Pain in the back of the head is usually not related to cerebral infarction, be alert to cerebral hemorrhage, subarachnoid hemorrhage, brain tumor, vascular headache, occipital neuralgia, cervical spondylosis and other diseases, or it may be caused by fatigue, insomnia, anxiety. Cerebral hemorrhage, subarachnoid hemorrhage, or tumor in the cerebellum or occipital lobe area of the brain can cause pain in the back of the head. Patients are often accompanied by nausea, vomiting, inflexible limb movements, slurred speech, and vertigo. Vascular headaches are predominantly headaches of the whole brain, but may also manifest as pain in the back of the head area only. This type of headache usually does not have other symptoms such as limb movement disorder and slurred speech. The occipital nerve is located in the posterior occipital region, and the pain caused by compression may radiate to the top of the head and the outer ear, and is mostly a persistent dull pain. Cervical spondylosis mainly develops due to compression of the nerve roots in the neck by cervical disc herniation, ligament calcification, etc., and may manifest as neck pain radiating to the occipital region. In addition to these aforementioned diseases, overwork, insomnia, staying up late or mental anxiety and depression may also induce pain in the back of the head. However, these physiological phenomena will disappear after resting and improving lifestyle. If you have pain in the back of the head, you should consult a doctor as soon as possible to identify the cause of the pain and treat it appropriately.