Uncomfortable tightness in two tendons at the back of the head, accompanied by a feeling of pressure and headache.

Discomfort in the two tendons at the back of the head, along with a feeling of head distension and pain, may be caused by physiological factors or diseases such as migraines or cervical spondylosis. Treatment—whether general management or medication—should be based on the specific underlying cause. Detailed analysis is as follows:

I. Physiological Causes

When individuals are under stress or excessive mental pressure, muscles may remain tense for prolonged periods, leading to muscle fatigue and pain. This can result in symptoms such as headaches and neck discomfort. These symptoms typically improve with adequate rest.

II. Pathological Causes

1. Migraine

Migraine is a type of neurological headache. During an attack, blood vessels undergo dilation and constriction, triggering abnormal neuronal activity in the brain. This abnormal activity may lead to symptoms such as discomfort in the tendons at the back of the head and a sensation of head fullness or pain. Medications such as Toutongning Capsules or Compound Yangjiao Capsules may be taken as directed by a physician.

2. Cervical Spondylosis

This is a degenerative disease of the cervical spine that causes neck muscle tension and pain. These muscles are connected to those in the head and posterior neck region. When neck muscles become tense or painful, they can affect the muscles of the head and upper neck, resulting in headaches and neck discomfort. Medications such as Jingfukang Granules or Gujin Pills may be taken under medical guidance.

In addition to the common causes mentioned above, similar symptoms may also arise from conditions such as cervical disc herniation, cerebral ischemia, or meningitis. It is recommended that individuals experiencing persistent discomfort seek timely medical evaluation and treatment.