There are many reasons for soreness in the back of the head, the common reasons are as follows: 1, cervical spondylosis, which can easily cause occipital neuralgia, commonly known as cervicogenic headache, this headache is mainly due to cervical spine osteophytes and herniated discs, which compress the nerves that innervate the back of the skull and occipital area, which can lead to soreness. It is recommended to go to the hospital to make a clear diagnosis, which can be relieved with medicine and massage.2. Intracranial diseases, such as occupying lesions and tumors in the posterior cranial fossa of the posterior occipital region, can also cause soreness in the back of the head in the early stage.3. Patients with hypertension, cerebral artery insufficiency, and sequelae of cerebrovascular disease can also have soreness in the back of the head.