(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 D has very severe midback back. He bent and twisted, feeding his son, and then laughed. Every breath is a nightmare. A sprung rib is every chiropractor's delight. He or she has golden hands. 30 percent better after one treatment.
2. Mrs C has a long history of severe, disabling migraine headaches since having her wisdom teeth removed. She clenches her teeth at night. After six treatments she has no migraines but some jaw joint discomfort remains; a bite plate is in the offing.
3. Mrs U has the trophy for the worst back this year. After major surgery with plates and screws two years later she still had paresis in the lower leg and severe disabling back pain. She's doing far better than expected, in no little part due to a lift in her shoe for a very short leg.
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. I myself had an acute exacerbation of a femoral nerve lesion last year. One immediate treatment by my colleague has fixed the pain in the lower back, but there's some residual numbness in the lower leg; no soaring tomorrow alas.
7. This lady is a 86 year old woman with a 63 scoliosis. Chronic lower back has been her lot in life but she's well pleased with chiropractic and comes for chiropractic help once a month; some conditions you can never cure.
8. She is an 78 year old woman, is doing remarkably well with a bad sciatica. But over 200 pounds she is not losing weight; in fact, gaining despite my suggestions. She's high risk for a stroke. I have referred her to a dietician to crack the whip.
9. A 61 year old man with upper cervical pain yesterday; it's not severe but also not getting better of its own accord. He's afraid it may turn very acute as when I treated him three years ago. Since then it's been fine.
10. A 64 year old woman has had scheuermanns disease; it's left her with a spinal kyphosis and chronic middorsal pain. She responds well to chiropractic treatment provides she come every six weeks or so for maintenance treatment.
11. Mrs C has been having severe headaches, and taking a lot of analgesics. It's a non complicated upper cervical facet syndrome, and she's doing well.
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. Mrs B has had one of the nastiest of conditions; vertigo caused by a disturbance in the inner ear. Falling repeatedly and vomiting she consulted her doctor but medication didn't help. After two sessions of the Epley manoeuvres she was 50 percent better. After two weeks 75 percent improved. No longer vomiting all falling. She's not enjoying the Brandt Daroff home exercises.
And so the day goes; chiropractors shouldn't be treating the elderly most medical sites state but that's so much 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.
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