There are many causes of pain in the lower right corner of the back of the head, common causes are occipital neuralgia, neck muscle strain, high blood pressure and so on. 1. Occipital neuralgia: patients with occipital neuralgia mainly show symptoms of paroxysmal pain in the occipital region, each time the pain lasts a few seconds to dozens of seconds, pins and needles pain, take carbamazepine, Gabapentin and other drugs for symptomatic treatment. 2. Neck muscle strain: maintain a fixed position for a long time, especially the low posture can lead to neck muscle strain, myofasciitis caused by paroxysmal pain in the posterior occipital region, can be alleviated through acupuncture symptomatic treatment. 3. Hypertension: poorly controlled blood pressure can cause cerebral vasospasm, resulting in cerebral vasodilatation pain, the patient will have vascular throbbing pain symptoms, can also cause paroxysmal pain in the lower right side of the back of the head, taking antihypertensive drugs such as nifedipine, enalapril, etc. to control the blood pressure can improve the symptoms. When the symptoms of hidden pain in the right lower part of the back of the head, we need to pay attention to it, and suggest that we go to the hospital in time to get a clear diagnosis and timely treatment.