Your patient, Isaac Newton, is a 25 year who was injured playing rugby (it's a bit like American Football only it's a good game). He was in a hard tackle when he felt a sudden pain in his neck and fell to the ground.

The paramedics have him in full spinal immobilisation. He was never unconscious and has always been able to move his arms and legs. He is complaining of pain in his neck, and is tender on examination in the mid-cervical region. He is neurologically intact