Torticollis (Wry Neck)
What is Torticollis (Wry Neck)?
Torticollis, also known as wry neck, is a condition characterized by an abnormal, asymmetrical head or neck position, often due to muscle spasm or congenital malposition.
- Abnormal neck posture
- Muscle spasm and pain
Overview of the Condition
It can be congenital or acquired, with the acquired form often resulting from muscle strain, trauma, or inflammation.
Symptoms
- Abnormal head tilt and rotation
- Neck pain and stiffness
- Limited range of motion in the neck
Causes
May be congenital or acquired due to muscle strain, trauma, or inflammatory conditions.
Diagnosis
Diagnosis is based on clinical examination and patient history; imaging may be used to rule out underlying structural abnormalities.
Treatment Options
- Physical therapy and stretching exercises
- Muscle relaxants and NSAIDs for pain relief
- Botulinum toxin injections in refractory cases
- Surgical intervention in severe, persistent cases
Conservative Management
Initial treatment includes physical therapy, heat application, and medications to reduce muscle spasm and pain.
Rehabilitation Exercises
- Gentle neck stretching exercises
- Strengthening exercises for neck muscles
- Posture correction and ergonomic adjustments
Surgical Options
Surgical correction is rarely required and is reserved for cases unresponsive to conservative treatment.
Anatomy Overview
Torticollis involves the muscles of the neck, particularly the sternocleidomastoid, which may be shortened or spasmodic.
Affected Areas
- Neck muscles (sternocleidomastoid, trapezius)
- Cervical spine
Frequently Asked Questions
| Question | Answer |
|---|---|
| Can torticollis resolve on its own? | In many cases, especially congenital forms, symptoms improve with non-surgical treatment. |
| What is the role of physical therapy? | Physical therapy is key in stretching and strengthening neck muscles to improve posture. |
Prevention Strategies
- Practice good posture
- Avoid prolonged static neck positions
- Engage in regular neck exercises