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Thunderclap Headache

Thunderclap headache is often described as "The worst headache of my life". The hallmark is very sudden onset - within 1-2 minutes.

Molecules adhere to the inner lining of a bloodvessel in the brain causing sudden vasocontriction - narrowing - what is known as stenosis and "beading", except that (as with most acute conditions of sudden onset), angiographic findings of this condition show that this beading is reversible.

Reversible Cerebral Vasoconstriction Syndrome

RCVS is characterised by severe headache starting very suddenly after the following triggers:

  • Sex
  • Exercise
  • Coughing, sneezing and straining on the loo. The so-called triad of Dejeurine.

It is more common in women.

Aggravating factors

  • Pregnancy
  • Canabis
  • A blow to the head
  • Nasal decongestants
  • Antidepressent drugs

Other causes

An inflammation of an artery in the brain, called Central Nervous System Vasculitis, should be ruled out, though it classically does not cause such sudden onset. However, it is more serious as, unlike RCVS, it is not reversible.

A bleed within the brain (type of stroke), called a Subarachnoid haemorrage, can also cause headache of sudden onset.

These conditions are ruled out with a lumbar puncture to test the fluid in the cerebrospinal fluid and an MRI.

In the Chiropractic setting

Headache, including severe headache, is a common complaint in the Chiropractic Clinic.

If your chiropractor feels it would be wise to treat you very conservatively for a severe headache, please do not pressure him or her to perform a manipulation. The hardest part in health care is to know when to hold back with treatment. When you have a hammer in your hand, everything likes like a nail!

Prevention

All of us, ALL OF US, that includes YOU AND ME!, need to be following a healthy diet that prevents molecules from sticking to the blood vessel walls, and keeps these walls glistening clean and smooth.

That means, inter alia

BRACHIAL PLEXUS

Arm Pain

SHOULDER


"The brachial plexus is a network of nerves that originates from the spinal cord and controls muscle movements and sensation in the shoulder, arm and hand."

Mayo Clinic

Inter Scalene Triangle



Shoulder anatomy ...



Frozen shoulder ...

"My thumb, forefinger and middle finger went weak after cuff surgery."

"Hello,I take it you've been back to the surgeon.

It's probably temporary inflammation of the median nerve, but of course could be worse... I'm afraid I don't think chiropractic has anything to offer at this stage.

Once everything has healed up, if you don't get the strength back, or your fingers remain numb and tingly, then I'd consult a local chiro to see if there is also a problem in your neck or the first rib.

Dr B"

Letter from reader looking for advice.



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