Hi Vinnie and Alophysio,
Good advice. Muscle energy techniques can help, without further irritating the lady, whilst building trust. Check out the patients osteoporosis status prior to manual techniques, and be very vigilant regarding dizziness during treatments in the elderly.

Most patients respond well to soft tisue techniques, even when the cervical spine can be fairly stiff and degenerate. Determine how much function the patient requires for average daily activities - if they aren't normally very active, there is no need to aim for function levels at a high level.
MrPhysio