(Keywords: Meningitis, chiropractic help, head neck pain, headache chiropractic )
Meningitis should always be considered in the patient with a stiff neck and headache, simply because it is so serious. Not many patients with infectious illnesses appear in the chiropractor's office, because this patient is SICK! It is a highly infectious disease, so the doctor is also at risk. In hospital the patient will be immediately be placed in isolation. Because we chiropractors treat so many patients with headache, this is a rare but very serious disease that we should keep in the back of our minds whenever treating the patient with a headache and stiff neck.
SYMPTOMS of Headache Chiropractic
Severe headache is the most common symptom (87%) followed by neck stiffness 83%.
The classic triad of diagnostic signs are:
This is not the typical stiff neck where you can't turn your head to the side, but flexing the head onto the chest is very painful and severely restricted.
The classic test of Kernig is done with the patient lying on their back, with the hips and knees bent in the so-called 90/90 position. If someone supports your thighs, and straightens your knees, and it causes neck pain , then it's definitely time to get to hospital. Not to your doctor, nor to your chiropractor. Do not pass GO, do not collect $200, GO STRAIGHT TO THE HOSPITAL. Remember this illness may be highly infectious. Your family and acquaintances should immediately be alerted.
The condition may be viral or bacterial. In the latter a rash is common.
Meningitis is a medical emergency. Don't mess around with Chiropractic Help!
JOHANNESBURG — Tenor Siphiwo Ntshebe, who was to sing Hope at the World Cup opening ceremony, died in Port Elizabeth on Tuesday, his record label said yesterday.
“Within days of realising his dreams of performing at the opening of the World Football Cup he was struck down like this. It is a great loss,” said Sony Music Entertainment CEO Keith Lister.
Ntshebe (34), dubbed the “new Pavarotti”, had just finished recording an album.
He contracted bacterial meningitis and was admitted to hospital last week.
Lister said the Hope track is already on the official World Cup album. Sony is still deciding what to do about Ntshebe’s album.
The Natal Witness, 27-05-2010
FROM THE COALFACE
For years I had a weekly date with a good friend at the squash court. He has a spondylolysthesis - a low back condition that required occasional visits to my couch. We knocked a few kilos off after work, added a few more back with a couple beers, and generally shot the breeze. We were also BMW motorcycle fans, and enjoyed a few rides together. One day he didn't arrive for our date. It was not like him. He phoned the next day to apologise, telling me his better half was in hospital with a very stiff neck.
"In hospital? Why not in my office?" I asked foolishly.
She died three days later. A teacher, she caught it from a child who survived.
Headache, stiff neck, high temp, confusion? Don't mess with it.
The meninges form the covering of the brain and spinal cord. Here you can see them peeled back during an autopsy of a patient who died from meningitis. Can you see the little bleeds where blood vessels have ruptured? This patient certainly had head neck pain.
The meninges extend from the brain right down to the low back, covering the brain and spinal cord. That is why in Kernig's test, straightening the legs stretches the meninges and reproduces the neck pain.
In a slipped disk in the lower back something similar happens,
but without the infection. If flexing your head forward onto your chest
causes low back pain, you have no fever or stiff neck, then make an
appointment today with your chiropractor. For more information,
click here. SLIPPED DISK ...
"Let me tell you the secret that has led me to my goal. My strength lies in my tenacity."
Vaccinations remain a vexed subject in the Chiropractic profession, and I confess I have no strong opinion. That they sometimes cause death and disability is beyond debate. Just recently three healthy babies in the Netherlands died in one week, within ten days of having a vaccination against meningitis. However vaccinations also save many lives and we live today in a world without Small Pox thanks to Louis Pasteur. Headache and a fever? This is probably not headache chiropractic. Stiff neck with it? Get to the emergency rooms NOW.
HELENS 15 EURO SALAD ... the cure for my terrible constipation.
BROCCOLI FACTS ... the best anti oxidant out there.
COOKING GREEN BEANS ... and growing them too. Try and replace your animal protein bit by bit with legumes.
A FAMILY AFFAIR
The sudden death of my friend's wife certainly shocked me, and her death in some ways never left me. One of those ongoing life's reflections.
