Dizziness is a clinical symptom that can be found in many systemic diseases. Dizziness caused by soft tissue lesions in the back of the neck or osteoarthritis of the cervical spine is called cervical vertigo. There are many patients misdiagnosed as Meniere’s syndrome, vertebral artery insufficiency, cerebral arteriosclerosis and so on. Without effective treatment, it seriously affects the working life of patients. Nowadays, it is common to see patients misdiagnosed with cervical vertigo in outpatient clinics. Studies have shown that nearly 60% of vertigo patients are caused by cervical vertigo. A significant number of patients with cervical vertigo are caused by soft tissue lesions in the back of the neck. Cervical vertigo is often caused by a number of factors: 1. Cervical spine osteoarthropathy: cervical disc degeneration, cervical spinal stenosis and cervical spine instability caused by rotational displacement due to various reasons are the basis for vertigo. In the case of cervical instability, the nerves located in the anterolateral part of the cervical vertebral body or the vertebral artery running in the transverse foramen of the cervical vertebrae are stimulated, causing reflex spasm of the vertebral artery and thus producing symptoms. 2. Soft tissue lesion in the neck: soft tissue damage around the cervical vertebrae causes increased pressure in the surrounding tissues, and the receptors located in the fascia muscles of the back of the neck receive abnormal stimulation from the increased pressure in the tissues, which is transmitted to the center through the posterior branch of the spinal nerve and causes symptoms of vertigo. 3, Atlanto-occipital space tissue lesion: In the atlanto-axial spine, the dislocation of the atlanto-axial spine causes damage to the surrounding soft seat and causes spasm of the vertebral artery, resulting in dizziness, and most patients with atlanto-axial dislocation have symptoms of dizziness. 4. The presence of atherosclerosis in the vertebral artery can also produce dizziness. The main manifestations of cervical vertigo are: dizziness is mostly related to head and neck activities, some patients have symptoms when shaking their heads, some have symptoms when walking, but the symptoms are reduced or disappear when resting, most of them have vertigo symptoms when their heads rotate to a certain part or the original symptoms are aggravated, or the patients are in forced position, some of them cannot take care of themselves, many of them have eye symptoms at the same time, some have tinnitus and obvious neck discomfort. Many patients have eye symptoms, some have tinnitus and obvious neck discomfort. Some patients with cervical vertigo have systemic symptoms, such as general weakness, mental confusion, memory loss, insomnia, panic and nausea, etc. In patients with cervical vertigo, there are obvious pressure points in the soft tissue lesions. More pressure pain points indicate a wide range of lesions. If the pressure pain points disappear, the patient’s vertigo symptoms will be relieved immediately. If the vertigo is related to bone and joint lesions, the cervical vertebrae with the lesions are mostly rotated and displaced, and the spine synapse is obviously distorted and the corresponding joint synapse has obvious pressure pain on X-ray. After regular conservative treatment, most patients with cervical vertigo can have a local paracervical nerve block to nourish the nerves and eliminate the inflammation to achieve complete relief.