The following are the details: 1. Tension and stiffness of the neck muscles: If the patient works for a long time, resulting in tension and stiffness of the neck muscles, the physiological curvature of the cervical spine will also change, at this time, twisting the neck will make the small joints of the cervical spine rub together, causing localized ringing, and can be accompanied by clinical symptoms such as neck pain and swelling. 2. Disorders of the cervical spine joints: When twisting the neck, there will also be The cervical spine range of motion will be significantly affected, and the taking of X-ray or CT scan can confirm the cervical spine joint disorder. 3, congenital cervical joint laxity: the ringing sound of the neck can occur when moving the neck. Therefore, a ringing sound when twisting the neck is not necessarily a normal phenomenon, and some patients have disease occurrence, which should be diagnosed and treated early.