, after a few days of this "therapy" (pressing one normal sized ice cube to the swollen area and letting it completely melt, once a day), the swelling shrank and the symptoms went away.
Since then, every year or so I will feel a twinge of the symptoms coming back. When this happens, I just revert to the ice cube technique for a couple of consecutive evenings and this nips the problem in the bud.
It's frustrating that the medical establishment really had no answers for me and I basically was left to figure out how to deal with it all on my own. But thankfully, I did figure it out and can now easily deal with it.
I understand that the symptoms and causes of occipital neuralgia can vary widely from person to person, but hopefully my rather strange experience can be helpful to someone else in dealing with a similarly strange situation.