The pain that throbs on the upper right side of the back of the head is considered to be a tension headache, migraine, cerebrovascular lesions and other causes. 1. Tension headache: tension headache can be manifested as unilateral or bilateral occipital neurological headache, abnormal contraction of the muscles of the head or neck can compress the small blood vessels within the muscles, resulting in ischemia causing tension headache. Tension headache can be a bout of throbbing pain, can also appear persistent dull pain, accompanied by a sense of pressure and heaviness. 2. Migraine: the main feature of migraine is a throbbing severe headache on one side or both sides, mostly on one side, this is a chronic neurovascular disease, the specific cause is not clear, it is considered to be due to a combination of factors that lead to the occurrence of symptoms, such as disorders of excitation of nerve cells in the brain, the body’s hormone level abnormalities, and so on. 3. Cerebrovascular lesions: most of the cerebrovascular diseases can cause bilateral headache or headache on one side, such as hypertension, aneurysm, static arterial malformation, cerebral hemorrhage, cerebral infarction and so on will lead to local ischemia and hypoxia, vascular constriction or dilation caused by headache on one side. There may be other reasons for the throbbing pain on the upper right side of the back of the head, so we should pay attention to it, go to the hospital in time, and standardize the diagnosis and treatment under the guidance of professional physicians.