Pain behind the head is a common symptom in neurology, which can be seen in different diseases depending on the nature of the headache, mainly in the following cases: 1. Cervical spondylosis, cervical spondylosis is mostly seen in patients who work long hours of heavy physical labor or long hours of ambulatory work. In addition to headache, patients also have soreness and pain in the posterior occipital area and shoulders, and some patients may also have dizziness and numbness in the upper limbs. Cervical spine CT or cervical spine MRI can further clarify the cause. Patients should pay attention to rest to avoid overexertion, and the pillow should not be too high when sleeping at night. 2. Hypertensive disease is mostly seen in middle-aged and elderly patients, with blood pressure higher than 140/90 mmHg, often accompanied by dizziness, panic, chest tightness, shortness of breath and other symptoms, and the headache can be significantly relieved or disappeared after antihypertensive treatment. 3. The headache can be relieved or disappeared after antihypertensive treatment. The patient can be further clarified by head CT or head MRI.