Occipital neuralgia is likely to be caused by cervical spondylosis, trauma, tonsillitis and other reasons. 1. Cervical spondylosis: this is a relatively common chronic disease, usually leads to local neurovascular compression, usually leads to nerve compression, thus causing occipital neuralgia, even accompanied by dizziness and neck pain. 2. Trauma: If you are hit or bumped by external forces, it is likely to cause the occipital nerve to be stimulated and compressed, which will also affect the local muscles, thus causing neuropathic pain. 3. Tonsillitis: Tonsillitis is a bacterial or viral infection in the tonsils. Inflammation of the tonsils can affect the neighboring occipital nerve, thus causing occipital neuralgia. There are many other causes of occipital neuralgia, it is best to go to the local regular hospital for a full examination, and then make targeted improvement program.