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Torticollis / Stiff Neck / Wryneck / Cervical Dystonia

How is Torticollis Treated?

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Treatment in congenital
Torticollis (Infants and
Children)


Treatment in Acquired 
Torticollis (Adults)


Physical Therapy

Alternative Therapy

Surgery

Treatment in congenital Torticollis (Infants and Children) :
Positioning of the neck : The head and neck of the baby is positioned and supported to gain the normal posture.  Passive Stretching : Stretching is done to lengthen the shortened muscles of the neck. 
Treatment in Acquired Torticollis (Adults) :

Analgesics.  Botulinum Toxin Injections (BOTOX).  Anti - Cholinergic drugs Treatment is given to the underlying cause for Torticollis like -  Tumor in neck
Sprain in neck 
Neck Injury

Physical Therapy : Physiotherapy is aimed to relieve pain and to aid relaxation of the tight muscles.
The following are the Physiotherapy Treatment.
Hot packs Neck Massage Passive Stretching Neck Collars Ice Massage
Alternative Therapy :
Acupuncture and homeopathic medicine can also provide relief for those suffering from Torticollis. Antispasmodic herbs - can help relax muscles and help balance the stimulus from the nervous system.
Surgery :


In patients with severe deformity and when the conservative treatment fails, surgical operation is done.

Surgical operation is done to release the shortened muscles of the neck causing deformity.

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Posted by:  Liza77s  Posted on: 10/24/2011
I am 16 and have had wry neck for my entire life; I believe it is due to birth trauma, but the cause is no longer important to me. My head is noticeably tilted to one side and the muscle on the side of my neck is constantly taut. My face has also developed asymmetrically, and as a 16 year old, all of these symptoms bother me; I have only just started searching for ways to fix this, as I became more self conscious, and have received very vague answers, with most people only having experience with treating wry neck in young children, saying things like "see a chiropractor and hope for the best" or that surgery may most likely be required. I was wondering if anybody could tell me if this sort of surgery would be covered by health insurance, and also if surgery to fix the asymmetry of my face could be covered, as it's gotten to the point where I look in the mirror and my facial features look as if they have slid diagonally to accommodate my tilted head.


Posted by:  shriner(Guest)  Posted on: 11/01/2011
Try contatcting Shriners Hospitals for Children. They treat children all over the country with this condition. There are 22 hospitals, so I am sure one is near you. All treatment is provided regardless of your ability to pay.



Posted by:  K.Tess(Guest)  Posted on: 11/11/2011
Hi, I'm 15 I have the same problem and I am scheduled to have surgery in a week, it is covered by health insurance. My doctors have told me that after surgery, I will have to have rigorous physical therapy, to retrain my neck to hold it self upright. Im hoping that after surgery and therapy, my face will retain it's symmetry. I wish you luck. :]



Posted by:  Liza77s  Posted on: 11/13/2011
wow, good luck to you! Can I ask what the surgery is called, because after I posted this, I went to see someone about my neck at a hospital, and they basically told me I was stuck like this my entire life, the only surgical way of fixing it being a way that will result in straightness, but complete lack of mobility. I didn't really know enough to argue otherwise, so I've been told to just see a physio to keep my neck mobile



Posted by:  Neisha042(Guest)  Posted on: 05/15/2012
Hi Liza77s, reading your story, made me wish i had read this a year ago, I hope your still out there researching. I was you 25 yrs ago and my neck never stopped. It was hard all the time and twisted just like yours, I have had the surgery and years later know i would never have made it, without having made this very scary choice. I still go to chiropractors regularly, I will keep watching. you can contact me and i will give you all the info i have thinking of you _ Nat




Posted by:  Goodwin81(Guest)  Posted on: 09/21/2011
can I get an ICD-9 code for this disease and a cpt code as well



Posted by:  louise3(Guest)  Posted on: 08/26/2011
I am a 27 year old female and have been dignosed with wry neck today, my doctor isn't very interested in his patients and just shooed me out of his office with no pain killers or any information on this diagnosis. So i wanted to know is this a life long thing or can it be treated so it goes away???? does it gradualy get worse????


Posted by:  bsky1(Guest)  Posted on: 09/22/2011
soo sorry to hear that..I went through the same thing.Pill after pill, they would all say oh shes young shes just overreacting. I asked my doctor to refer me to a neurologist and after mri and exams finally got the diagnosis...Yes it gets worse. I've been suffering for almost a yr before getting someone to care. Now my doc wants to do botox injections so i'm in the process of researching it. Ins.[atleast] mine will cover it after u have been through 2meds that didnt help. I will let u know what happens. I'm currently trying to decide if i should do injections or try chiropracter first.




