Background: Aim and Objective: The aim of the study was to compare the changes at cervical spine seen on lateral view of cervical spine radiograph in group of people {head load carrying coolies} carrying head load more than ten kgs for over five years or more. Materials and Method: Twenty coolies from Chiplum railway station were included inthe study,all under fourtyyearsofage. Other group consisted of staff members from our medical college who had not carried head load ever. This group also had twenty individuals and they were also under fourty years of age. They were made to answer a questionnaire which comprised of symptoms related to cervical spine. Lateral view of cervical spine was obtained in all of the participants. Results: First group of individuals {college staff}, out of twenty- five complained of neck pain and headache {16.6%}. None complained of tingling at upper limb {0%}. None had anyobviouschangesat cervicalspine.Second groupofindividuals {railway station coolies},out oftwenty –allcomplainedofneckpain{100%} whiletencomplainedof tinglingattheupper limb{50%}. Eighteen {90%} showed one of change at cervical spine degeneration on radiograph. Conclusion: The findings concluded that carrying excess head load over long term does cause changes at cervical spine in majority of individuals. The changes depend on varied factors with how much weight they carried and for how long.