Many patients experience neck pain after cervical spine surgery, and in severe cases, this may be accompanied by neck stiffness and limited mobility. This is a difficult problem that cervical surgeons all over the world have to face. Severe postoperative neck and shoulder pain is called “axial pain” or “axial symptoms”. The incidence of anterior cervical spine surgery is relatively low. I have compiled a list of common internet questions: (1) Is the internal fixation loose? (2) Could it be infected? (3) Is the surgical decompression incomplete? And the common answers: (1) with a tight neck brace, strict braking less activity; (2) acupuncture, physical therapy, massage treatment; (3) take symptomatic analgesic and anti-inflammatory drugs, blood Chinese medicine; (4) pay attention to rest, avoid overexertion, avoid maintaining a posture for a long time; (5) rush to the hospital to see it. These answers often only increase the psychological burden of the patient. In the face of this problem, first of all, we should relax and not be overly nervous. When there is no trauma, with internal fixation, which will be so easy to loosen and displace! Second, many people will have such a question, in the end after cervical spine surgery less or more movement? At present, there is no clear answer. However, by instructing patients to perform “neck and shoulder exercises” after surgery, I have been able to reduce the degree and duration of pain, especially in patients with axial pain after anterior cervical surgery. The method: under the protection of a neck brace, slowly tilt back slightly until you feel the contraction of the posterior muscles, hold for 10 seconds, then relax and repeat, 12 sets of 12 each, 3 sets each time, 3 times a day. The exercise should start from the 3rd postoperative day, which can avoid excessive muscle adhesions and atrophy. In addition, should I wear more or less cervical brace? Traditionally, it is believed that a cervical brace must be worn for more than 3 months after cervical spine surgery to avoid the occurrence of loosening of the internal fixation or bone non-healing; however, clinical observation shows that prolonged cervical brace braking after cervical spine surgery will significantly increase the incidence of neck muscle atrophy and reduced cervical mobility; moreover, patients who remove the cervical brace early on very rarely see loosening of the internal fixation or bone non-healing. Therefore, it is recommended that the cervical brace should be worn for 3-4 weeks after cervical spine surgery, or 1 week in the case of anterior cervical disc replacement or posterior vertebroplasty, or longer if there is significant discomfort. At the same time, during the wearing period, the “neck and shoulder muscle exercise” should be strengthened.