A 54-year-old woman was referred for 3 months of constant neck pain and swelling. Physiotherapy for two months exacerbated her pain, which now radiated to her occipital region and head. A physical exam elicited Limited neck mobility, chronic headache, and tenderness to palpation. Difficulty in turning the head to the left side. This also caused radiating pain down the cervical spine and left arm.
The pain dissipated in a few minutes, with lingering paresthesia in the left hand. Non-edematous neck swelling from C2-C5 posteriorly. Pain levels of 8 out of 10 with movement and 6 out of 10 at rest on the Visual Analog Scale (VAS). A cervical spine computed tomography (CT) scan was unremarkable, demonstrating only a small, rounded bony fragment at the tips of the C2 and C3 spinous processes immediately right of midline. Her intervertebral discs remained well-preserved without radiologic facet…
