Mr. Li, 50 years old, has been suffering from upper limb pain in the left shoulder and back for more than 1 year, which has gradually increased in the past 6 months. In the past month, the shoulder pain gradually increased, accompanied by the symptoms of upper limb pain and numbness, affecting daily life, oral pain medication such as ibuprofen, acupuncture, traction and electrotherapy at the local hospital, the effect was not obvious, which disturbed Mr. Li very much, for the next step of diagnosis and treatment to the hospital, the initial consultation in the orthopedic department, the orthopedic surgeon recommended the patient to do an MRI examination to clarify the diagnosis. The results suggested that the cervical spine 5-6 disc and 6-7 disc were herniated and the cervical spine was degenerated, which confirmed the diagnosis of cervical spondylosis, and the orthopedic surgeon recommended surgery. Because the patient was afraid of surgery, he tossed and turned to the pain department for consultation. The director carefully analyzed the patient’s medical history, symptoms, signs and imaging results, and concluded that the cause and diagnosis of the patient were very clear, and that the herniated disc was compressing the nerves of the cervical spine and causing pain in the shoulder and upper extremity. However, the patient was afraid of surgery and refused to undergo surgery for fear of postoperative complications. He hoped that Director Zhou could give treatment without surgery. Considering that the patient’s disc protrusion was not very large and the nerve compression had not been degenerated for a long time, Director Zhou decided to perform intradural drug intervention on the patient. Radiographically guided medial spinal canal puncture treatment was performed in the operating room, and anti-inflammatory and analgesic solution was given twice, each time at an interval of 1 week. Mr. Li experienced about 60% pain relief after the first treatment and more than 90% pain relief after the second treatment, and the numbness in the upper limbs was reduced. The director advised him to take additional nerve-nourishing drugs to gradually promote nerve recovery. The director introduced that there are many treatment methods for cervical spondylosis, and different treatment methods can be chosen according to the severity of the disease and the different types of onset. Mild cases can choose physical therapy, drug therapy, etc. Cases with severe spinal stenosis and compression of the vertebral artery and spinal cord require surgery. Most patients can be relieved and cured by minimally invasive interventional treatment. At present, there are many methods of minimally invasive interventional treatment, including two types: (1) Application of anti-inflammatory and analgesic solutions inside and outside the spinal canal to eliminate inflammation and edema around the nerves and nerves, nourish the nerves, restore the function of the nerves and improve the blood circulation of the nerves to achieve the purpose of treatment. (2) Treatments such as radiofrequency, collagenase, microdissection and ozone ablation are performed for the protruding cervical intervertebral discs to partially or completely eliminate the nerve compression materials. This can achieve the purpose of both primary and secondary treatment. These minimally invasive interventions are gradually accepted and recommended by patients because of their small trauma, precise efficacy and low risk. Expert tip: After every autumn, the number of patients with shoulder and back pain in outpatient clinics gradually increases. Some patients experience significant relief of their symptoms with conventional treatments, but for patients with more severe conditions, more advanced treatment options are recommended. The director’s special tip: At present, prolonged TV watching, computer watching, cell phone playing and prolonged driving are the main inciting factors of cervical spondylosis. Removing the causative factors is an important measure to prevent and treat cervical disc herniation, and it is imperative to change and correct the poor posture and habits in life and work.