Carotid artery plaque neck pain sometimes, and carotid artery plaque itself is not directly related to the carotid artery plaque, may be cervical spondylosis, thyroiditis, etc., need to carry out the neck MRI or ultrasound to clarify the diagnosis and treatment. 1. Carotid artery plaque is mostly caused by atherosclerosis, usually due to insufficient blood supply to the head caused by dizziness, headache, memory loss, serious cases caused by stroke, there will be limb weakness, blurred vision performance. Neck pain usually does not appear. 2. Cervical spondylosis will lead to localized tension and pain in the muscles of the neck, often accompanied by dizziness and headache, numbness of the upper limbs and other symptoms. The diagnosis can be confirmed by neck MRI. 3. Thyroiditis can also occur in the neck causing neck pain, and can be accompanied by goiter and symptoms such as hyperthyroidism and hypothyroidism caused by abnormal thyroid function. The diagnosis can be confirmed by combining an ultrasound of the neck with a doctor’s palpation. There are many causes of neck pain, but they are usually not directly related to carotid artery plaque sclerosis. It is recommended that patients actively seek medical attention to clarify the cause and rationalize the treatment.