Most of the causes of cervical pain in the neck with head up and head down are cold, trauma, neck muscle strain, cervical spondylosis, etc. Its treatment includes conservative treatment and surgical treatment. If the symptoms continue not to relieve, or have a tendency to aggravate, it is recommended that patients go to the hospital orthopedic treatment. 1, cold: if the sleep process did not pay attention to keep warm, resulting in cold neck muscles, so that muscle tension, spasm, thus producing the symptoms of head up and down neck cervical spine pain. In this regard, local hot compresses and cupping can be used to relieve discomfort; 2, trauma: if the neck is hit by violence, it may damage the neck muscles, cervical spine bones or nerves, thus producing the symptoms of head-down neck cervical pain. Usually the history of trauma is clear, and taking X-rays can further confirm the degree of injury. Generally, it requires cervical brace fixation, braking rest, and in severe cases, surgical internal fixation; 3, neck muscle strain: prolonged work or study in a fixed position can cause strain on the neck muscles, resulting in the accumulation of acidic metabolites in the neck muscles, which in turn causes the patient to have symptoms of head-down neck cervical pain. Generally, the clinical symptoms can be improved through hot compresses and local massage; 4. Cervical spondylosis: such as cervical osteophytes, cervical disc herniation, etc., can lead to compression of the nerve roots and spinal cord, resulting in reflex cervical pain, especially when raising and lowering the head, cervical pain is more significant, often accompanied by cervical activity limitation, dizziness, nausea, limb weakness and other symptoms. In this regard, the diagnosis can be confirmed by MRI and X-ray. In mild cases, cervical spine traction, massage, and oral non-steroidal anti-inflammatory drugs such as celecoxib can be used to relieve discomfort, while in severe cases, surgery is often considered to remove nerve compression and restore spinal stability, thereby alleviating discomfort.