Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with progressive cervical stiffness and restricted range of motion. Reports chronic, dull neck pain, occasional dysphagia, and sensation of "fullness" in the throat. Denies radicular symptoms, myelopathic signs, or recent trauma. Symptoms are insidious in onset and slowly progressive.
Clinical Examination Findings
Cervical spine examination reveals significant limitation in flexion, extension, and lateral rotation. Palpation demonstrates diffuse paraspinal muscle tenderness without focal trigger points. Neurological exam is intact: motor strength 5/5 in all upper extremities, reflexes 2+ and symmetric, no pathological reflexes (negative Hoffmanโs, negative Babinski). No midline tenderness over spinous processes.
Treatment Protocol
Conservative management initiated: prescription of NSAIDs for inflammation, physical therapy focusing on gentle cervical mobilization and postural correction. Advised weight management and metabolic screening (glucose/insulin levels). Follow-up imaging (lateral cervical X-ray) to monitor progression of anterior longitudinal ligament ossification.