In general, the common causes of painful pressure on both sides of the tendons in front of the neck may be the following: a. Incomplete occlusion of the neck vessels, mainly due to hypertension and hyperlipidemia in patients with arterial vascular sclerosis in the body, thickening of the wall and progressive narrowing of the lumen. Patients can improve carotid angiography to clarify the severity of the stenosis and, if necessary, implant a vascular stent or perform carotid endarterectomy to release the stenosis, restore blood flow and relieve the pain of pressure on the neck. Second, the formation of carotid artery hemangioma, due to congenital abnormal development of the intima, will appear in the local pressure increase at the same time, the blood vessel expansion to form a tumor-like change. At this time, painful pressure symptoms will be obvious. If you are worried about hemangioma rupture causing hemorrhage, you can consider hemangioma excision to reduce the pressure pain in front of the neck.