One morning after waking up and found the pillow, the neck can not move, thinking that is certainly not a good night’s sleep last night, either is not the correct posture to sleep to trigger the pillow ah? Ken these we do not care, or think that this is a normal phenomenon, in fact, we have a drawback, that is, this is our cervical spine to us a signal to tell us that the cervical spine has a problem, so what are the symptoms of cervical spondylosis? The clinical symptoms of cervical spondylosis are more complex. They mainly include neck and back pain, upper limb weakness, numbness of fingers, weakness of lower limbs, difficulty in walking, dizziness, nausea, vomiting, and even blurred vision, tachycardia and difficulty in swallowing. The clinical symptoms of cervical spondylosis are related to the location of lesions, the degree of tissue involvement and individual differences. 1.Neurogenic cervical spondylosis (1) It has more typical radicular symptoms (numbness and pain) and the scope is consistent with the area innervated by the cervical spinal nerve. (2) Positive head press test or brachial plexus pull test. (3) The imaging findings are consistent with the clinical presentation. (4) No significant effect of painful point closure. (5) Excluding extra-cervical spine lesions such as thoracic outlet syndrome, carpal tunnel syndrome, elbow tunnel syndrome, frozen shoulder syndrome and other disorders causing pain mainly in the upper limbs. 2.Spinal cord type cervical spondylosis (1) Clinical manifestations of cervical spinal cord damage. (2) X-ray film shows osteophytes at the posterior edge of the vertebral body and spinal stenosis. The presence of spinal cord compression is confirmed by imaging. (3) Excluding amyotrophic lateral sclerosis, spinal cord tumor, spinal cord injury, multiple peripheral neuritis, etc. 3. Vertebral artery type cervical spondylosis (1) There has been a sudden collapse attack. It is accompanied by cervical vertigo. (2) Positive rotational neck test. (3) X-ray shows segmental instability or osteophytes of the cardinal joints. (4) Mostly accompanied by sympathetic symptoms. (5) Exclude ophthalmogenic and otogenic vertigo. (6) Inadequate blood supply to the basilar artery caused by compression of vertebral artery segment I (the segment of the vertebral artery before entering the transverse foramen of cervical 6) and vertebral artery segment III (the segment of the vertebral artery before exiting the cervical spine into the skull) should be excluded. (7) Vertebral arteriogram or digital subtraction vertebral arteriogram (DSA) is required before surgery. 4. Sympathetic cervical spondylosis Clinical manifestations include a series of sympathetic symptoms such as dizziness, blurred vision, tinnitus, hand numbness, tachycardia, precordial pain, etc. There is instability or degeneration of the cervical spine on X-ray. Vertebral arteriogram is negative. 5.Esophageal compression type cervical spondylosis Cervical vertebrae with anterior bird’s beak-like hyperplasia compressing the esophagus causing dysphagia (confirmed by barium examination of the esophagus), etc. 6.Cervical cervical spondylosis Cervical cervical spondylosis, also known as localized cervical spondylosis, refers to pain and corresponding pressure points in the head, shoulder, neck and arm, and there are no obvious degenerative changes such as intervertebral space narrowing on X-ray, but there can be changes in the physiological curve of the cervical spine, intervertebral instability and mild osteophytes, etc.