The cramp-like pain behind the ear is aural neuralgia, which is an extension of the occipital nerve. This neuralgia may occur when the patient lowers his head for a long time, when the muscles in the back of the occipital area are tense, or when he blows, gets cold, has a cold, or drinks alcohol. The pain is often confined to the posterior part of the ear, often manifesting as stabbing, throbbing or pulling-like pain, lasting from a few seconds to several minutes, with repeated episodes, and there can be obvious pressure pain when pressing on the local nerve pressure point. It is recommended to improve the cranial CT examination to exclude intracerebral organism disease and then confirm the diagnosis. The main treatment is to give drugs for neuralgia, such as pregabalin, gabapentin or carbamazepine, and to observe the side effects during the medication. If the patient’s symptoms persist for a long time, local physiotherapy and hot compresses can also be considered.