Best Remedies for Neck Pain
Atlantoaxial instability has been described in two brothers.The 5 year old had neck pain and progressive quadriplegia, and CT scan showed fracture of the odontoid tip and forward subluxation of the atlas.The 16-year-old brother was screened and had similar findings, but without quadriplegia (Shewell et al 1996).
The patient generally has had acute pharyngitis or nasopharyngitis, when there is abrupt onset of high fever and difficulty swallowing associated with drooling, dysphagia, neck pain and hyperextension, and dyspnea (Table 1). Anterior bulging of the posterior pharyngeal wall usually is present, frequently to one side of the midline. Nasal obstruction can follow and or
There are several disorders that have been reported to result from trauma to the peripheral nervous system. These include tremor, dystonia, segmental myoclonus, hemifacial spasm, and in some cases parkinsonism. Among 146 patients with peripherally induced movement disorders, 28 had tremor with or without parkinsonism (81). Eleven patients had tremor-dominant parkinsonism. Clinical features included rest and action tremor, and bradykinesia and rigidity in those with parkinsonism. Onset of movement disorder was temporally related to the injury, and was within 2-5 months after injury. Injuries varied from whiplash to sprain, dental procedure, fracture, overuse, or surgery. Patients had the injury in various areas including arm, neck, lumbar region, and teeth. A majority of patients had injuries in the arms. The condition seemed to spread to the other parts of the body beyond the initial site of injury, and it is unclear if any of them may have had predisposition to parkinsonism, and the...
Could result in involvement of the ascending aorta, thus transforming it into an acute type A aortic dissection that would require urgent aortic repair. Evidence of retrograde extension includes the onset of new chest or neck pain, the onset of hypotension or shock, a new blood pressure differential between the two arms, the appearance of a new diastolic murmur of aortic insufficiency or a pericardial rub, or new electrocardiographic evidence of pericarditis or acute myocardial infarction. Complications of the existing type B aortic dissection that would merit consideration of aortic repair include compromise of arterial flow to vital organs or extremities, leaking or rupture of dissected aorta, or a rapidly expanding aortic aneurysm.
Headache following inadvertent dural puncture is a common source of complaint. Dural tap is not, in itself, enough to demonstrate negligence, as long as it is correctly managed. This means that good analgesia should be established for labour and the patient followed up daily while in hospital. Any complaint of headache, neck pain or visual disturbances should be documented and definitive treatment, in the form of epidural blood patch, offered early. Any mother who has suffered a dural tap or postdural puncture headache should be encouraged to contact the hospital if there is a recurrence worsening of symptoms. These patients should be routinely followed up at 6-10 weeks postpartum.
The source of the infection is pharyngitis, exudative tonsillitis, peritonsillar abscess or oral procedure (i.e., tonsillectomy), which precedes the onset of septicemia. The initiating event is generally a localized infection in an area drained by the large cervical veins. Thereafter, the infection quickly progresses to cause a pathognomic triad of findings (i) local symptoms of neck pain, torticollis, trismus, dysphagia or dysarthria ascribable to involvement of the hypoglossal, glossopharyngeal, vagus or accessory nerves (ii) development of thrombophlebitis (iii) embolic infection of the lungs, viscera, joints or brain, or direct extension of the infection to the internal ear, middle ear or mastoid. Death can occur as a result of the erosion of a blood vessel wall with rupture into the mediastinum, ear, or crania vault (60).
Musculoskeletal symptoms of various types (neck pain, limb pain, low back pain, joint pain, chronic widespread pain) are a major reason for consultation in primary care. This article uses the example of low back pain because it is particularly common and there is a substantial evidence base for its management. The principles of management outlined are also applicable to non-specific musculoskeletal symptoms in general.
Including meningitis, epidural or brain abscess, and sigmoid sinus thrombosis, all potentially fatal. Look for severe headache, high fever, obtundation, and possibly a stiff neck. One rare complication is Gradenigo's syndrome, caused by localized mastoiditis deep in the cells of the petrous apex of the temporal bone. It is symptomatic with persistent ear discharge, deep eye pain, and diplopia due to paresis of cranial nerve VI.