Please, describe the history in a bit more detail. For how long the patient suffers from that condition? Any history of trauma? Is there involvement of any other other joint? Does the patient also suffers from any other associated conditions? Rule out the RA or AS by noting other features? Rule out tuberculosis or other pyogenic infections? Any possibility od spinal tumours? Keep the differential diagnosis in mind always?

On examination note the poture of cervical spine. Whether it is straight, lordotic, kyphotic or Wikipedia reference-linktorticollis? Measure the range of motion of cervical spine and note which movement is limited and which provokes more pain? Note the spurling's sign. chech for test for cervical outlet syndrome? Examine for peripheral nerve compressions like median nerve compression. Look for Wikipedia reference-linkradiculopathy and cord signs including the long tract involvement. Perform a routine neurological examination both for upper limb and lower limb for any upper motor neurone sings. Perform sensory, motor and reflex testing examination for that. Tell us about your findings.