The pain in the back of the head just like hitting may be caused by neurogenic headache, occipital neuralgia and other conditions. 1. Neurogenic headache: the cause of the disease is still unclear, mostly considered to be related to nervous tension, excessive smoking, excessive consumption of fatty foods, excessive intake of caffeine and other factors. Patients often appear persistent head boring pain symptoms, and the pain is mostly limited to the two sides of the temples, occipital, head, and so on, which can appear in the back of the head like a hit like pain. Part of the patient can also be accompanied by a sense of heaviness, pressure, etc.. 2. Occipital neuralgia: it is usually triggered by the compression of cervical nerves by osteoarthritis, spinal cord tumor, cervical spondylosis, spinal tuberculosis, metastatic tumor, etc. It is also related to upper respiratory tract infection and tonsillitis. Usually, patients will have pain in one side of the occipital region, and will also radiate to the neck and the back of the top part of the body, and some patients can also be manifested as pain in the back of the head as if they had been hit. The symptom of pain in the back of the head like hitting may also be caused by other reasons, and it is recommended that the patient consult a doctor in a timely manner to clarify the cause of the disease and then carry out targeted treatment.