Enlarged c1 transverse process?

[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.