I sit in an office, and I don’t know if I’ve been sitting for too long, but my neck is very sore, with a little pain, and I have to tilt my head back to feel more comfortable, and I also have soreness between my shoulder blades, and some soreness in my lower back. Is this cervical spondylosis? What should I do? A: I am a spine surgeon, and I see a lot of patients with neck, shoulder and back pain in the clinic who work long hours in front of a computer, especially young people. You are just 24 years old and cannot be easily diagnosed with cervical spondylosis. Generally speaking, cervical spondylosis is a degenerative change that occurs with age, and is common in people over 40 years old. Usually the film will show abnormalities in the imaging such as narrowing of the vertebral space, osteophytes and herniated discs, without necessarily having symptoms, but only when there are some triggers, such as injury, strain and cold, manifesting as neck pain, stiffness, string pain in the limbs, numbness, dizziness, reduced fine movements of the limbs, unstable walking and even loss of control of urination and defecation. In young people with neck, shoulder and back pain, if there are no other symptoms, I think it is myofasciitis, which is a muscle strain related to prolonged casework and is not a major disease. It is not a disease that can be self-limiting, but can recur. Three suggestions are made for reference: 1. avoid triggering factors (injury, strain, cold); 2. symptomatic treatment in the acute stage, including rest, physical therapy, oral medicine, topical creams, etc.; 3. strengthen the neck and back muscles exercise when there are no symptoms. Cross your arms, hold your head with your palms, tilt your head back and push your hands forward to make the muscles behind your neck contract, insist for ten seconds, do it a dozen times a day in the office, it will surely make your muscles stronger, reduce the symptoms and reduce the number of attacks of the disease.