In urban areas, deep excavation-induced ground deformation may damage adjacent existing structures and is conventionally evaluated by levelling at installed settlement points. However, a small number of measurements cannot represent the total change in ground deformation adjacent to excavation sites. Furthermore, significant local subsidence may occur in places where settlement points have not been installed and only noticed after an accident. For deep excavation sites located in urban areas, paved pedestrian sidewalks are often located adjacent to sites, and construction activity can cause these paving blocks to displace. This study introduces a method to detect paving block displacement adjacent to deep excavation sites using terrestrial photogrammetry. A digital camera creating point cloud data (PCD) and an acquisition method satisfying the frontal and side overlap requirements were demonstrated. To investigate the displacement detection and measurement capabilities by PCD analysis, an experimental program was conducted, including a PCD comparison containing the uplift, settlement, and horizontal paving block displacement and reference data. The cloud-to-cloud distance computation algorithm was adopted for PCD comparison. Paving block displacement was detected for displacements of 5, 7.5, and 10 mm in the uplift, settlement, and horizontal directions; however, the horizontal displacements were less clear. PCD analysis enabled satisfactory measurements between 0.024 and 0.881 mm for the vertical-displacement cases, but a significant error was observed for the horizontal-displacement cases owing to the cloud-comparison algorithm. The measurement blind spot of limited settlement points was overcome by the proposed method that detected and measured paving block displacement adjacent to excavation sites.