Patients with swelling and tightness at the back of the head should analyze the cause for treatment, which may be cervical spondylosis, tension headache, and increased blood pressure, as follows: 1. Cervical spondylosis: patients with cervical spondylosis can appear, including cervical curvature straightening, cervical disc herniation, massage, traction, acupuncture, physiotherapy, and if necessary, surgery can be considered, and generally go to orthopedics to find a specialist for detailed consultation. 2.Tension headache: Patients with swelling and tightness at the back of the head is caused by tension headache, you can apply symptomatic drugs, such as oral ibuprofen, indomethacin, nimesulide, which may make the symptoms better, and instruct patients to relax and reduce stress, which can also improve the symptoms. 3.Increased blood pressure: When the patient’s blood pressure increases, it can also cause swelling and tightness in the back of the head. Blood pressure monitoring can clarify the diagnosis, mainly by applying long-acting antihypertensive drugs to regulate blood pressure, commonly used are amlodipine and Irbesartan, and try to make the blood pressure stable.