Pain at the occipital bone may be caused by occipital neuralgia, cervical spine disease, tension headache, intracranial lesions and other reasons. 1. Occipital neuralgia: such as upper respiratory tract infections, tonsillitis and other diseases, can promote local bacterial and viral invasion, so that the occipital large, occipital small, ear large nerve stimulation, resulting in the occipital side of the pain and discomfort, the pain can be reached to the parietal junction of the occipital bone and the posterior side of the ear. 2. Cervical spine diseases: such as disc herniation, small joint dislocation, osteophytes, etc., can make the posterior occipital nerve or occipital nerve compression, which leads to the occipital part of the nerve pulling pain. 3. Tension headache: for example, long-term sleep deprivation, keeping the head in a fixed position for a long time (for example, writing, reading cell phones, reading computers, etc.) may cause head and neck pain and tightness. 4. Intracranial lesions: for example, occipital lobe lesions, cerebellar displacement, cerebellar infarction hemorrhage, etc., will make the occipital region appear distended feeling. When the pain in the occipital bone, it is recommended to go to the hospital in time to clarify the cause of the disease and carry out targeted treatment.