Case 5. My Neck is KILLING ME!!




  1. Signs and Symptoms: Neck Pain All the Time! The neck pain is constant, waking her up from the sleep constantly more than 2~3 times through the night, painful when she initiates any motion on her neck like turning to the left and right or looking up or down,

  2. Type of Trauma: Cannot recall specifically but vaguely can remember had fallen from the playground and landed on her head and neck area when she was 6 or 7.

  3. Imaging findings: Hypoplastic occipital condyles and hypoplastic C1 transverse processes and atlanto-occipital subluxation.

  4. Outcome: Patient improved 90% by 5th visit in 5 weeks time and by the 6th visit, complete remission, no more S/S at all. Visited few more times to monitor the progress and she was symptom free until the very last visit which was 2 months from the 6th visit.


Early 30 years old female visited Silverdale Chiropractic for her ongoing, chronic severe migraine headache and the severe neck pain. She constantly wants to wrap the neck around with her hands to support the head. She stated it feels like the head is compressing onto the neck. Cervical distraction test immediately relieved the headache and the neck pain but they came back the moment when the distraction force was disappeared.

CBCT revealed these findings.



  1. Elevated Schmidt-Fischer Angle (+127 degrees) indicating hypoplastic occipital condyles.


2. Hypoplastic C1 Transverse processes.



3. Anterior displacement of the atlas in terms of occipital condyle on the right side.