Occipital bone pain in the back of the head can be caused by many reasons, if the patient comes to the hospital, the doctor should first ask whether there is any trauma, because trauma can easily lead to, for example, scalp hematoma, serious skull fracture, resulting in intracranial hemorrhage, such as subarachnoid hemorrhage, intracranial hematoma, cerebral contusion, etc. If the patient is caused by trauma, it is also necessary to check whether there is local swelling of the scalp, whether there is a feeling of fluctuation and whether there is a depression. If the patient is traumatized causing occipital bone pain, it is also important to check for localized scalp swelling, fluctuating sensation, and indentation. Swelling may mean scalp hematoma, fluctuating sense that the hematoma amount is large, such as to the subacute stage, chronic stage, there will be fluctuating sense, then can be through the needle puncture hematoma to eliminate the fluctuating sense, depression to consider whether there is a skull fracture. This type of patients if timely to the hospital treatment, in addition to asking the history and a simple physical examination, will be examined, such as X-ray, CT and other tests. Depending on the patient’s own condition such as mental state, consciousness, the presence of drowsiness, coma, is also a criterion for the diagnosis of the patient. The patient’s skull hurts when pressed, except for the most common trauma, which is the patient’s scalp hematoma and skull fracture.