Non-surgical treatment is usually chosen if there are only symptoms of vertigo, or nausea, tinnitus or migraine. For those who establish evidence of vertebral artery compression and are ineffective with conservative treatment, surgical treatment may be considered. Treatment options need to be decided based on the type of clinical presentation of vertebral artery cervical spondylosis, and most patients with vertebral artery cervical spondylosis should avoid strenuous activity, exercise in moderation and correct poor lifestyle and work habits.