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Neck pain due to cervical spondylosis is a common presentation to Australian GPs (0.8 per 100 encounters) and can lead to significant morbidity. Like low back pain, the cause of neck pain is usually non-specific, and sinister conditions are rare. However, serious pathology does occur, and clinicians need to be able to accurately identify and act on red flags. Cervical radiculopathy is due to compression or irritation of cervical nerve roots, and can lead to significant neurological deficits. GP registrars need to develop an effective and systematic approach to the assessment and management of neck pain.