Wake up neck pain can not twist the head, usually considered by the neck muscle spasm, may also be cervical spondylosis, joint muscle strain caused. 1. Neck muscle spasm: mostly seen in the long time incorrect sleeping posture, or the neck is cold, and lead to local tissue ischemia and hypoxia, neck spasm and stiffness. At this time can be appropriate hot compresses, life attention to ensure good sleep posture, the symptoms can be naturally relieved. 2. Cervical spondylosis: It may be caused by long-term compression of nerves due to cervical spondylosis, which may be cervical cervical spondylosis. In this case, the pain is usually more obvious and may be accompanied by dizziness, headache and other symptoms. 3. Joint muscle strain: such as prolonged head bowing and maintaining a posture for a long time, which can lead to joint muscle strain, the above symptoms can also occur. When you wake up with neck pain and can not twist your head, you can first apply hot compresses or observe for a few days, if the symptoms persist or worsen, it is recommended to consult a doctor in a timely manner to identify the cause of the disease and receive appropriate treatment. In normal life, you should develop a good sleeping posture and avoid keeping the same position for a long time.