Enlarged c1 transverse process?

[Anarion]

Wow thanks so much for the great advice everyone!
On further examination I believe that her C1 is substantially rotated creating the impression that her (L) side is 'enlarged'. US confirmed the tissue to be bone with normal blood flow and no associated mass.
She has no neurological signs/symptoms except complaining of the occasional head ache and neck soreness.
She appears to have a mild scoliosis which is prob exacerbating the issue, and has quite a poor posture and weak trunk stabilisers.
I'll ease off the mobs as it seems to increase her discomfort (and annoy her ) so will focus on strengthening/stretching and posture correction.
Thanks again for the great posts! Any further ideas will certainly be appreciated.

[bluebear]

If the hands on approach is too uncomfortable you might try using some sustained (20sec) cervical retraction, which you can easily link up with your posture re-ed. I'd also use sustained mobilisation techniques along the lines of the Dean Watson headche stuff, but again, what is the goal? If treatment is more to appease the parents anxiety I'd give her heat then 3-4 x 20 sec sustained and end of range Cx retraction...........good luck.

The Cx retraction is particularly powerful for headache, so if she has one next time you see her it would be worth trying and see if it changes her symptoms. If headache is a significant issue for her it may be worth seeking out a Watson headcache technique trained physio.