There are many causes of pain in the back of the head, and the common causes are mainly in the above aspects: First, occipital neuralgia is due to impaired nerve function, mainly manifested as paroxysmal pinprick-like pain in the back of the occipital region, with symptoms lasting from a few seconds to tens of seconds and not more than a minute, which can be relieved by taking gabapentin capsules. Second, cervical spondylosis is due to cervical spine osteophytes pulling and stimulating the surrounding blood vessels and nerves, causing posterior occipital pain, neck pain and numbness in the upper limbs, and the symptoms can be relieved by Chinese medicine physiotherapy. Third, hypertension is the process of blood flow, the side pressure on the blood vessel wall, with the increase in blood pressure can cause vasodilatory headache, mainly manifested as posterior occipital paroxysmal pain, can be accompanied by vascular pulsation feeling, taking antihypertensive drugs, blood pressure can be relieved after the stabilization of symptoms.