Posted by:  qikcarz(Guest)  Posted on: 10/03/2010
I am a 52 year old male, and have had torticollis for about 11 years. Nothing has worked for me including botox injections, chiropractic, massage therapy, accupuncture, and all the typical drugs and even herbals. I still go to work everyday, but it is getting harder and harder to deal with. Recently I read about Microvascular decompression surgery, and it has really gave me hope. It seems to have a high cure rate, and I am going to ask my neurologist to have an MRI. I wonder why he has never told me of this? It seems to be that an artery is pushing tight up against the spinal accessory nerve, so they move it away and put a little cushion between them. This sounds promising to me, and seems to make sense. I wonder if the doctors have been looking at things from a "symptom" point of view all these years? What I mean is that, they say there is a chemical problem steming from the basil ganglia region of the brain. But maybe the chemical is being produced because of the nerve being irritated, and the brain is just doing it's normal thing not knowing the difference. It's kinda like a thyroid problem. Anyone out there had this opperation, or know of any other facts about this? Thank you in advance for any help.



Posted by:  ptennant(Guest)  Posted on: 09/26/2010
I am 42 years old and played the violin for about 30 years. I played 9 hours a week plus practice. I have had torticollis since I was 16 years old and after about 30 years old it has gotten much worse. Botox A and B do not work anymore, so my only option is to take a combination of Clonazapam [Klonopin] .5 mg and Wal-Act which you get at Walgreens in the pharmacy. These two work together to take away the symptoms of pulling to the side but Clonazapam has some long term side effects. I have never had any pain with my now spastic torticollis but my neck does pull to the side and it is very embarrasing without the medicine I cannot look at people for more than a few seconds but the medicine takes away the pulling to the side completely most of the time. I take these two together about two hours before I go out or have to do something like sing or speak in front of people. The effects last about 6 hours after taken and you will get a little drowsy with these so be careful. I hope this helps someone and if anyone knows any better treatment, please let me know. I have tried chiropractic and physical therapy many times and does not help at all or makes it worse.



Posted by:  Susan2518  Posted on: 06/24/2010
Hi. My daughter was born with spastic torticollas, due to a neurological condition. It has grown worse in recent years and now we are being told she needs botox injections. We simply cannot afford these injections, as insurance doesn't cover the entire cost. She has also had a kidney transplant and the use of herbal medicines may interfere with her antirejection medications. I am at my wits end with this.....I want to help with the pain of the torticollas, but don't want to compromise my daughter's health either. Not certain what to do???? Would acupuncture be a good alternative? Any other suggestions? Thank you.



Posted by:  Adeeel(Guest)  Posted on: 05/07/2010
Hi there,



My uncle is a doctor in pakistan. He has been diagnosed torticollas. we are having all possible treatment in here including that most famous injection but he feels better only two day and third day he is in worse condition. I want to know if there is any other possible treatment that can be done. ?



Please advice.



Adeel Khan


Posted by:  guest  Posted on: 06/09/2010
Try remedial massage therapy or Myotherapy. Alternatives are using ice packs when the muscle is in a spasm and using heat to address muscle ischemia, try gentle isometric stretching exercises to the affected SCM as well.




Posted by:  soujanyatimmaraju  Posted on: 10/02/2009
there's another type called as the spasmodic torticollis



Posted by:  dayna22  Posted on: 08/13/2009
I am 15 years old and have had neck pain for many years. I found a lump on my neck and while reasearching this found out about this disease. Different doctors have told me i have an limited movement of my neck, one shoulder is elevated, a tilted head, a lump, and neck pain. Considering I have seen many doctors and a physical therapist, I don't know why this hasn't been diagosed. Could having an ambilical cord around my neck at birth be a cause?


Posted by:  ritam007  Posted on: 02/28/2011
hey i also share the same problem and i have torticollis from birth. Please contact me at haldarritam@yahoo.co.in. Please contact




Posted by:  trev51(Guest)  Posted on: 07/09/2009
My daughter who is 5 has been diagnosed with torticollis and the doctor recommended activities such as swim, dance, gymnastics and ice hockey to assist in helping the condition. Does this make sense to anyone?? Any help would be appreciated




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