the right as well as decreased motion with right lateral bending and right rotation between Occiput and Atlas. Decreased left lateral bending was noted at Atlas/Axis with decreased P to A motion at Axis. Right lateral bending was restricted throughout remainder of cervical spine with tenderness with palpation noted at right lamina of C3-C6. Thoracic motion was notably decreased P to A at T1 and T6 with a decrease in right rotation noted at same levels. Motion was within normal limits through remainder of thoracic and lumbar spine. Pelvic motion was fluid bilaterally and within normal limits. Treatment MethodsThe patient was treated with soft tissue massage on his levator scapulae and suboccipital muscles bilaterally prior to adjustment of Atlas. The Atlas adjustment was performed with the patient supine using a short lever right transverse contact. A low force, high amplitude thrust was applied with the lateral side of the right index finger of the doctor while patient's head was in slight flexion and left rotation. Bone motion was felt and there was a cavitation. The patient exhibited equal rotation at Occiput/Atlas after the adjustment as well as equal lateral bending. Levator scapulae tone was restored bilaterally and the patient reported feeling "a little better." The remainder of the spine was left alone to be rechecked on the next visit. The patient scheduled an appointment for two days later due to the specific nature of the Atlas adjustment. The following visit the patient reported having no relief from the headache. Upon palpation of the cervical spine segmental motion was within normal limits and the musculature had good tone throughout. There were no breaks with the dual probe in the cervical spine. Motion palpation of the thoracic spine revealed decreased P to A motion at T1 with decreased right rotation. Motion at T6 had improved compared to last visit. The rest of the spine was found to be unremarkable...
