A tendon in the head pulling pain, there are the following three possible diseases: 1, muscle inflammation, generally chronic myofasciitis, and cervical spondylosis, anxiety, etc. are related, patients often have local muscle pulling pain, pressure on the pain point will have localized pressure pain, massage or hot compresses can make the symptom improve in a short period of time; 2, occipital neuralgia, the pain is confined to the distribution of occipital nerve area to the bilateral occipital, behind the ear is more This kind of pain is confined to the area where the occipital nerve is distributed, and is more common in the posterior occipital area and behind the ears on both sides. The effect of painkillers is not good, need to use pregabalin, gabapentin, carbamazepine and other drugs specifically for neuralgia; 3, vascular headache, for episodic throbbing pain, similar to the pull-like pain, sometimes difficult to identify, but when pressing the local muscle and nerve pain points are not localized pressure pain, can help to differentiate the diagnosis.