The main symptoms are head, neck, shoulder, back and arm pain, stiff neck and neck, and restricted movement. Neck and shoulder pain may radiate to the head and occipital region and upper limbs, some are accompanied by dizziness, house spinning, heavy with nausea and vomiting, bedridden, a few may have vertigo and sudden collapse. Some have fever on one side of the face and sometimes abnormal sweating. There is a feeling of heaviness in the back of the shoulder, weakness in the upper limbs, numbness in the fingers, loss of sensation in the skin of the limbs, weakness in holding objects in the hands, and sometimes unconscious gripping of objects to the ground. Other patients have weakness in the lower limbs, unstable walking, numbness in the second foot, and a feeling like stepping on cotton when walking.