The causes of headache with scalp pressure pain include migraine, myofasciitis, tension-type headache, and occipital neuralgia, as follows: 1. Migraine, a vascular neurological headache, is also the most common disease causing headache. Patients with headache are more common in the frontotemporal region, with tenderness and pressure pain of the scalp during the attack period, and there will be obvious pain when pressing the scalp with fingers or combing the hair with a comb; 2, myofasciitis, tension-type headache, this disease is related to the patient’s emotional anxiety or cervical spondylosis resulting in elevated myofascial tension and chronic inflammation, patients will have local pressure pain of the scalp, but the symptoms can be slowly relieved after giving massage; 3 The pain is often induced when pressing the scalp in this area, and the pain is tingling, electric shock-like pain, burning pain and pulling-like pain.