The symptoms of painful neck pressure are as follows: 1. It may be caused by a local subcutaneous lipoma, which is usually light in pressure pain, and irregular masses can be palpated under the skin. 2. It may be caused by enlargement of the thyroid gland or inflammation of the lymph nodes in the neck, which is usually located on both sides of the trachea and the masses can be palpated. 3. It may be caused by a local infection. When the skin or subcutaneous soft tissue of the neck area is infected, swelling and pain will occur, and there will be obvious pressure pain. 4, may be caused by trauma, whether it is muscle, soft tissue injury, or bone injury of the neck, there will be local pressure pain symptoms.