In clinical practice, Dowager's hump and cervical spondylosis are two different conditions. A dowager's hump primarily results from long-term forward head posture, which increases the external force on the back of the cervical spine, leading to the formation of subcutaneous cysts in this area and the appearance of a dowager's hump. This condition commonly develops between the seventh cervical vertebra and the first thoracic vertebra. Patients with a dowager's hump typically experience localized swelling, pain, sourness, or even a feeling of chest tightness. Patients with cervical spondylosis primarily suffer from bone growth and degeneration in the cervical spine area, which compresses the spinal cord, nerve roots, and blood vessels, leading to symptoms of nerve compression damage. Therefore, when patients exhibit symptoms of either dowager’s hump or cervical spondylosis, it is imperative that they seek medical attention promptly. Doctors need to make a clear differential diagnosis and then proceed with symptomatic treatment.