I have always adhered to the diagnostic principle of combining consultation, physical examination and imaging, which is indispensable in the diagnosis of cervical spondylosis. Although there are many auxiliary tests available, a detailed examination and careful physical examination in person by a doctor are still indispensable. If you can go to the hospital for a face-to-face examination, it will be more helpful to determine the condition. Many people say that doctors nowadays are not as good as they used to be, and that they don’t know how to make their own judgments when it comes to MRI and CT. I don’t know that nowadays foreign countries have made MRI as a screening tool for judging cervical and lumbar spine diseases, because it is harmless to the human body and helps a lot in judging the disease, which actually saves the cost of diagnosis and treatment greatly. Therefore, if cervical spine disease is highly suspected, both cervical spine x-rays and MRI are essential tests. Cervical spine X-ray includes orthogonal and lateral films of the cervical spine, mainly to see if there is any abnormality in the overall physiological curvature of the cervical spine, if there is any osteophyte and ligament calcification in the front and back, and if there is any narrowing of the nerve root foramen in the X-ray of the cervical spine in special positions such as double oblique position. Usually, domestic orthopedic surgeons will use X-rays as a preliminary screening method for cervical spine disease. Nowadays, MRI films are becoming clearer and can provide doctors with a lot of accurate information. The MRI can see whether the patient has bone growth and compression, and if there is compression, whether the compression is on the nerves or the spinal cord. CT is not used as a routine test because of the large amount of radiation, but only when the patient cannot do MRI because of a contraceptive ring, pacemaker, or claustrophobia, the second best thing to do is to do CT of the cervical spine, which has a special advantage in determining whether there is ossification of the cervical spine (ossification is when the ground that should be soft tissue becomes bony, such as ossification of the posterior longitudinal ligament). Sometimes both MRI and CT may be required for the patient in order to develop a surgical plan. In order to diagnose cervical spondylosis, sometimes patients also need to have some electromyography and evoked potentials. This is a localization test that can determine which nerve root is being compressed and is often relied upon for the diagnosis of orthopedic conditions. In conclusion, the diagnosis of cervical spondylosis requires a combination of many factors, including symptoms, physical examination and imaging. If necessary, a hospital visit is the best way to help clarify the severity of the disease and determine the appropriate treatment.