Paroxysmal pain at the root of the back of the ear is most commonly associated with occipital neuralgia, and if inflammatory stimuli in the brain or ear can be excluded, the condition is most commonly associated with occipital small neuralgia, which usually presents with paroxysmal, or persistent, stabbing, dull, or burning pain radiating from the back of the ear to the top of the head. It is usually triggered by a cold, fever, or upper respiratory tract infection, fatigue, or prolonged bowing of the head. Treatment can be given non-steroidal anti-inflammatory drugs, can be symptomatic treatment, such as the application of lexapro or ibuprofen tablets, can be applied to methylcobalamin nutrition nerve. If the effect is not good, you can apply pregabalin for neuropathic pain, or locally given hormone therapy, but also with acupuncture, physiotherapy, heat and other methods of treatment. If the effect is not good, nerve block treatment can be carried out.