Visualize how a tight/short OCI on the right could restrain the atlas (and head) from left rotating. Yet, the person will often forget her stiff neck and quickly turn to look over her left shoulder. Can you see how this causes the right C2 facet joint to get crammed closed on C3 (Image 3.). This is a common area of dural membrane distortion as well as a key area of nerve impingement leading to headaches (Image 4.). Try the maneuver with a plastic spine. When a rotated axis combines forces with an already overstretched dural tube from cranial or sacral distortions, a full-blown central nervous system assault may transpire. To relieve the client’s agonizing symptoms and restore healthy functioning, we must first have a clear picture of how the axis becomes misaligned and which techniques work best for releasing the disgruntled dural membrane. Long-standing pain often fades in memory as dural techniques are properly applied through training programs devoted to this intriguing area of neuromechanics. Hands-on approaches for treating these conditions can best be learned by attending courses devoted exclusively to this very timely and rewarding body of work. By developing a comprehensive understanding of muscle/joint biomechanics involved in ‘dural drag’ and accompanying neck, head and low back pain, therapists can turn a therapeutic challenge into triumph.