Neurogenic cervical spondylosis clinical manifestations: 1, neck pain and neck stiffness, often the first symptoms. Some patients also have pain in the shoulder and the medial border of the scapula.2. Radiating pain or numbness in the upper limbs. This pain and numbness radiates along the course and innervation area of the affected nerve roots and is characteristic, so it is called root-type pain. The pain or numbness can be episodic or persistent. Sometimes there is a clear relationship between the onset and relief of symptoms and the position and posture of the patient’s neck. Neck movement, coughing, sneezing, exertion and deep breathing can cause aggravation of symptoms.3. The affected upper limb feels heavy, grip strength is reduced, sometimes there is a fall of holding objects. There may be vasomotor symptoms, such as swelling of the hands. Muscle atrophy can be seen in the late stage.4. Clinical examination: neck stiffness, limited movement. There is muscle tension in the neck on the affected side, and there is tenderness in the spinous processes, paraspinous processes, medial border of the scapula, and the muscles innervated by the affected nerve roots. The presence of intervertebral foraminal compression with radiating pain or numbness in the upper limbs, or aggravation of existing symptoms is of localization significance. A positive foraminal compression test and a positive brachial plexus pull test are indicated. Careful and comprehensive neurological examination helps to localize the diagnosis.