If a patient is exhibiting opisthotonos, what position should they be placed in for comfort?

When a patient exhibits opisthotonos, this indicates a state of extreme hyperextension of the back, often associated with conditions such as meningitis or severe neurological issues. In this scenario, placing the patient in a side-lying position can provide the most comfort. This position helps to alleviate pressure on the spine and allows for a more relaxed posture, which can be particularly beneficial for patients experiencing muscle spasms or abnormal postures like opisthotonos.

The side-lying position reduces the strain that might occur if the patient were flat on their back, as in the supine position, which tends to exacerbate discomfort due to the extension of the back. Sitting upright may not provide adequate support or relief from the tension caused by opisthotonos, and the prone position is also not suitable since it can further aggravate the condition by forcing the body into an unnatural alignment. Thus, side-lying is preferred for comfort and to minimize muscle strain associated with this specific posturing condition.