There are several reasons for neck pain after waking up from sleep: first, wind and cold, if the window is opened or blown by the wind of the air conditioner when sleeping, it can lead to acute injury to the muscles around the neck and neck pain, which should be diagnosed early according to the medical history and physical examination, and after diagnosis, physical therapy and oral medication should be carried out early. Second, the pillow, if the posture is not correct when sleeping or the pillow height is not appropriate, can appear after sleeping acute injury to the muscles around the neck, can also lead to neck pain, then according to the patient’s physical examination and the patient’s X-ray, CT examination to diagnose, after diagnosis to early Chinese medicine acupuncture, massage and topical drug treatment.