First of all, the pain at the back of the head can be seen in migraine attacks. Some migraine patients have mainly pain in the back of the head, which can be paroxysmal and accompanied by nausea and dizziness in severe cases. First, the patient can be treated with oral painkillers, and acupuncture and massage can be used to relieve the pain attacks. Secondly, the pain at the back of the head can also be seen in occipital neuralgia, which occurs after exertion, stress, or poor rest, and is more intense in nature and can be cut-like pain. The treatment can be massage, acupuncture, and if necessary, closed treatment. Finally, pain at the back of the head can also be seen after strain in cervical spondylosis, due to the protrusion of cervical discs in cervical spondylosis, which compress the dural sac and nerve roots. When the muscles or fascia in the back of the occipital area are in a state of tension and spasm after exertion, the patient can experience a pain at the back of the head. Treatment may include acupuncture, massage, and, if necessary, orthopedic consultation.