Tendon pulling pain on both sides of the head can be due to physiologic or pathologic factors. Pathological factors mainly include: primary headache, cervical spondylosis, intracranial hemorrhage, cold, migraine, etc. 1. Physiological factors: usually due to lack of sleep, mental tension, stress, the tendon pulling pain on both sides of the head, usually transient pain, can be improved by resting this symptom. 2. Primary headache: including tension headache, migraine and so on. It can be manifested as tendon pulling pain, throbbing pain, tingling and other symptoms on one or both sides of the head, and in serious cases, it can be accompanied by dizziness, vomiting, nausea, panic, blurred vision and other symptoms. 3. Cervical spondylosis: the attack of the disease will cause pressure on the surrounding nerve roots, stimulate the sensitive tissues around the head, and then the tendon pulling pain on both sides of the head, and the degree of pain can be aggravated with the activities of the neck. 4. Intracranial hemorrhage: it can cause temporal pain on both sides, and then the symptoms of tendon pulling pain on both sides of the head, it is recommended to seek medical attention in time. 5. Cold and flu: when the patient has a fever caused by cold and flu, the toxins secreted by the virus will easily stimulate the pain-sensitive tissues in the head, and then the tendon pulling pain on both sides of the head will occur. 6. Migraine: the pain is characterized by episodic, mostly lateral, but can also be bilateral, the pain is moderate to severe, usually lasts 4~72 hours, can be accompanied by nausea, vomiting, sound, light stimulation or daily activities can aggravate the headache. The phenomenon of tugging pain on both sides of the head, such as persistent non-relief or recurrent attacks, it is recommended to consult a doctor in a timely manner to clarify the diagnosis and symptomatic treatment.