Patient presents with complaints consistent with neck strain, also known as acute neck pain, cervical strain, or neck muscle strain.  Onset of symptoms was reported as [onset - e.g., gradual, sudden, following specific activity].  Patient identifies [location of pain - e.g., upper neck, lower neck, base of skull, radiating to shoulders] pain described as [quality of pain - e.g., aching, sharp, dull, throbbing] with associated [symptoms - e.g., stiffness, muscle spasms, limited range of motion, headaches, difficulty sleeping].  Pain is aggravated by [aggravating factors - e.g., movement, prolonged sitting, certain postures] and alleviated by [alleviating factors - e.g., rest, heat, ice, over-the-counter pain relievers].  Physical examination reveals [objective findings - e.g., tenderness to palpation of cervical paraspinal muscles, restricted range of motion in flexion, extension, lateral rotation,  no neurological deficits noted].  No history of trauma or prior cervical spine issues reported.  Differential diagnosis includes cervical radiculopathy, whiplash injury, and other musculoskeletal disorders.  Assessment: Neck strain (ICD-10 code S16.1XXA).  Plan: Conservative management including rest, ice, heat therapy, over-the-counter analgesics such as ibuprofen or naproxen, and gentle range of motion exercises.  Patient education provided on proper posture and ergonomics.  Follow-up scheduled in [duration - e.g., one week, two weeks] to assess response to treatment.  Referral to physical therapy may be considered if symptoms persist or worsen.