Burning sensation in the neck is usually caused by two reasons: 1. In patients with cervical spondylosis, the stimulation of the nerve roots by the degenerated intervertebral discs, especially the stimulation of the dermal branch nerves, can cause a burning sensation in the skin of the corresponding innervated area of the neck and shoulder that is over-electrical. It is aggravated by cervical spine activity, usually to a more intense degree, and requires MRI to clarify. This condition can be treated orally with nerve-nourishing drugs, together with acupuncture and manipulation in Chinese medicine, which can enhance the efficacy.2. It may be a skin disease, such as neuralgia in the early stage of herpes zoster, which can cause a burning sensation in the back area of the neck and shoulder, or it may be a local allergic reaction caused by clothes friction, etc. If it is shingles, antiviral medication is needed. If it is allergy, you need to stay away from allergens and treat with anti-allergy medication and vitamin C supplementation.