Symptoms of occipital neuralgia can manifest as episodes of pain in the occipital region and the back of the neck that can radiate to the top of the head. Treatment mainly includes medication, surgery, physical therapy, and closed treatment. Occipital neuralgia may manifest as paroxysmal or persistent pain in the posterior occipital region, mostly in the form of cutting, pinprick or lightning pain. There may be compression of nerves leading to numbness. When in pain, patients are afraid to turn their heads, head and neck are in a straightened state. Occipital neuralgia treatment methods generally have the following kinds: 1. Drug treatment: non-steroidal anti-inflammatory drugs such as ibuprofen can be used to relieve pain; neurotrophic drugs such as methylcobalamin can be used to nourish the nerves; carbamazepine or pregabalin can also be used to treat the obvious pain. 2. Surgical treatment: vascular decompression surgery, simple occipital nerve severance and other treatments can be used. Relieve nerve compression or block nerve conduction to relieve symptoms. 3. Physical therapy: intermittent dynamic electrotherapy or rotational magnetic therapy, and cervical traction therapy can be added for patients with cervical spondylosis. 4. Closure therapy: Procaine plus vitamin B12 injection in the affected area, blocking the pain stimulus conduction, thereby eliminating muscle tension and reducing local aseptic inflammatory reaction. Occipital neuralgia patients need to consult a doctor in a timely manner, under the guidance of a professional doctor for targeted treatment.