Neck pain, accompanied by swelling, can be caused by the following reasons: First, the pillow, pillow is often due to incorrect posture at night or the pillow height is not appropriate, can also be due to wind, cold leading to acute injury to the muscles around the neck, then there can be pain around the neck muscles and muscle swelling, then to early physical examination, early examination of the cervical spine X-ray, CT to diagnose. After diagnosis, physiotherapy, oral medication and topical medication should be carried out early. Second, infection, when the skin and soft tissues around the neck are infected, there can be pain and swelling, which can be accompanied by an increase in skin temperature, then early physical examination is needed to diagnose, and if necessary, surgery to remove the infected lesion. Thirdly, tumor, when there is a tumor in the local skin and soft tissue, there can also be pain in the neck, which should be diagnosed by early examination of ultrasound and MRI. If the tumor is large and there is obvious swelling and pain, surgery should be considered.