Neck creaking and rattling is considered to be caused by physiological factors such as improper exertion, and may also be caused by arthritis, cervical disc herniation and other pathologic factors. 1. Physiological factors: falling pillow, improper posture, improper use of force, etc., can cause reduced joint stability, symptoms such as popping when moving. It can also cause muscle spasm, stiffness and pain in the back of the neck, fatigue, soreness and swelling and other symptoms. 2. Pathological factors (1) Arthritis: long-term strain, immunity, bacterial infection can cause inflammation of the neck joints, edema, oozing, congestion and other inflammatory changes, resulting in symptoms such as joint popping, pain, swelling, activity limitation. (2) cervical disc herniation: cervical intervertebral discs and intervertebral joints degenerative changes, can cause joints, ligaments, muscles, etc., oozing, edema and other pathological changes, prolapse of the intervertebral discs and wear and tear, hyperplasia of the intervertebral joints can irritate the nerve root, causing pain, numbness and other symptoms, will also cause joint instability, joint popping, limited movement and other symptoms. Neck creaking and rattling to rule out physiological causes, it is recommended to consult a doctor to clarify the diagnosis, under the guidance of the doctor for targeted treatment.