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retrocollis: hyperextension of head and neck backward [7] bringing the back of the head towards the back [5] A combination of these movements may often be observed. Torticollis can be a disorder in itself as well as a symptom in other conditions. Other signs and symptoms include: [8] [9] Neck pain; Occasional formation of a mass
Symptoms can also worsen while the patient is walking or during periods of increased stress. Other symptoms include muscle hypertrophy, neck pain, dysarthria and tremor. [2] Studies have shown that over 75% of patients report neck pain, [1] and 33% to 40% experience tremor of the head. [3]
Neck pain may arise due to muscular tightness in both the neck and upper back, or pinching of the nerves emanating from the cervical vertebrae. Joint disruption in the neck creates pain, as does joint disruption in the upper back. The head is supported by the lower neck and upper back, and it is these areas that commonly cause neck pain.
Disorders of the neck are a common source of pain. The neck has a great deal of functionality but is also subject to a lot of stress. Common sources of neck pain (and related pain syndromes, such as pain that radiates down the arm) include (and are strictly limited to): [11] Whiplash, strained a muscle or another soft tissue injury
Acute calcific tendinitis of the longus colli muscle can occur. This presents with acute onset of neck pain, stiffness, dysphagia and odynophagia, and must be distinguished from retropharyngeal abscess and other sinister conditions. Imaging diagnosis is by CT or MRI, demonstrating calcification in the muscle in addition to retropharyngeal oedema.
The thoracolumbar fascia is thought to be involved in load transfer between the trunk and limb (it is tensioned by the action of the latissimus dorsi muscle, gluteus maximus muscle, and the hamstring muscles), and lifting. [1]: 814–815 It is endowed with nociceptive receptors, and may be involved in some forms of back pain. [1]: 814–815
The platysma muscle is a broad sheet of muscle arising from the fascia covering the upper parts of the pectoralis major muscle and deltoid muscle. Its fibers cross the clavicle, and proceed obliquely upward and medially along the side of the neck. This leaves the inferior part of the neck in the midline deficient of significant muscle cover. [1]
Motor function is preserved below the level of injury, and more than half of muscles tested below the level of injury have a muscle grade less than 3 (see muscle strength scores, left). 3 Full range of motion, against gravity D Motor incomplete. Motor function is preserved below the level of injury and at least half of the key muscles below the ...