Neck Pain Cure Diet
Chronic disabling neck pain is said to affect up to 5 of the general population 3 Patients with persistent neck pain may have pain that radiates into the arms. This may be a function of the severity of their pain or may be due to irritation of the nerves in the neck that go to the arms. Usually, if the nerves are affected the patient will describe pins and needles in the upper limbs and may also have numbness. The nerve supply to the back part of the head is shared with the upper part of the neck. Patients with neck problems may therefore also experience headaches. However, it is also possible for neck problems to be a trigger for migraine. Patients with persistent neck pain problems have significant restriction of movements. The pain and stiffness has a profound impact on activities of daily living. Even the act of holding a book may be impossible for some. Patients often complain of problems with sleep, concentration and a sense of weakness in the neck such that they feel they need...
Neck pain is often associated with motor vehicle collisions. About 10 to 20 of patients with a Whiplash Associated Disorder following a motor vehicle collision can expect to have prolonged pain that may never settle 3 . Whiplash describes the mechanism of neck injury, usually due to a motor vehicle collision. It involves a rapid hyperextension and or hyperflexion of the cervical spine due to sudden changes in acceleration of the body. Many of these may occur as a result of low speed (
The effects of chiropractic therapy on neck pain are less clear. Some studies have reported positive results, but this is less definitive than are the studies of low back pain. Also, a rare chance exists of producing a stroke through manipulation for neck pain (see Side Effects ).
Brain stimulation via application of pulsed electrical current to the left cervical vagus nerve has established efficacy as adjunctive therapy in treatment-resistant epilepsy and also has been studied in treatment-resistant depression. The procedure requires surgical implantation of a device that applies small doses (typically less than 1.5 mA) of electrical current to the vagus nerve multiple times per second (a typical frequency is 20 Hz) for varying periods, with a typical schedule being 30 seconds every 5 minutes. The dose is externally controllable and is typically set to cycle continuously, 24 hours per day. Side effects are usually minimal and include voice alteration, neck pain, and dyspnea. Psychotropic medications are commonly administered concomitantly, and even ECT has been administered to patients with an implanted stimulator, although the device was turned off during ECT (Marangell et al. 2002).
A 42-year-old man, with a 3-week history of muscle and stomach aches and cough, suddenly developed headaches, neck pain, fever, and left hemiparesis. Four days later, he became hemiplegic and comatose. Six days after the headaches began, he died. Grossly, the hemispheric white matter displayed multiple petechial hemorrhages. Histologic section shows fibrinoid necrosis of a small vessel, dense perivascular and diffuse parenchymal infiltrations with neutrophils and lymphocytes, and small hemorrhages (HE). Acute hemorrhagic leukoencephalitis. A 42-year-old man, with a 3-week history of muscle and stomach aches and cough, suddenly developed headaches, neck pain, fever, and left hemiparesis. Four days later, he became hemiplegic and comatose. Six days after the headaches began, he died. Grossly, the hemispheric white matter displayed multiple petechial hemorrhages. Histologic section shows fibrinoid necrosis of a small vessel, dense perivascular and...
Jensen et al. 9 reported a three year follow-up ofthe multidisciplinary program for chronic occupational back and neck pain, with prolonged work absence. The experimental treatment groups were cognitive behavioral therapy alone, behavior-ally oriented physiotherapy alone, and multimodal treatment combining both physiotherapy and behavior therapy, and a treatment as usual control group. The
9 Jensen, I.B., Bergstrom, G., Ljungquist, T. and Bodin, L. (2005) A 3-year follow-up of a multidisciplinary rehabilitation program for back and neck pain. Pain, 115, 273-83. G.G.G.M. , van Wijngaarden , S. , de Bie , R.A., Bierma-Zeinstra, S.M.A. (2008) Conservative treatments for whiplash. The Cochrane Database of Systematic Reviews, 2, 2008, accession number 00075320100000000-02365, accessed July 9, 2008 (http www.cochranelibary.com).
For acute whiplash pain there is one large high quality study - 11 that suggests that recommending activity as tolerated , and avoidance of premature physical therapy or immobilization during the first month reduces time to recovery. A systematic review - 12 identified 23 studies ofwhiplash patients choosing a nonsurgical and nonpharmacological treatment. Only one study included multimodal treatment but ten studies compared passive to a more active treatment. In the single study of multimodal therapy compared to passive (TENS and ultrasound) therapy for acute whiplash patients, the multimodal condition resulted in fewer days off, and nonsignificant improvement in pain. In five out of nine of the other studies, active treatment condition was better than passive treatment such as soft collar and work absence in the outcomes of improving pain and stiffness.
The most common bacterial pathogen causing epidemic meningitis in most countries is the meningococcus, Neisseria meningitidis. Meningococcal meningitis is characterized by sudden onset with fever, intense headache, stiff neck, occasional vomiting and irritability. A purpuric rash is a feature of meningococcaemia. Epidemic meningitis has been recognized as serious public health problem for almost 200 years. The main source of the infection is nasopharyngeal carriers. The infection is usually transmitted from person to person in aerosols in crowded places. Rural-to-urban migration and overcrowding in poorly designed and constructed buildings in camps and slums can contribute to transmission. The disease can be treated effectively with appropriate antimicrobial and, with rapid treatment, the case-fatality in an epidemic is usually between 5 and 15 .
