Doctor insights on:
DBS: Deep brain stimulation (DBS) is used in extreme cases to treat dystonia. The surgery involves implanting electrodes into a region of the brain, the globus pallidus, to help reduce tone in the muscles which is causing the torticollis. The efficacy of the surgery is somewhat related to genetic factors and also related to how long a person has been symptomatic. More chronic cases are harder to treat. ...Read more
Is torticollis the same as cervical dystonia/spasmodic torticollis? I have pain & spasms in neck and minor involuntary movemnt. Will it become worse?
Yes; Possibly.: Cervical dystonia is an imbalance in muscle activity of the neck muscles, which can cause abnormal postures or shaking. It is also known as torticollis or spasmodic torticollis. Most cases get slowly worse over time, though some cases have been reported of spontaneous improvement. Oral medicines and injections of Botox may be helfpul. ...Read more
See below: Spasmodic torticollis (cervical dystonia) is a neurological condition which causes involuntary muscle spasms in the neck. The causes include disorders of the central nervous system (brain and spinal cord) and also the peripheral nervous system usually secondary to some type of nerve injury in the neck. The gold standard of treatment for torticollis are botulism toxin injections into the muscles. ...Read moreSee 1 more doctor answer
Several ways: The head is tilted to one side and rotated to the opposite side. Common in newborn babies. Other causes include trauma/injury, tumor, infection, medications, arthritis, vision problems, and more. To make the diagnosis the patient may need to see a neurologist or an orthopedic surgeon. Cervical dystonia also called spastic torticollis is a neurological condition which can be treated with botox. ...Read more
Unknown: Spasmodic torticollis is a focal dystonia ( like blepharospasm and writer, s cramp) in which neck cannot be kept straight and is turned to one side. The cause of focal dystonia, s is not clear and even though some psychogenic factors seem to play a part in the start of some of these symptoms we do not know why or how the process continues. ...Read moreSee 1 more doctor answer
Meds, injections: Spasmodic torticollis, also called cervical dystonia, has several treatment options. Oral medications are sometimes helpful (baclofen, artane). Because these medications sometimes cause side effects such as sedations, injections with botulinum toxin (such as botox) are often the most effective treatment option. ...Read more
What is the difference between torticollis and chronic bilateral muscle spasm in the neck & upper shoulders?
Cervical strains: Acute torticollisis is an acute cervical strain pinching a nerve. Chronic upper body muscle strain is from chronic disc problems or degenerative changes. An or frequently poor upper body posture. Acute torticollisis is usually temporary but may need an osteopathic or chiropractic adjustment. Upper body posture problems. Can be fixed with the proper exercises disc or degenerative changes are dif ...Read moreSee 1 more doctor answer