The symptoms of occipital neuralgia are persistent dull pain in the occipital region radiating to the top of the head, mastoid process and external ear, aggravated by paroxysms, cervical muscle spasm and local sensory disturbances. Common causes of occipital neuralgia include cervical spondylosis, cervical spine tuberculosis, trauma, spinal cord tumor, osteoarthritis, cervico-occipital myositis, scleritis and metastatic tumors, etc., which are mostly secondary to neurological damage, and can be caused by respiratory tract infections or tonsillitis, or the etiology of the disease is not yet known. Clinical manifestations are mostly one-sided persistent dull pain originating from the occipital region, radiating to the top of the head (occipital large nerve), mastoid process (occipital small nerve) or the outer ear (auricular large nerve), which may be aggravated in paroxysms, aggravated by head and neck activities and coughing, often accompanied by cervical muscle spasm. Examination under the external occipital ramus often has pressure pain, and the distribution area of the occipital nerve often has hypoesthesia or hypersensitivity. When occipital neuralgia occurs, it is recommended to consult a doctor in time to clarify the cause of the disease and then targeted treatment.