Cervical spondylosis occipital neuralgia should be treated according to the specific situation, if mild can take non-steroidal anti-inflammatory drugs, can be combined with acupuncture, massage, physical therapy, Chinese herbal medicine to relieve the symptoms, if the condition is serious, surgery is required. Cervical spondylosis occipital neuralgia usually manifests as paroxysmal severe pain in the occipital region and the back of the neck on one side, which may radiate to the top of the head, and the pain is aggravated by head and neck movement, coughing and sneezing. Occipital neuralgia caused by mild cervical spondylosis can be relieved by oral non-steroidal anti-inflammatory drugs such as ibuprofen, aspirin, diclofenac sodium, etc. It can also be treated with blood circulation and blood stasis activating traditional Chinese medicines, and can be combined with acupuncture, massage, physiotherapy, and so on. If the condition is serious, such as conservative treatment is ineffective, seriously affecting the work and life, or has compressed the spinal cord, surgical treatment, such as discectomy. Cervical spondylosis occipital neuralgia should be treated according to their own conditions, it is recommended to go to the hospital in a timely manner, under the guidance of the doctor to choose the appropriate treatment program. All of the above drugs should be used under the guidance of a doctor.