That's what some trigeminal neuralgia patients endure frequently. is hosting the first Trigeminal Neuralgia Awareness Day on October 7. Occipital Neuralgia is most often characterized by chronic headaches that can be quite severe in Occipital neuralgia can last for hours or for several days. Occipital neuralgia is a medical condition characterized by chronic pain in the lower neck, back Occipital neuralgia can last for hours or for several days. Occipital neuralgia is a very specific type of headache, where the pain is in the back of the head, at the very top of the neck and behind the ears. What are the symptoms of trigeminal neuralgia? Due to the intensity of the pain , some individuals may avoid daily activities or social contacts.