Cervical cervical spondylosis, also known as ligamentous joint capsule cervical spondylosis, is often commonly referred to as “falling pillow” during acute attacks. It is very common clinically and is the earliest form of cervical spondylosis, and is also a common early manifestation of all other types of cervical spondylosis, with symptoms mainly in the neck, so it is also called the local type. Cervical cervical spondylosis develops mostly in young adults, and a few people may have the first onset after the age of 45. Patients complain of abnormal sensations such as head, neck and shoulder pain, and some patients often complain of easy fatigue in the neck, unable to read, write or watch TV for a long time; some patients have “neck tightness” and “stiffness” after waking up in the morning, and their activities are not working or ringing when they move; a few patients may have A few patients may have reflex pain, swelling and numbness in the upper limbs and hands, but it does not worsen when coughing or sneezing. Physical examination: ① The neck is distorted, with normal or restricted movement. There are often pressure points in the trapezius, rhomboid, supraspinatus, infraspinatus, scaphoid or large and small circular muscles, and sternocleidomastoid spasms and pressure pains may occur with paraneoplastic involvement. ②There may be swelling and tenderness of the collateral ligament and paraspinal tenderness on palpation of the neck, mostly without radiating pain. There may be interspinous space changes and lateral protrusion of the spinous process, which is more common in the lower cervical spine. (3) Intervertebral foramen compression test and brachial plexus nerve pull test are negative, muscle tone is normal, there is no hypotonia and muscle atrophy, tendon reflex is normal, and there is no pathological reflex. X-ray orthopantomographs showed “bilateral” and “double protrusion” signs in the posterior cervical joints, as well as unequal width of the adjacent hook vertebral joint gap and asymmetry of the hook vertebral joints on both sides. Lateral radiographs can show changes in the physiological curve of the cervical spine, such as straightening, retroflexion, interruption, angulation or step-like changes. It can be more obvious in functional radiographs or dynamic observation of the cervical spine. In some cases, overlapping and incongruent changes in the synovial joints can be seen. In a few patients, there are no radiographic changes or only changes in the physiological curve of the cervical spine. Cervical cervical spondylosis should be diagnosed with the exception of cervical sprain, periarthritis, rheumatic myofibrositis, neurasthenia and other neck and shoulder pains that are not due to cervical disc degeneration.