Other signs can include pain in the neck or the lower part of the head.

VOA: special.2010.03.30

All of this-- pain in the neck right?

是不是敲得你们脖子都酸了？

哈佛公开课 - 计算机科学课程节选

and sometimes she's just a pain in the neck.

而且有时候，她很讨厌。

在公园碰到的母子 - SpeakingMax英语口语达人