Parkinson’s disease and cervical spondylosis are both geriatric diseases, and the symptoms of both diseases are complex, and there are many similarities in early symptoms. Because the early symptoms of Parkinson’s disease are not typical, patients do not know which department to go to, so they often run through the orthopedic department, Chinese medicine department, physical therapy department, pain department, neurology department and even psychiatric department of the hospital. In Parkinson’s disease, it is difficult to confirm the diagnosis by instrumentation alone. 90% of the information to diagnose this disease comes from detailed questioning and physical examination by the doctor, and the auxiliary examination by instruments is often to exclude diseases in the brain and other parts of the body. Therefore, it would be helpful for both doctors and patients to know some clues of this disease for early diagnosis of the disease. For doctors, multidisciplinary cooperation is more likely to provide better service to patients. Once the following symptoms appear, a neurologist should be called to identify whether you have Parkinson’s disease. 1. tremor when quiet, shaking hands and feet, fingers like “rolling pills” or “counting money”, intensified when emotional, can disappear completely during sleep. 2, stiffness at the beginning, feel inflexible on one side of the limb, walking feet can not lift, slow pace, arm swing unnatural, hands to tie buttons, untie shoelaces and other difficulties, due to high muscle tone, the patient’s body tends to lean forward, walking easily fall, the neck and joints will also feel stiff. The patient’s upper limbs cannot do fine movements and writing becomes difficult; facial muscle movements are reduced, rarely blinking, and the expression is dull, which is medically called “mask face”. When walking, it is difficult to start and turn around, once the pace starts, the pace is small and faster, and cannot stop in time. When tremor occurs, people easily think of Parkinson’s disease, while stiffness and slow movement are often mistaken for old age or misdiagnosed as “cervical spondylosis” or “cerebral thrombosis”, just like Mr. Wang, who never had hand tremor despite the obvious stiffness. The situation. At the same time, since MRI scans of the head and neck of the elderly have more or less abnormal manifestations, there may be a superposition of two diseases, which may cause confusion in the diagnosis, and then the neurologist needs to determine which disease is causing the above symptoms through a detailed neurological examination, instead of rashly performing cervical disc surgery. For clearly diagnosed Parkinson’s disease, the effect of medication is exact in the early stage, and when the disease progresses to the middle and late stage and the side effects of medication become more and more serious, surgery can be considered. The most advocated surgical method is the installation of a “brain pacemaker”, which used to be prohibitively expensive for most patients. Now, due to the successful launch of domestic “brain pacemakers”, the price has been greatly reduced compared to imported “brain pacemakers”. For patients with predominantly tremor, the “cell knife”, a surgical method that destroys the nucleus accumbens in the deep brain, can also be considered.