Tugging pain at the back of the head is a manifestation of neuralgia, which is characterized by pins and needles-like or tugging-like pain, or thunderclap-like pain or electric shock-like pain. The nerve pain at the back of the head is occipital neuralgia, and there are two common causes: first, occipital neuritis, mostly due to cold or inflammation of the head and face to the occipital nerve, such as tonsillitis, periodontitis and other waves to the occipital nerve, causing occipital neuralgia, which can generally heal itself with the improvement of tonsillitis and other diseases. Second, cervical spine diseases, occipital nerve from the upper cervical vertebrae between the body, so the cervical spine hyperplasia, deformation, vertebral tumor, tuberculosis and spinal cord inflammation, compression, etc., can lead to the occipital nerve pressure, irritation and cause the occipital nerve innervation area skin pulling pain. If occipital neuralgia affects daily work life, it can be treated symptomatically with oral painkillers. If it is caused by cervical spine disease, it needs to be actively treated for the specific disease.