The pain at the back of the head when the head is tilted back is considered to be caused by the muscle or fascia of the back of the occipital area being stretched when the head is tilted back, resulting in spasm, the pain at the back of the head when the head is tilted back is mostly seen in people who have been working at a desk for a long time, due to cervical spondylosis or long-term desk work, resulting in the muscle of the back of the occipital area being stretched all the time, which can cause the muscle or fascia to be in a state of spasm, and when the head is tilted back, the pain at the back of the head will be felt. In severe cases, the scalp at the back of the head will always be numb and painful. The patient can be advised to consult a Chinese medicine physician and be given acupuncture and massage to relieve the muscle or fascia spasm of the scalp, and be advised to pay attention to the exercise of the neck and avoid prolonged ambulatory work.