Twisting the neck with a clicking sound may be physiological factors, cervical joint disorders, cervical spondylosis and other factors. 1. Physiological factors: Keeping a posture for too long, no neck activities for a long time, physiological rattling will occur when the neck activities, there is no other clinical manifestations, do not need to carry out special treatment. 2. Cervical spine joint disorder: it may be related to degenerative joints or chronic strain injury and other factors, which can lead to joint disorders in the cervical spine, which will often cause rattling, accompanied by mild pain, and will lead to cervical spine joint activity restriction in severe cases. 3. Cervical spondylosis: prolonged excessive head down or acute injury may induce cervical spondylosis, there will be a twisting neck clicking symptoms, may also be accompanied by neck pain, shoulder pain, upper extremity pain and other symptoms. Twisting the neck clicking, and there are other abnormal manifestations, it is recommended to go to the orthopedic department of the hospital for examination and treatment to avoid delaying the condition.