Tension-type headaches and occipital neuralgia are usually considered when there is a jerking pain in the back of the head. Tension-type headaches, also known as cervical muscle contraction pain, typically occur in the early 20s, with the prevalence increasing with age. The pain can be bilateral, unilateral, full head or cervical pain, and is often persistent and dull, like a band tightening around the head or a feeling of tightness, pressure, or heaviness, sometimes in line with the pulsation of blood vessels. Many patients may experience dizziness, insomnia, anxiety or depression, and some patients may experience nausea, photophobia and phonophobia. Physical examination may reveal tenderness or pressure points in the muscles at the site of pain. Sometimes pulling hair can also cause pain, and there is stiffness in the neck and shoulder muscles, which feels comfortable when pressing on the neck and shoulder muscles. Generally speaking, it does not affect daily work and life. Occipital neuralgia includes occipital major neuralgia, occipital minor neuralgia and auricular major neuralgia, which refers to pain in the occipital region and upper neck. The causes of occipital neuralgia generally include the activity of the cervical spine, intraspinal lesions, congenital malformations of the circumoccipital region, injuries, infections, toxic neuritis, etc. It can be divided into two types of primary and secondary occipital neuralgia.