Case 1 presented to us in 1982, at age 67, after taking levothyroxine (T4) for 10 yr. Her thyroid was nontender, quite firm, and diffusely enlarged, with an estimated size of 50 g. Her antithyroid microsomal antibody titer was 1 1 600,000 and her antithyroglobulin antibody level was 50 radioimmunoassay (RIA) units*. On a T4 dose of 150 g daily, her serum thyrotropin thyroid stimulating hormone (TSH) level was 3.5 mU L (normal 0.5-5.2). The presumed diagnosis was chronic lymphocytic (Hashimoto's) thyroiditis. T4 was continued. In 1987, because her thyroid size had not decreased, she had a fine-needle aspiration biopsy (FNAB), that produced only a few groups of oxyphilic follicular cells (Hurthle cells), consistent with Hashimoto's thyroiditis, but insufficient for a definite diagnosis. Her goiter was stable until May 1995, when she reported 2 wk of severe anterior neck pain that radiated to her ears and jaw. Thyroid size was still about 50 g, the erythrocyte sedimentation rate (ESR)...
Case 2 is a 19-yr-old man who presented to us with 10 d of marked anterior neck pain and swelling. Two days earlier, he had been started on 60 mg of prednisone daily, which had improved the pain and reduced the neck swelling. Examination showed a 4-cm firm, tender mass in the lower right thyroid lobe and isthmus, which was hypofunctional by per-technetate scintiscanning (see Fig. 2). Free T4 and TSH levels were normal, the erythrocyte sedimentation rate (ESR) was elevated at 32 mm h, and the leukocyte count was elevated at 14,800 with 84 neutrophils. FNAB with 22- and 25-gauge needles was quite
Non-invasive diagnosis of ICA dissection is difficult since most of these lesions have variable locations often involving distal ICA at the entrance to the skull 143,144 . The diagnosis is often based on indirect evidence of the distal ICA lesion and may be impossible until the dissection becomes hemodynamically significant or descends to the field of insonation. Patient history often points to trauma, neck manipulation, neck pain or episodes of excessive coughing or sneezing with respiratory infection, etc. 145-147 .
A dissection of the carotids and vertebrals presents with unilateral headaches, neck pain, Horner syndrome, ipsilateral cranial nerve deficits, and TIAs. It may culminate in a cerebral hemispheric or brainstem infarct. Angiogram confirms the diagnosis by demonstrating segmental luminal narrowing (string sign).
Strokes, kneading of individual muscles, friction, hacking or tapping, and vibration. Massage therapy has been studied in systematic reviews for tendonitis 23 , chronic low back pain 24 , and mechanical neck disorders 25 . Massage, particularly acupressure massage, may be beneficial in the treatment of chronic low back pain, especially when combined with exercise and education, although it is not necessarily better than other types of treatment. The evidence for massage therapy in neck pain and tendonitis is lacking. Long-term effects of massage therapy are unclear. Massage therapy in conjunction with other therapies (such as relaxation therapy, acupuncture and self-care education) may be of benefit.
Massage may be effective through several possible mechanisms. First, massage appears to relax muscles (although only limited studies have formally evaluated this effect). This effect may be helpful for conditions that are worsened by muscle stiffness, such as headaches, neck pain, and low back pain. Also, massage may release chemicals known as endorphins, which reduce pain. Through a theoretical process known as gate control, which presumes that only a certain number of impulses may reach the brain from a specific body part, stimulation by massage in a painful area may decrease the number of pain impulses received by the brain from that area. Finally, the simple act of touching that occurs with massage may convey positive feelings that are difficult to evaluate rigorously, such as caring, comfort, and acceptance. Touching is a simple and possibly beneficial act
An 11-year-old girl presented with a 1-week history of headaches, vomiting, and confusion. She had a stiff neck, papilledema, slowly reacting pupils, and vertical gaze palsy (Parinaud syndrome). She died of hypothalamic dysfunction 2 weeks following a shunting procedure. An egg-sized pineal gland tumor compresses the midbrain tectum and extends into the third ventricle. It is loosely attached to the wall of the ventricle. B. The tumor cells, resembling pineocytes, form groups separated by mesenchymal septa (HE). A. Pineocytoma. An 11-year-old girl presented with a 1-week history of headaches, vomiting, and confusion. She had a stiff neck, papilledema, slowly reacting pupils, and vertical gaze palsy (Parinaud syndrome). She died of hypothalamic dysfunction 2 weeks following a shunting procedure. An egg-sized pineal gland tumor compresses the midbrain tectum and extends into the third ventricle. It is loosely attached to the wall of the ventricle. B. The tumor cells,...
The mechanism of brain injury is considered to be a whiplash motion of acceleration and deceleration, coupled with a rotational force, during a shaking episode of an infant, where the head is unsupported. Shaking alone may lead to brain injury, although in many instances there may be other forms of head trauma, including impact injuries (35,36). Impact may be against a hard surface, leading to external injury and an associated skull fracture, or against a soft surface, with no associated external injury. Hypoxia may also lead to brain injury from impairment of ventilation during chest squeezing, suffocation, or strangulation (26).
A continuum of care has been defined broadly as a coordinated array of settings, services, providers, and care levels in which health, medical, and supportive services are provided in the appropriate care setting 43 . This may include treatment in an acute hospital, outpatient department, or community setting. Ideally, the patient receives healthcare at the most appropriate time and site according to their stage of recovery and level of need, and strong continuity and linkages exist between services within the system 44 . Continuum of care models have also been tested in management of whiplash-associated disorders and mild traumatic brain injury in Quebec and in Alberta within workers ' compensation claimants filing soft tissue claims 45, 46 . Implementation of these models appears to have resulted in quicker recovery and reduced duration of work disability. Within Alberta, the workers' compensation model also resulted in dramatic cost savings without compromising patient satisfaction...