Health, fitness and wellbeing
thanks Indo, appreciate the feedback. We'll see what tomorrow brings.
If it is occipital neuralgia it is often a mechanical cause leading to pressure on one of or multiple occipital nerves. Everyone is different but common predisposing factors are stress, jaw clenching, prolonged sitting/desk work etc.
Sometimes that tension has built up over quite a long time and inflammation in the area builds with friction and pressure then one day you cross a threshold where it becomes neuralgia and it feels like it has come on all of a sudden.
Obviously releasing the suboccipital muscles through massage/trigger point therapy seems logical but if it is a severe case that can feel aggravating and inflame the area even more and be detrimental so a light touch might work better.
But if you have been clenching jaw muscles that can change the position of your head on your neck and other tight muscles that can lead to that tilted head at the base which can cause pressure on the occipital nerves - (pterygoid muscles, digastric, sternoclydomastoid) then you are probably better off addressing them first.
See if you know anyone that can recommend a good local osteopath experienced in that area.
For people focusing on surfing fitness, long lasting sexual fitness and drive too. Update your exercise routines, diet and routines. also surf sessions and any improvements.