Symptoms of occipital neuralgia include characteristic headache, abnormal skin sensation in the distribution area of the occipital nerve and localized pressure pain. 1. Characteristic headache: Occipital neuralgia often manifests as a sudden onset of the disease, the pain originates from the back of the neck and immediately spreads to the top of the head, manifesting as severe pain, stabbing pain, electric shock-like pain, sharp pain or lightning-like pain; it can occur spontaneously, or be triggered by specific actions, such as combing the hair, exposure to the cold environment, or activity of the neck, and it is usually unilateral, but it can also be bilateral. 2. Abnormal skin sensation and localized pressure in the distribution area of the occipital nerve: there may be dull discomfort, abnormal sensation and localized pressure in the occipital region during the period between pain episodes, and there may be limited range of neck movement and localized muscle spasm in the back of the neck. It is recommended that patients should consult a physician for standardized treatment under the guidance of a physician if they have any discomfort.