Objective? To explore the effect of Tongdu Qiangji "three-step five-method" massage on pain and functional recovery of patients with cervical spondylosis. Methods A total of 74 cases patients with cervical spondylosis who were treated in YangGuang Community Health Service Center from October 2019 to October 2021 were divided into the control group (given intermittent cervical traction therapy) and the observation group (given Tongdu Qiangji "three-step five-method" massage therapy) according to the random number table method, 37 cases in each group, patients in the both groups received continuous treatment for 2 weeks. The clinical efficacy after treatment, and the upper limb current perception threshold (CPT) grade, visual analog pain scale (VAS) score, clinical assessment scale for cervical spondylosis (CASCS) score, cervical spine mobility and isometric muscle strength of the cervical spine before and after treatment of patients in the two groups were compared. Results? The total clinical effective rates of patients in the control group and the observation group were 62.16% and 89.19%, respectively, and the observation group was higher than the control group; compared with before treatment, the upper limb CPT grade and VAS score of patients in the two groups decreased after treatment, and the observation group was lower than the control group; the CASCS scores (subjective symptoms, clinical signs, adaptability) of patients in the two groups increased after treatment, and the observation group was higher than the control group; the range of motion of right flexion, left flexion, forward flexion, posterior extension, right rotation, and left rotation of the cervical spine, the cervical isometric muscle strength of right flexion, left flexion, forward flexion, and posterior extension of patients in the two groups increased, the observation group was greater than the control group (all P<0.05). Conclusion? Tongdu Qiangji "three-step five-method" massage in the treatment of cervical spondylosis can effectively improve the sensory function of the affected nerves and cervical spine mobility, reduce pain, relieve clinical symptoms, and improve the muscle strength of cervical spine-related muscle groups, which has significant curative effects