Local cervical pain can originate in:

• Inflamed facet or uncovertebral joint.
• The facet or uncovertebral joint capsule.
• The anterior longitudinal ligament.
• The posterior longitudinal ligament.
• The outer annulus.
• The dura mater.
• The different cervical muscles or their attachments.
• The different cervical ligaments.
• The vertebral artery and surrounding sympathetic fibers.
• Referred from other regions.
• Specific cervical arteries such as the vertebral artery or the carotid artery (inflammation or damage).

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