What does “a pain in the neck” mean?

a person or thing that is very annoying

How is “a pain in the neck” used?

In The King of Comedy (1982), one line is: “- It's that Martino kid, the impressionist. - He's a pain in the neck.”

The clip at the top of this page is from The King of Comedy (1982).

- It's that Martino kid, the impressionist. - He's a pain in the neck.

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