Patient, 27 years old.
Pain in the left occipital region. All movements in the neck are painful with decreased ROM. Very painful on palpation atlanto-occipital and atlanto-axial joints.
Symptoms last for 2 weeks. Worse in the night, one night pain in the left half of the head from the occipital region to the front of the head with nausea.
On the first treatment - gently traction, massage, laser, and lateral flexion to the left (removed pain). Posture instructions (for sleep).
Two days better then one night worse.
Second treatment - no pain in the left half of the head, but still very painful on the palpation. Mobilization in lateral flexion, traction, massage, laser.
In the night and morning worse.
Any ideas?
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