THE BEST TORTICOLLIS
Torticollis
Definition
an intense or incessant regularly agonizing condition portrayed by automatic discontinuous or continued withdrawal of the muscles of the neck, (for example, the sternocleidomastoid or trapezius) that makes the head tilt or turn sideways, twist forward or in reverse, or jolt strangely
NOTE: Torticollis may occur secondary to an injury or a preexisting condition (such as a musculoskeletal abnormality or a neurodegenerative disease) but is often of unknown cause.
Symptoms and Signs
Symptoms and Signs
· Because spasmodic torticollis is an abnormal contraction of the muscle in one side of the neck, people will appear with their head turned to one side. Neck muscles and those between the neck and shoulder will be tense and tender, causing neck pain.
· People with acute torticollis will be unwilling to turn their head to one side or may have their head turned slightly away from the side of discomfort.
· Deviation of the eyes (oculogyric crisis) where the eyes involuntarily look upward and protrusion of the tongue (buccolingual crisis) where the tongue sticks out involuntarily may also occur.
· With spasmodic torticollis (cervical dystonia), there may be neck muscle spasms that are sustained (tonic) or jerky (clonic).
· Other symptoms may include shoulder pain, back pain, headache, neck cramps, muscle tightness, muscle pain, or burning sensations.
· Attacks of benign paroxysmal torticollis in infants mayaccompany symptoms such as vomiting, irritability, and drowsiness.
What Are Torticollis Causes and Risk Factors?
In adults, many different conditions can cause acute torticollis. Occasionally, medical professionals find no specific cause.
Trauma to the neck or spine can lead to torticollis. Injuries to the cervical spine or neck muscles often result in spasm of the muscles, leading to the twisting of the head, characteristic of torticollis.
Other causes include infection of the head or neck. These infections can cause an inflammatory torticollis secondary to inflamed glands (adenitis) and lymph nodes in the neck. The muscles overlying these lymph nodes may contract. Torticollis may be associated with abscesses of the throat, the retropharyngeal space, and upper airway, and those situations can be life threatening. Other infections of the sinuses, ears, mastoids, jaw, teeth, or scalp also can lead to torticollis.
Rarely, tumors, scar tissue, arthritis of the cervical spine, or vascular abnormalities may also cause torticollis.
Certain drugs of abuse such as ketamine, amphetamines, and cocaine as well as commonly prescribed neuroleptic drugs such as prochlorperazine (Compazine
In addition to bending of the head to one side (acute torticollis), people may experience other symptoms such as deviation of the eyes (oculogyric crisis) and protrusion of the tongue (buccolingual crisis).
In addition to the causes above, children, infants, and newborns may also acquire torticollis from congenital causes or trauma due to childbirth. Congenital muscular torticollis (CMT) is the most common cause of infant torticollis. CMT is a postural physical deformity present at birth that results from a shortening and scarring (fibrosis) of the sternocleidomastoid muscle on one side of the neck. Infants often sleep with their heads in the same position against the mattress, which can lead to plagiocephaly (flat head syndrome), which is why it often accompanies muscular torticollis.
Risk factors for torticollis include a family history of the disorder, congenital abnormalities of the cervical spine, taking drugs that predispose to muscular spasm, and trauma.
Trauma to the neck or spine can lead to torticollis. Injuries to the cervical spine or neck muscles often result in spasm of the muscles, leading to the twisting of the head, characteristic of torticollis.
Other causes include infection of the head or neck. These infections can cause an inflammatory torticollis secondary to inflamed glands (adenitis) and lymph nodes in the neck. The muscles overlying these lymph nodes may contract. Torticollis may be associated with abscesses of the throat, the retropharyngeal space, and upper airway, and those situations can be life threatening. Other infections of the sinuses, ears, mastoids, jaw, teeth, or scalp also can lead to torticollis.
Rarely, tumors, scar tissue, arthritis of the cervical spine, or vascular abnormalities may also cause torticollis.
Certain drugs of abuse such as ketamine, amphetamines, and cocaine as well as commonly prescribed neuroleptic drugs such as prochlorperazine (Compazine
In addition to bending of the head to one side (acute torticollis), people may experience other symptoms such as deviation of the eyes (oculogyric crisis) and protrusion of the tongue (buccolingual crisis).
In addition to the causes above, children, infants, and newborns may also acquire torticollis from congenital causes or trauma due to childbirth. Congenital muscular torticollis (CMT) is the most common cause of infant torticollis. CMT is a postural physical deformity present at birth that results from a shortening and scarring (fibrosis) of the sternocleidomastoid muscle on one side of the neck. Infants often sleep with their heads in the same position against the mattress, which can lead to plagiocephaly (flat head syndrome), which is why it often accompanies muscular torticollis.
Risk factors for torticollis include a family history of the disorder, congenital abnormalities of the cervical spine, taking drugs that predispose to muscular spasm, and trauma.
Treatment centre & information centre
The best Torticollis in ipoh! Wong medical centre provides phyneotherapy threatment for those whose suffering for torticollis.For inquiry, Kindly call us at 05-3114022/0124520077.Thank You.#wongmedicalcentre#
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