Patient: My son, 15 years old, started to have back (spine) pain in July last year, then the pain point moved up to the cervical spine (near the shoulder), and a month later it moved up to the occipital area, with persistent pain. After a week of rest, he went to school and went home every day at three o’clock to do warm physiotherapy and massage for 16 days (some improvement at that time, then again as before), but there was no significant improvement in the symptoms. He has to find a comfortable position by putting something on the pillow. Now the symptoms are continuous unexplainable discomfort (not very painful but very uncomfortable) at the occipital part of the cervical vertebrae (cervical fossa on the upper side), and he has to use his fingers to press the painful area to be able to go to school, and the symptoms are not significantly reduced after bed rest. Recently, he went to the hospital for an MRI of the neck, and there was no abnormality. Up to now, the doctor did not give a clear diagnosis, but said that the child is fine, pay attention to his posture and neck exercises, and adjust his psychology. The child is in pain and almost always has to press his fingers on the junction of the neck and the back of the head to feel better. Expert: Your child’s current symptoms are due to excessive strain on the neck, incorrect sitting posture for a long time, or cold stimulation, sports injuries, etc. The pain in the neck and occipital area is mostly due to local inflammatory irritation and muscle edema, which causes compression and irritation of the greater occipital nerve. Suggestions: 1. Perform lateral cervical spine and atlantoaxial spine open-ended x-ray examination. 2, feasible Chinese medicine manipulation treatment, with the synergistic effect of traditional Chinese medicine, the efficacy is exact. 3, for the cervical spine functional exercise, such as: prone position “flying swallow” exercise. Specific operations are as follows: a. The patient takes a prone position, with the head and neck tilted back, both upper limbs extended back and lifted up, and the chest lifted off the bed; at the same time, both lower limbs straightened and lifted up. b, 15-20 times, 20-30 seconds/each, 2-3 times/day. c, slow up and slow down, each “flying swallow” can rest 3-5 seconds between. 4, change the bad sitting posture. Do not spend a long time a fixed position.