Cervical spondylosis does have the manifestation of neck discomfort, but very few are cervical spondylosis. There are many reasons for neck discomfort, part of which is cervical spondylosis, but most of them are just general muscle strain, the so-called posterior cervical muscle fatigue, which also makes the cervical spine feel uncomfortable and can generally be relieved by correction of poor posture, physical therapy and functional exercise. The medical term cervical spondylosis is not only about muscle strain, but also about structural changes inside, especially problems with the intervertebral discs. The current international consensus is that cervical disc degenerative changes (“aging”) and its secondary degenerative changes in the intervertebral joints cause damage to the spinal cord, nerves and blood vessels and the corresponding signs and symptoms. Therefore, the diagnosis of cervical spondylosis requires a spine surgeon to combine the patient’s symptoms, signs and imaging to determine the presence or absence of cervical spondylosis.