Misalignment of C1, C2 and the occiput can lead to irritated nerves, localized pain, shoulder and arm pain, headaches or a twist in the dural tube that obstructs the flow of cerebrospinal fluid. To realign the atlantoaxial (AA) and atlantooccipital (AO) joints, and to alleviate pain and irritation, a therapist must take all structures involved into consideration. It is not enough to work the neck muscles—and at times it may simply cause further pain and irritation. The ligaments must be released as well.
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