Shoulder and neck pain with tinnitus is caused by vertebral artery type cervical spondylosis or sympathetic nerve type cervical spondylosis. When cervical spine degeneration, curvature straightening, disc herniation and other reasons cause cervical spondylosis, symptoms such as shoulder and neck pain, upper extremity pain and numbness will occur. It may also cause insufficient blood supply to the vertebral artery and sympathetic nerve compression, which may lead to tinnitus. At the same time may also be accompanied by dizziness, nausea, blurred vision and other symptoms. It can be treated by keeping the neck warm, physical therapy such as hot compresses and grilling, oral medication to improve cerebral blood supply such as betahistine hydrochloride, flunarizine hydrochloride and neurotrophic drugs such as methylcobalamin and adenosylcobalamin. If the symptoms of shoulder and neck pain accompanied by tinnitus occur, it is recommended that the patient go to the hospital, improve the examination, and under the guidance of the doctor regular treatment.