Torticollis

Alternate Names : Spasmodic Torticollis, Congenital Torticollis, Wry Neck

What are the treatments for the condition?

The goal of treatment is to stretch the shortened neck muscle. If an individual is born with the condition, intensive physical therapy is started within the first few months of life. If physical therapy is unsuccessful, the muscle may have to be repaired surgically. The pain caused by the acquired form of the condition may be eased by the application of heat, and gentle massage. Stretching exercises and a neck brace may help to relieve symptoms of the spasmodic and hysterical forms. Medication such as anticholinergeric medications, which block specific nerve impulses, or mild sedatives may be used. Muscle relaxants and antidepressants are occasionally prescribed. Surgically removing the nerves to the affected neck muscle is sometimes successful. This may be tried if other treatments fail. If emotional problems contribute to the spasms, psychotherapy may help.

What are the side effects of the treatments?

There are possible side effects with any surgery. These include bleeding, infection, and allergic reactions to the medications used to control pain. All medications have possible side effects. Specific side effects depend on the medications used.

What happens after treatment for the condition?

Torticollis varies from mild to severe. Some people get full relief after treatment. However, the condition may persist for life. It may produce continued pain, restricted movement of the neck, and postural deformities.

How is the condition monitored?

The person can monitor symptoms and contact the healthcare provider as needed.