Cervical spondylosis is the most common disease that plagues computer users and office workers. Common symptoms include stiffness and pain in the neck; numbness in the upper extremities, dizziness, etc. Cervical spondylosis needs to be diagnosed by a specialist. This is because only a specialist can distinguish clearly between cervical spondylosis, cervical disc herniation, cervical instability, and oblique angle muscle syndrome, all of which have very similar symptoms. This article talks about two issues: One, how to treat conservatively when you have cervical spondylosis. Two, introducing a minimally invasive technique, cervical disc plasma radiofrequency ablation. First, how to treat cervical spondylosis conservatively if the doctor diagnoses it. Cervical spondylosis refers to a series of symptoms caused by degeneration of the cervical spine and hyperplasia of the hook vertebral joint, resulting in nerve root compression and spasm of the vertebral artery, and is also the most common type of neck and shoulder pain. 1, avoid long-term low head, ambulatory work. Long-term low head is the most important cause of cervical spondylosis. This is the simplest but also the most difficult to do. Some patients say, “I just work as a copywriter, there is no way. But at least should do every forty or fifty minutes, stand up, tilt your head and move your neck for ten minutes or so. 2, choose the right pillow. General pillow is a fist high is appropriate. Too high, too short are not suitable. 3, traction. Traction is best to traction under the guidance of a doctor. When traction at home, pay attention to the traction force gradually increase. The general traction force should reach one tenth of the body weight. If the traction process occurs during the aggravation of symptoms, immediately stop traction. 4, the neck using hot towels, hot compresses, can effectively relax the neck muscles. Patients are recommended to try. Second, regarding cervical plasma surgery, it is a technique used to treat cervical disc herniation. It is up to the doctor to decide whether it is appropriate to undergo this surgery. For such a minimally invasive surgery, the advantages are very obvious. 1, Minimally invasive. The operation is essentially an X-ray guided puncture operation, and the puncture needle is only about 2mm in diameter, so there are no incisions and therefore no scars after the operation is performed. The total time of the operation is about half an hour. The procedure can be discharged after one day of observation without any special circumstances. 2. Definitive results. With the help of plasma energy, the protruding nucleus pulposus is vaporized into carbon dioxide and water vapor. The volume of ablation is about the size of a grain of rice, which can effectively relieve the compression of the nerve root. Furthermore, through the guidance of X-ray or CT, it is possible to achieve a precise puncture to the target point. In our clinical practice, we found that a considerable number of patients, immediately on the operating table, would feel the relief of shoulder or upper extremity pain. (In the figure, MR of a patient who underwent cervical plasma ablation) 3, Safety. Due to the use of local anesthesia, the patient is awake and the tip of the plasma puncture needle, with electrical stimulation, reacts strongly when it touches the nerve roots and spinal cord. Therefore, it is able to avoid damage to the nerve and spinal cord. Clinical practice has revealed almost no cases of serious complications due to cervical plasma radiofrequency, and paper reports are quite rare. Of course, the disadvantage of this technique is that a very small percentage of patients, due to large protrusions, etc., can have some postoperative pain relief, but it does not meet the patient’s expectations. The good thing is that this technique does not interfere with the patient’s continued treatment with open surgery. This article is published with permission from Dr. Hongjie Yuan.