When there is a strain in the shoulder pulling the cervical spine pain there is a possibility that the symptoms are caused by rotator cuff injuries, muscle ligament injuries and other pathologies. These diseases need to be treated under the guidance of a doctor, mainly medication, physical therapy, surgical treatment and so on. 1. Rotator cuff injury: tissue edema after rotator cuff injury can compress the peripheral nerves involved in causing cervical pain. Mild strains should be given braking rest, reduce shoulder joint activities, oral non-steroidal drugs such as ibuprofen, etc. to relieve pain, and serious injuries can choose surgical treatment such as rotator cuff repair. 2. Muscle ligament injury: immediately after the injury should be localized ice packs, joint braking to reduce swelling, 72 hours after the hot packs, infrared and other physical therapy, to promote blood circulation and inflammation absorption, serious injuries require surgical treatment, repair and rebuild of ruptured ligaments and tendons. There may be other causes of cervical pain associated with shoulder strain, so it is recommended that patients seek medical attention in a timely manner to clarify the cause and standardize the treatment under the guidance of the doctor. Usually should pay attention to moderate exercise, avoid excessive stretching, warm up before exercise.