“Lene, you’re a neurological accident waiting to happen.”
My rheumatologist had ordered X-rays of my neck and the results showed that my rheumatoid arthritis (RA) had made the top joint unstable. This was how the doctor told me. They wrote an order for a CT scan to get more detail. Then I waited six weeks for the scan and another six for the results. Thankfully, the CT scan showed that the joint wasn’t in fact unstable.
I refer to those three months as the time my head was loose.
Image credit: Samo Trebizan
RA and spine joints
When it comes to the spine, RA can be either a pain in the butt or a pain in the neck. There is some disagreement in rheumatology about whether RA can affect the spine itself or if it should more accurately be called rheumatoid spondylitis, ankylosing spondylitis, or even osteoarthritis. However, there is agreement that RA can affect the two joints in the spine. One is the sacroiliac or SI joint . It is located...
Full Question: I wake up every morning with a soreness in the back of my neck and a hang-over like headache which makes me nauseous. I do not drink. I have had previous neck discectomy and fusion at three levels. I suffer from chronic muscle tightness in neck and shoulders. The headache lasts all day. Any suggestions? Aidan. Answer: Dear Aidan; You most probably have cervigogenic headaches based on your former neck problems. I suspect you don't sleep well and I would recommend you talk to your physician about a medication called tizanidine which reduces muscle spasm and helps sleep. It also helps chronic daily headaches . Good luck, John Claude Krusz and Teri Robert About Ask the Clinician : Dr. Krusz is a recognized expert in the fields of headache and migraine treatment and pain treatment. Each week, he and Lead Expert Teri Robert, team up to answer your questions about headaches and Migraines. You can read more about Dr. Krusz or more about Teri...
Alternative Names Wry neck; Loxia Prevention While there is no known prevention, early treatment may prevent a worsening of the condition. References Spiegel DA, Hosalkar HS, Dormans JP, Drommond DS. The neck. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap. 679. Persing J. Prevention and management of positional skull deformities in infants. American Academy of Pediatrics Committee on Practice and Ambulatory Medicine, Section on Plastic Surgery and Section on Neurological Surgery. Pediatrics . 2003;112:199-202. Patel M, Shah K. Orthopedics. In: Rakel RE, ed. Textbook of Family Medicine . 7th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 42.
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