Cervical vertebrae 4, 5 and 6 osteophytes are usually caused by acute injury or chronic strain. Depending on the condition of the vertebrae, medication (such as ibuprofen), physical therapy and surgery can be used. 1. Medication: Patients with cervical spondylolisthesis often have pain symptoms, and can take oral ibuprofen and other non-steroidal anti-inflammatory drugs to reduce inflammation and relieve pain. 2. Physical therapy: Physical therapy, such as traction, infrared therapy, and ultrashort wave electrotherapy, can promote local blood circulation and relieve pain. 3. Surgery: Surgery is needed for serious cases that have caused pressure on the spinal cord and nerve roots. For cervical vertebrae with osteophytes in the 4th, 5th and 6th vertebrae, it is recommended to use appropriate methods under the guidance of a doctor.