Occipital neuralgia is a paroxysmal or persistent pain within the distribution of the greater occipital nerve (posterior occipital region), which can also be intensified paroxysmally on top of the persistent pain. It is a kind of neuropathic pain, which can have a great impact on our life and work, so we must treat it in time when we find it, without delay. The cause is similar to supraorbital neuralgia, often caused by wind chill and cold, but can also be caused by cervical trauma, proliferative cervical spondylosis and other cervical spine pathologies, some of which are confirmed from time to time. Clinical manifestations Clinical manifestations are pins and needles, knife-like or burning-like pain in one or both sides of the posterior occipital region or both collars, and when it is painful, the patient does not dare to turn his head, and the head and neck are sometimes in a straightened state. On examination, there is pressure pain at the outlet of the large nerve (Fengchi point) and hyperalgesia or hyperalgesia in the distribution area of the occipital nerve (C2-3), i.e., below the parietal line of the ear to the hairline. Examination 1. Cerebrospinal fluid examination is basically normal. 2.Head and neck MRI may be normal. 3.Electromyography. Treatment 1, pharmacotherapeutic treatment trigeminal nerve the same, such as with vitamin B drugs, pain when the person is obvious available Dalendin or carbamazepine. 2, closed treatment, such as 1-2% l lidocaine 2ml plus trimethoprim 5mg occipital nerve at closed, once a week, 3-5 times the symptoms can be relieved. 3, with physical therapy such as intermittent electric (sparse wave) therapy or spin magnetic therapy. 4, caused by mild trauma to the neck or hyperplastic cervical spondylosis can be added cervical traction therapy.