Painful nerve tugging at the root behind the ear may be related to psycho-psychological factors or due to facial neuritis, herpes zoster and other causes. In terms of treatment, the main thing is to regulate emotions and apply drugs for the original disease. 1. Psychological factors: if the recent psychological pressure is too great, excessive mental tension, anxiety, resulting in a long time in the tense state of the brain nerves, can not be relaxed, may cause the nerve behind the ear root tugging pain, may also be accompanied by a headache, inattention and other manifestations; can be adjusted through the mood, relaxation, relieve inner pressure to be relieved. 2. Facial neuritis: usually caused by cold or viral infection, which can lead to damage to the facial nerve, may appear behind the ear root of the nerve tugging pain, may also be accompanied by distortion of the mouth and eyes, one side of the face activities are limited and other manifestations. Pain relieving drugs such as pregabalin and gabapentin can be applied to relieve pain; B vitamins, methylcobalamin and other nerve-nourishing drugs can be applied to promote the recovery of damaged nerves. 3. Herpes zoster: usually caused by chickenpox-herpes zoster virus infection, when the virus invades the brain, it may cause nerve tugging pain at the root behind the ear. Antiviral drugs such as famciclovir and ganciclovir can be applied to reduce the pain symptoms. Physical therapy such as acupuncture, magnetic acupoint therapy, laser irradiation and audio electrotherapy can be used to reduce inflammation and relieve pain. If symptoms persist and cannot be relieved, consult a doctor as soon as possible to identify the cause and then give targeted treatment.