Ultimately, I decided to use her story in my fourth book, now pending. Santie Veenstra, only twelve years old, suddenly loses her mother to meningitis with tragic consequences for her life. Until she meets Janet Twycross...
Actually it's a trilogy of books, and the first one is free at
A FAMILY AFFAIR ...
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Interesting challenges of the day
1. Mr B has the trophy for the most acute neck in February. He has quite advanced lower neck arthritis for a forty year old, thanks to a severe fall on the head from a trampoline. But this is upper cervical pain. Right rotation is simply impossible. Luckily he is improving rapidly, eighty percent better he says after three treatments. See cervical facet syndrome.
2. Mrs C is a new patient with a long history of lower back pain, hip pain and pain in both feet. We'll see how we get on, Rome wasn't built in a day.
3. Miss U sprained her ankle two months ago, wearing high heels. She still has severe mid foot pain. Xrays and perhaps a CT scan.
4. Mr V is 86 years old and hurt his back helping his wife into the car. Just one treatment of the sacroiliac joint and he's eighty percent better. It's not always like that.
5. Mr W lay on his back knocking down a pillar. Turning his head causes severe vertigo. He needs the Epley exercises, not pills, research shows. Update, he's fine.
6. Mrs X, a young mother has severe lower back pain, with numbness down the posterior thigh, calf and side of foot. It started after a long drive in the car. Update, she's forty percent less painful after four treatments, but the leg is still numb. Update two; she 60% better, but it's slow and is going to take the full 6 weeks to heal. Further update; a setback, after lifting her child she now has leg pain. It's going to the be difficult.
7. Mrs Y, a 70 year old woman is on maintenance care fo a nasty lumbar stenosis despite having to do everything at home. Her husband has a hospital acquired infection in the shoulder. After 4 operations he is incapacitated and going rapidly down hill.
8. Mrs Z, an 78 year old woman is doing remarkably well with a bad sciatica. But at over 200 lbs she is not losing weight, in fact gaining despite my suggestions. She's high risk for a stroke. Referral to a dietician to crack the whip.
9. Mr A, a 73 year old engineer, still working, is doing fine after a long episode of lower back pain. Some pain on the side of the hip remains after five treatments. Reassured him it's not hip arthritis.
10. Mrs B, a 64 year old woman has had Scheuermanns disease; it's left with a spinal kyphosis and chronic middorsal pain. She responds well to chiropractic treatment, provides she come every six weeks or so for treatment.
11. Mr C, a young engineer fell off his mountain bike injuring his cervical spine and pelvis. Luckily both responded very quickly to a few chiropractic adjustments. Update: his neck is sore again. It all goes back to a whiplash injury ten years ago when he was rammed by a fully laden truck carrying a load of stone. Time for Xrays.
12. Mrs D, a middle aged woman with hip pain of one year duration, despite other treatment. Xrays reveal an impingement syndrome and early hip arthritis. There's much to be done.
13. Both Mrs E and I can't believe how much better her lower back and leg pain are. Surgery for a scoliosis and spondylolysthesis three years ago helped greatly for one year. But then her leg went lame and weak. He was responded extremely well despite all expectations.
And so the day goes. Chiropractors shouldn't be treating the elderly? Bunkum.
Have a problem that's not getting better? Looking for a different slant on your pain? Want to pose a question?
Greetings, Dr B.
You helped me quite some time back with a soothing and professional
response which turned out to be exactly correct. I now consult a local chiropractor.
You write a superb newsletter, too.
Your own unresolved problem. Pose a question
Knowing that up to 70% of the time the correct diagnosis is made with no examination, no special tests, no xrays, but just from the history, there's a fair chance I can add some insight to your unresolved problem. But at least 30% of the time, I may be quite wrong! Give plenty of detail if you want a sensible reply.
You visited this chiropractic help site no doubt because you have a problem that is not resolving and want to know more about what chiropractors do.
The quickest and most interesting way is to read one of my ebooks of anecdotes. Described by a reader as gems, both funny and healthful, from the life and work of a chiropractor, you'll love them. Priced right at $2.99, though Kindle fiddles the price without telling me.