How Do I Tell if My Neck is Out of Alignment? Neck misalignment may present as stiffness, reduced range of motion, headaches, shoulder or arm pain, tingling, or postural changes after daily stress, trauma, or accidents. Muscle guarding and joint dysfunction can alter normal cervical mechanics and nerve signaling. At Advanced Spine & Rehab in Mesa AZ 85206, a complete staff of medical professionals—trained in the latest evidence-based chiropractic and rehabilitative techniques—uses thorough exams