Occipital neuralgia can be caused by a variety of reasons, such as viral infection, cervical spine compression of the occipital nerve, structural or functional changes in the nerve, etc. Mild cases can be self-healing, while severe cases can not be self-healing. 1. Viral infection: If the occipital neuralgia is caused by viral infection, it can be cured after the infection gets better. 2. Cervical spine compression of the occipital nerve: If the occipital neuralgia is caused by cervical spondylosis, it may be caused by working with the head down for a long period of time or keeping the same posture, which compresses the occipital nerve, and it usually can not be cured by itself, and it needs to be actively treated for the cervical spondylosis, and it can only be cured if it can change the symptoms of the compression of the occipital nerve. 3. Nerve structure or function changes: If nerve injury, cervical spine trauma or spinal cord tumors lead to changes in the structure or function of the nerve, causing occipital neuralgia, the pain lasts for a long time, and can not be cured, you need to target the treatment of the primary disease, in order to gradually relieve the pain. If symptoms of occipital neuralgia appear, it is recommended to go to the neurology department or neurosurgery department of regular hospitals as soon as possible for consultation and treatment, and strictly follow the doctor’s instructions for medication.