History and Systems Review
A 45-year-old woman awoke with right-sided neck pain 10 days earlier. The pain was localized over the right neck. She related that the pain was aggravated in all directions of movement with pain at the end of range. The previous day, the patient had been painting the ceiling in her kitchen using her right upper extremity. The patient described no neurologic pain or paresthesia and reported no difficulty swallowing, eating, or speaking. There were no complaints of vertigo, blurring, dizziness, tinnitus, or unsteadiness of gait. The pain levels and intensity have lessened slightly since the onset. Further questioning revealed that the patient was otherwise in good health and had no reports of bowel or bladder impairment, or night pain unrelated to movement.