Ideal

• Middle of the nose is on plumb line

You See

• Middle of the nose is more to one side but parallel to plumb line (head is rotated)
• Nose leans to side (head is laterally flexed)
• Accident

Likely Cause

For Rotation

• Short neck rotators SS (and/or long neck rotators OS) – consider same SSR and OSR; also see head is rotated
• Spine is rotated to SS
• Hip is medially rotated and OS hip is laterally rotated

For Lateral Flexion

• Short neck lateral flexors
• Habitual leaning to SS
• Loss of hearing on SS
• Short (lumbar) spine lateral flexors
• Longer leg, leg length inequality