Cervical spondylosis does not usually cause facial neuralgia because the nerves in the face do not pass through the cervical spine, so cervical spondylosis does not cause compression of the facial nerves. However, one of the types of cervical spondylosis is vertebral artery cervical spondylosis, which affects the blood supply to the brain, and if there is ischemia in the brain, the corresponding nucleus pulposus can also produce symptoms, which can indirectly lead to facial neuralgia. Therefore, cervical spondylosis does not directly cause painful symptoms due to compression of the facial nerve, but it can affect the cortex of the brain, causing corresponding infarction or ischemia, which can lead to facial nerve symptoms. It is recommended to go to the hospital for a detailed examination to find the appropriate treatment for this problem.