1.pressure pain point at the exit of the occipital nerve (Fengchi point) This is the exit of the cephalic semispinal muscle and the occipital nerve, under the occipital ridge (near the Fengchi point), the two places can generally be seen to varying degrees of pressure pain in those with neck pain, and when pressed, the pain and swelling can spread upward to the entire posterior brain. Nerves and segments: large occipital nerve, posterior branch of C2. 2.Posterior occipital mastoid pressure point This is the stopping point of the mastoid process of the sternocleidomastoid muscle and the attachment point of the sternocleidomastoid muscle, and the pressure point can often be found in long-term neck pain and swelling, which is one of the common pressure points. Nerves and segments: paracervical nerve and cervical plexus muscle branches C2 and 3. Pressure pains in the transverse processes of the cervical spine are most common in the 2, 3 and 4 transverse processes of the cervical spine, and can be found in almost 90% of patients suffering from neck pain. In addition, the 1, 2, 3 and 4 transverse processes of the cervical spine are the attachment points of the upper part of the scapularis raphe, so many patients with scapularis raphe pressure pain in the inner corner of the scapula are often seen to have pressure pain in the above-mentioned transverse processes of the cervical spine. 4.Cervical spinous process pressure pain Cervical spinous process pressure pain is mostly found in the supraspinous ligament, also known as the collar ligament, pressure pain is commonly found on the spinous process of cervical vertebrae 3, 4, 5 and 6, and generally there is pressure pain in people with cervical pain. 5. pressure pain point of anterior oblique muscle The anterior oblique muscle starts above the transverse process of cervical vertebrae and ends at the first rib. The pressure pain at this point can affect the forward flexion and lateral flexion of the neck, and the pain can radiate to the chest. The anterior oblique muscle has brachial plexus nerve and subclavian artery and vein in the clavicular fossa, so the muscle becomes painful and tense, which can cause chest tightness, breathlessness, upper limb pain, numbness, soreness and coldness. In addition, there is also the passage of the middle and posterior oblique muscles here, and some people call these symptoms thoracic outlet syndrome, supraclavicular fossa syndrome, and anterior oblique muscle group syndrome. Nerves and segments: C3 and 4 of the anterior branch of the cervical nerve. Supraspinatus muscle and upper trapezius muscle pressure pain area The supraspinatus muscle starts from the supraspinatus fossa and ends at the greater tuberosity of the humerus. The upper part of the trapezius muscle starts from the external occipital ridge and the superior collar line, and ends at the external 1/3 of the clavicle and the scapular gland. Pain at this point can radiate to the neck and affect neck movement. The affected side of the neck is painful and tight, with limited lateral rotation, occipital headache and head swelling. Light pressure and pain here is the trapezius muscle, heavy pressure and pain is the suprascapularis muscle, and obvious pressure pain can be found at the Fengchi point over time, which can also cause tinnitus, migraine, blurred eyes, wet eyes, fear of light, and some patients may find sweating or no sweating on one side of the neck and back. Nerves and segments: suprascapular nerve C5, cervical plexus branch C3, 4. 7. Scapular raphe pressure pain point The scapular raphe starts at the upper 4 cervical transverse processes and ends at the medial angle of the scapula. This pressure point of the medial scapular angle can feel pain radiating to the ipsilateral neck, forehead and even neck when pressed, and in some patients it radiates downward to the infraspinatus muscle until the hand. In many cases, muscle tension can be seen in the entire scapularis muscle. In many cases, muscle tension can be seen throughout the scapularis. A “rustling” sensation of cord-like or mud-like nodes can be felt at the attachment point of the medial scapula. Nerve and segment: dorsal scapular nerve C3-5. 8.Subacromial pressure point This pressure point is at the inferior border of the acromion, also called subacromial bursitis pressure point. The bursa is located at the inferior border of the deltoid muscle and the superior border of the supraspinatus muscle, and the entire bursa covers the intertrochanteric sulcus and the short rotator muscle. The top of the bursa is closely connected to the acromion and rostral process of the scapula, and the bottom of the bursa slides under the acromion with the short rotator muscle. The synovial membrane covered by the inner wall of the bursa often causes strain due to long-term friction and produces bursal edema. Adhesions occur after thickening, which can limit upper arm abduction and rotational shoulder joint movement. The main feature of this symptom is that the pain increases when the deltoid muscle is actively contracted (upper limb abduction). This pressure point is located at the stop of the supraspinatus muscle in the greater tuberosity of the humerus. When pressed, the pain can radiate to the lateral shoulder up to the fingers, and the pain can also radiate downward to the trapezius muscle, and the shoulder movement can be restricted in any direction, but only when the upper arm is abducted to 60° to 120°, severe pain can appear instantly. This is when the supraspinatus tendon touches the peak of the shoulder, and the pain disappears once this range is exceeded. However, when the upper arm is lowered, the pain can be sharp after 60° to 120° when the upper arm is lowered from extreme abduction. If the disease does not heal in the long term, an irregular calcified shadow above the greater tuberosity of the humerus can be found on the X-ray.