Overview】 Occipital neuralgia refers to the paroxysmal or persistent pain within the distribution of the occipital nerve (posterior occipital region), or it can be intensified paroxysmally on top of the persistent pain. It can be relieved by conservative treatment such as oral anti-inflammatory and analgesic drugs, physiotherapy and local closure. Occipital neuralgia that does not respond to conservative treatment is called intractable occipital neuralgia. It is often caused by wind and cold, and can also be caused by local injury, scarring, adhesions and compression of enlarged lymph nodes, cervical trauma, hyperplastic cervical spondylosis and other cervical spine pathologies. The clinical manifestations are pinprick-like, knife-like or burning-like pain in one or both sides of the posterior occipital region or both collaterals, and the patient does not dare to turn his head when in pain, and the head and neck are sometimes in a straightened state. On examination, there is pressure pain at the outlet of the great nerve and hyperalgesia or hyperalgesia in the distribution area of the great occipital nerve, i.e., below the parietal line of the ear to the hairline. Cerebrospinal fluid examination is basically normal; head and neck MRI may be normal. Treatment】 1.Drug therapeutic treatment for trigeminal neuralgia is the same, and carbamazepine or phenytoin sodium is available when the pain is obvious. 2, closed treatment, such as 2% lidocaine, adenosine cobalamin, trimethoprim local closed, nutrition therapy. 3.With physical therapy. 4, caused by mild trauma to the neck or proliferative cervical spondylosis can be added to cervical traction treatment. 5.Use local decompression and release surgery under microscopic technology.