The pain at the junction of the back of the head and neck has the following possible causes: first, cervical spondylosis, cervical spondylosis osteophytes, physiological curvature straightening, cervical disc herniation, may cause pain in this area, the symptoms are generally soreness, stabbing pain or pulling-like pain, pressure on the local muscles or the spine of the cervical vertebrae generally have pressure pain. Second, occipital neuralgia, occipital neuralgia site is more limited, generally only palm-like area, the scalp has obvious pressure pain, press the pressure point of the occipital nerve, the pain can be diffused to the area of occipital nerve distribution. Third, intracranial lesions, intracranial lesions rarely cause pain in the junctional area, the less common ones are subarachnoid hemorrhage or subdural hematoma, if it involves the posterior occipital area, it can also cause pain there, there will be cervical tonicity and positive meningeal irritation sign, perfect cranial CT examination can be found intracranial subarachnoid or subdural high-density shadow.