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There are several treatments for spasmodic torticollis, the most commonly used being botulinum toxin injections in the dystonic muscle of the neck. Other treatments include sensory trick for a mild occasional twinge, oral medications, and deep brain stimulation. Combinations of these treatments have been used to control spasmodic torticollis. [7]
The sternocleidomastoid muscle gets its blood from different arteries in the neck, which bring oxygen and nutrients to keep the muscle healthy. Torticollis can happen when there are issues with the sternocleidomastoid muscle, like if it's too short, causing the head and neck to be in an odd position. [ 25 ]
Symptoms include overuse muscle pain and fatigue along the back of the neck and reaching down to the mid-back, often starting with the upper trapezius muscle bellies between the shoulders and neck. Cervicogenic headache from the joints and muscle attachments at the top of the neck is common.
Pressure on the nerves can cause tingling sensations, numbness, pain, weakness, muscle atrophy and even paralysis of the affected area. In normal individuals, these symptoms disappear quickly, but in sufferers of HNPP even a short period of pressure can cause the symptoms to occur. Palsies can last from minutes or days to weeks or even months ...
The pain does not resolve on its own, even after typical first-aid self-care such as ice, heat, and rest. [4] Electromyography (EMG) has been used to identify abnormal motor neuron activity in the affected region. [5] A physical exam usually reveals palpable trigger points in affected muscles and taut bands corresponding to the contracted muscles.
The erector spinae (/ ɪ ˈ r ɛ k t ər ˈ s p aɪ n i / irr-EK-tər SPY-nee) [1] or spinal erectors is a set of muscles that straighten and rotate the back.The spinal erectors work together with the glutes (gluteus maximus, gluteus medius and gluteus minimus) to maintain stable posture standing or sitting.
Additionally, stretching the chest muscles and strengthening the back muscles can also help improve posture. [47] Exercises that strengthen the back muscles include rows, pull-ups, and shoulder blade squeezes. Exercises like doorway stretches for the chest can help stretch out tension that contributes to rounded shoulders.
The difference between expected posture and actual posture is corrected for via motorneurons in the spinal cord, which control muscle movements for righting the body. [ 9 ] These automatic postural adjustments can be explained in terms of two reflexes similar to the righting reflex: the vestibulo-ocular reflex (VOR) and the vestibulocollic ...