There are more possibilities for neck pain, such as neck trauma, strain, aseptic inflammation and cervical spondylosis, etc. It is necessary to improve the auxiliary examinations in order to clarify the cause of the disease. 1. Trauma: there is a history of neck trauma before the appearance of pain, especially neck muscle strain, in the process of tilting the neck back, the muscle damage caused by the pull, which in turn caused pain or pain aggravation. 2. Strain: mostly due to prolonged head down, pillow high pillow, etc. caused by neck muscle strain, part of the cervical curvature can be straightened or reverse arch, and then raise the head when the pain is obvious. 3. Aseptic inflammation: mostly related to trauma, strain injury and cold, especially aseptic inflammation of cervical muscles and fascia, which can cause pain when pulling the cervical muscles and fascia when tilting the head. 4. Cervical spondylosis: such as cervical osteophytes, cervical disc herniation, etc., when the neck is tilted back, it will stimulate the nerves of the cervical vertebrae, which will cause pain. It is recommended that patients go to the hospital to improve the auxiliary examination, in order to clarify the cause of the disease, the need for professional physicians to give the appropriate treatment for the patient’s condition.