The treatment of cervical 4 vertebral instability depends on your condition. If the condition is mild, the first step is to correct the daily bad habits, followed by medication, local cervical spine braking, traction therapy, manipulation therapy, and if the condition is serious, surgery. Cervical 4 vertebral instability refers to anatomically exceeding its physiological limit of activity range under physiological load, mostly caused by prolonged bowing of the head and other bad postures, manifested as neck and shoulder pain, dizziness and pain, chest tightness and other clinical symptoms. 1. Correcting bad habits: the disease is mostly caused by long time head down work, head down playing cell phone and other bad posture, so in daily life, should avoid long time head down. 2. Medication: its main role is to reduce pain, common drugs include non-steroidal anti-inflammatory analgesics such as diclofenac, indomethacin, etc.; cyclooxygenase 2 inhibitor celecoxib, etc.; muscle relaxant cloxazone, etc.. 3. Local braking of the cervical spine: the neck collar should be used frequently to maintain the local stability of the cervical vertebrae, and at the same time to support the weight of the head and reduce its pressure on the cervical spine. Cervical traction and manipulation can be used at the same time. 4. Surgical treatment: If there is nerve damage in the cervical spine, timely surgical treatment is needed, such as cervical spine fusion and internal fixation surgery. The treatment of cervical 4 vertebral instability should be based on your own situation. It is recommended that you go to the hospital in time and choose the appropriate treatment plan under the guidance of your doctor. All of the above drugs should be used under the guidance of a doctor to avoid adverse reactions.