Cervical facet joint and exostosis-related pain may present as:
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Persistent neck stiffness or aching
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Pain when turning or extending the neck
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Localised tenderness at the base of the skull or upper neck
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Headaches originating from the neck (cervicogenic headaches)
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Pain radiating into the shoulders or upper back
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Reduced range of motion
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Muscle tightness or guarding
Symptoms often worsen with prolonged sitting, poor posture, or repetitive neck movements.