The neck will be painful when tilted back, generally speaking there are often the following reasons: a. Sprain of the neck muscles, patients in long-term improper sleeping position will cause sprain of the neck muscles, and cause muscle soreness and pain when tilted back. At this time, you can reduce the symptoms of local muscle swelling and pain through local hot towel wet compresses, hot amulet pack external compresses and acupressure. Second, cervical spondylosis can cause cervical spine protrusion when tilting back, compressing the surrounding nerves and causing radioactive pain. At this time, massage, physical therapy and surgical treatment can be used to release the nerve compression and reduce the pain symptoms of patients. Cervical spine fracture, mostly seen after the patient has been traumatized and caused by local fracture, then the patient will have limited neck activities, local pain symptoms, need to perform surgery as soon as possible.