Cervical spine axial pain is a symptom of cervical spondylosis, commonly found in women, and is mainly chronic and persistent dull pain, mostly confined to the unilateral or bilateral neck, occipital region, and posterior scapular region. Cervical spine axial pain is clinically common and the symptoms are mild, but the condition is lingering and easy to recur, which is troublesome. 1.Etiology and mechanism Cervical spine axial pain, like cervical spondylosis, is caused by degeneration of cervical disc and its secondary changes. Cervical degeneration is one of the aging phenomena of human body and is a common cause of cervical spine axial pain. Cervical spine degeneration can cause a decrease in the stability of the cervical spine and produce mechanical irritation; it can also cause degeneration of the cervical intervertebral disc, which releases immune inflammatory mediators and produces inflammatory irritation, both of which act individually or synergistically to provoke the sinus nerve and cause pain. This is the most important pathogenesis of cervical spine axial pain. Cervical spine injury is another common cause of cervical spine axial pain, including acute injury and long-term chronic strain, which can cause or aggravate the degeneration of muscles, ligaments and intervertebral discs, leading to the onset of pain. Therefore, long-term work or study with low head and flexed neck is prone to cervical spine axial pain. Axial pain in the neck and shoulder is also a common complication of posterior cervical spine surgery, and most scholars believe that its occurrence is related to the stripping injury of the posterior cervical muscle group in posterior surgery. 2. Clinical manifestations Unlike neurogenic and spinal cord type cervical spondylosis, cervical spinal axial pain rarely has the manifestation of nerve root irritation and no manifestation of spinal cord compression. Most patients may have chronic persistent dull pain in the neck and shoulder, occipital region and posterior scapular region, which may spread to the upper back and upper arm. It is often accompanied by headache and a sensation of stiffness of movement in one direction. 3.Diagnosis Patients often have a history of long-term poor sitting posture and chronic neck muscle fatigue. Physical examination may include discomfort of neck movement, whirling neck vertigo, neck muscle pressure pain, and limited shoulder joint movement. Imaging examination can assist in the diagnosis of cervical spine axial pain. For example, cervical spine X-ray can show straightening of the cervical curvature, narrowing of the intervertebral space, and formation of bone redundancy at the vertebral body edge, suggesting disc degeneration and early cervical instability. Intervertebral discography is an important and reliable test that can confirm the diagnosis and pinpoint the painful disc, but it is an invasive test that clinical patients are often reluctant to accept. 4.Treatment For most patients with cervical spine axial pain, conservative treatment can be given first. Patients should promptly relieve cervical fatigue, correct poor sitting posture, and carry out physical therapy, and if necessary, take oral non-steroidal anti-inflammatory and analgesic drugs, etc., and the symptoms can be significantly improved. Cervical spine axial pain should belong to the category of “paralysis” in traditional Chinese medicine, which is caused by insufficient qi and blood, paralysis by wind, cold and dampness, and loss of moistening of tendons and joints. Among them, Cervical Fucang granules are the representative medicine. It can be used for cervical spondylosis caused by wind-dampness paralysis of meridians, dizziness, neck stiffness, shoulder and back pain, arm numbness, etc. Therefore, it has ideal effect on cervical spine axial pain. 5, prevention Prevention is better than treatment, pay attention to rest, avoid prolonged ambulation, targeted cervical spine functional exercise, often participate in outdoor activities, swimming, playing badminton, etc. can enhance physical fitness, slow down cervical degeneration, help us really get rid of cervical spine axial pain.