Would the results from any imaging studies be helpful in this case? If so, which ones and why?

Why was the statement about the preceding viral infection pertinent?

Which conditions could be associated with a report of a tired and heavy upper extremity? How would you rule these in or out?

Perform a detailed objective examination of the cervical musculoskeletal system, including palpation of the articular and soft tissue structures, specific passive mobility tests, passive articular mobility tests, and stability tests.

What is your working hypothesis at this stage? List the tests you would use to rule out the various causes of midline neck pain.

What could the gradual onset of the pain tell the clinician?

Why was the history of no cervical trauma pertinent?

Which conditions could be associated with a weak grip? Could you rule these in or out with the history?

What should the motion pattern of restriction/pain tell you?

Describe the biomechanics of the cervical spine, including coupled movements, normal and abnormal joint barriers, kinesiology, and reactions to various stresses.

What structure(s) could be at fault when weakness is the major complaint?

Make a list of all of the possible causes of midline neck pain.

What structure(s) could be at fault for complaints of right-sided neck pain?

Describe the anatomy of the vertebrae, ligaments, muscles, and blood and nerve supply that comprise the cervical intervertebral segment.