The central nuchal ligament and the suboccipital and greater occipital nerves pass through the suboccipital muscles and play a role in posterior cranium tension headaches.
With your client supine, place your fingertips along either side of the nuchal ligament, with your middle fingers just under the occipital ridge at the superior end of the nuchal ligament (Images 8 and 9).
5-cm nodular thickening of the nuchal ligament at the C5-6 level, without calcifications (Figure 1).
The excised nodule consisted of fibrocartilaginous tissue surrounded by dense connective tissue of the nuchal ligament (Figure 2).
At the interface of the nuchal ligament with the fibrocartilaginous mass, the ligamentous tissue appears degenerated, with fragmentation of the elastic fibers.