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CASES ILLUSTRATING THE TREATMENT 133
XIII. STIFF NECK.
H. E., working man at the Naval Arsenal, 48 years of age,
entered the Marine Hospital, Pola, on the 15th November 1888.
Three months previously he had had a fever, after which stiff-
ness of the neck and severe headache remained, the latter in
the occipital region. The stiffness and the headache gradually
increased. The headache was somewhat eased by the patient
lying down on his back. At the Infirmary he was treated with
antipyrin and salicylate of soda. Of the first he had altogether
taken about 9 grammes, of the latter 40 grammes.
On the 10th of December 1888 he came under my care.
His head was then immovable in all directions ; the occipital
headache was very marked ; the cervical muscles were tender down
to the shoulders. Sometimes the pain even passed down the
arms. The slightest friction over the great occipital nerves gave
intense pain.
Progress.—On the above date I started the treatment. The
patient could move his head pretty well sideways and forwards
and backwards after the first sitting.
Dec. lith. The improvement of the day before continued.
After the treatment the pain was greatly diminished, and the
movements were freer.
Dec. lUh. Treatment and the movements, which are now
normal in all directions, are painless. No headache.
Dec. 15ih. No treatment.
Dec. IQtli. Complained of noise in the ears and pain in front
of them, tenderness of the sterno-mastoid, and tenderness and
crackling in the temporo-maxillary joint.
Dec. 11th. Noise in the ear lessened, as also the pain in the
sterno-mastoid muscle, the pain in front of the ear, and crackling
in the joint.
Dec. 18th. Noise in the ear nearly gone. No pain anywhere.
Dec. 19th. Discharged as cured.
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