The results of 18 greater occipital nerve release operations in 13 pat
ients were analyzed. All patients had deep aching pain in the occipita
l area due to a whiplash trauma, and in all cases the pain was relieve
d temporarily by local anesthesia of the occipital nerve. The time fro
m accident to operation was 6 to 96 months. The results of 13 (72.2%)
operations were reported as good or excellent, although complete pain
relief was not attained in any patient. It is concluded that neurolysi
s of the greater occipital nerve after whiplash injury can give meanin
gful pain relief in selected patients.