###Human: How can I mange acute pain in cervicothoracic spine region? ###Assistant: Hello. I read your concern. I would like to know the exercises McKenzie correction you had done for reduction. You need a proper manual therapy assessment and mechanical restoration with mobilization. I would like to advise you to get your D1 properly mobilized with a physiotherapist. The mobilization of the facer joint will also help you a lot. In your case, McKenzie should work better as I do not know what have you done. And what kind of mechanical restoration was done and manipulation performed? Kindly give me details so that we can suggest your correction.  Manipulative correction of deranged spinal alignment will help you to recover faster. Keep icing your upper back and lower part of the neck. Avoid prolong bending forward movement. Try massaging over upper neck and scapula gently to reduce spasm. And thereby reducing the pain. Try lying down in that position that gives you maximum comfort. Kindly revert back so that I can help you to choose better techniques and speedy recovery. Postural. Rest ice mobilization of soft tissue and manipulative correction of deranged segments. Segmental stability exercises. Avoid provocative postures.