CASE A

A middle aged man attending for tennis elbow. He had received a number of treatments when one morning he walked in for his appointment with a left side flexed torticollis. The therapist asked what had happened and how much pain did the patient have.

Evidently there was only mild left anterior neck pain and the problem had started that morning. The patient was shaving and as he tipped his head backwards and to the right to shave under the left jaw, he felt an immediate moderate pain in the anterior left neck. This was followed by a warm flowing sensation up his left neck and into the face. After that, with every beat of his heart, he found that he was leaning further and further to the left. He was able to shut of the warm sensation and the leaning by side flexing his head and neck to the left.

CASE B

I received a phone call from a friend who owns a clinic. She said that one of her therapists turned up for work complaining of left neck pain and vertigo. The therapist was a racing cyclist and as she was riding, she turned her head to the left and experienced sudden left neck pain and vertigo. She saw her doctor who told her she had fluid in her ear and everything was fine and that it would settle down in a day or so. The following day, the vertigo had not improved and she was also complaining of parasthesia in the left cheek.

To be posted...