Not only the cervical spine, usually in the joint activities, there will be some “movement”, such as squatting when the knee joints have a loud sound, turn around when the hip joints issued a gentle “crunch” sound, turn the neck cervical spine sound, clutching the fingers to hear the fingers have a sound, and so on, this is because of the joint surfaces This is because the joint surfaces, cartilage pads and joint surfaces between the tendons and joint capsules, etc., will always be friction and sound, and the size of the sound varies from person to person, depending on the specific circumstances. Do I need to “treat” it if it is “loud”? Generally speaking, only popping, the appearance of no redness, no swelling, and do not feel pain, not accompanied by activity disorders belong to the physiological popping, do not need special treatment, and do not have to be too anxious about it. Sedentary people, such as teachers, editors, secretaries, computer operators and other people who work at the desk all year round often complain of cervical spine “popping”, and when accompanied by pain or joint movement restriction, they need to go to our clinic in time to determine whether it is a misalignment of the joints or damage to the joints. In young people, the current diagnosis is more likely to be chronic cervical strain or cervical fascial fibromatosis rather than cervical spondylosis. You can come to our clinic and have a cervical spine frontal and lateral X-ray taken to determine if there are any imaging signs of early cervical spondylosis. Does the feeling of vertigo mean that I need to be treated? Vertigo is one of the clinical symptoms of cervical spondylosis. When the curvature of the cervical spine becomes straight or even inverted, poor stability or cervical spondylolisthesis compresses the vertebral artery or stimulates the sympathetic nerves, it can cause dizziness, nausea and vomiting, etc. However, the symptoms of cervical spondylolisthesis are not recognized as symptoms. However, before attributing the symptoms of vertigo to cervical spondylosis, other causes must be ruled out. There are seven common causes of vertigo: blood pressure vertigo (hypertension or hypotension, etc.), auricular vertigo (Meniere’s disease, vestibular dysfunction, etc.), ocular vertigo (refractive error, fundus arteriosclerosis, etc.), cardiac vertigo (cardiac arrhythmia, cardiac insufficiency, etc.), pulmonary vertigo (pulmonary insufficiency), central vertigo (vertigo caused by lesions of the brainstem, cerebellum, cerebrum, and cranial medulla), and cervical vertebral spondylosis. Vertigo of cervical origin. If it is not certain that the vertigo is due to cervical spondylosis, tests such as vestibular function tests, fundoscopy, ultrasound of head and neck vessels, CT and magnetic resonance imaging (MRI), and blood pressure monitoring are needed.