I have heard of people experiencing this when they discontinued or reduced their dose of antidepressant medication, but I assume that's not what is going on with you, or one of your doctors would have talked with you about it. I'm so sorry you are having to go through this. It seems the doctors are taking you seriously, because they are giving you treatment, but if a nerve block did not work, I would have to have a pretty good explanation as to why surgery would work, before I would consent to surgery. If there is an MRI showing compression of the occipital nerve, or even if your symptoms are very clearly due to a problem with the occipital nerve, then maybe occipital nerve decompression surgery does make sense, but that's the kind of evidence I would want to see. Is the facet nerve block supposed to be diagnostic?
Travis, were your MRI scans done with contrast dye?
have you learned anything since your original post?
The jolts you describe sound miserable. Yikes