A 55-year old female patient presents with neck pain of 10 years duration, which has recently been aggravated by a new job as a receptionist. She originally experienced a ‘catching’ pain for two days but this subsided to a considerable ache. She says she is afraid to move her head in case the catching returns. The examination revealed a forward head carriage and an elevated right shoulder. There were no red flags and x-rays demonstrate mild osteoarthritis.
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