A head down neck pain is considered to be a pillow, neck muscle strain, cervical spondylosis, etc., need to take the cause of the hot compresses, physical therapy, medication, surgical treatment to alleviate. 1. Pillow fall: If you sleep in a poor posture, it is easy to lead to pillow fall, the symptoms of neck pain when you bow your head. This situation needs rest, you can use a towel to apply hot compresses, you can also do infrared, acupuncture and other physical therapy to relieve the symptoms. 2. Neck muscle strain: prolonged desk work, look at the phone is easy to lead to neck muscle strain, resulting in a low neck pain phenomenon. In this case, you can massage the neck, do chest exercises, but also through the ultrashort wave therapy and infrared therapy. If the pain is obvious, you can put on the external paste of blood circulation and pain relief cream, blood circulation and blood stasis pain relief paste, or take oral pain medication, such as ibuprofen. 3. Cervical spondylosis: degenerative cervical spondylosis can lead to stiffness and pain in the back of the neck, which can be treated with cervical traction, and if the pain is obvious, you can take diclofenac sodium, cervical particles and other drugs to relieve the symptoms. If you have cervical stenosis, you need to consider surgery. There may be other reasons for neck pain, such as osteoporosis and cervical supraspinous ligamentitis. If the symptoms are severe, it is recommended to consult a doctor to clarify the cause of the problem and then target treatment. The above medication should be prescribed by a doctor.