Spasmodic torticollis (“torticollis”) is a condition involving painful spasm of very specific muscles that attach to the neck. The term torticollis literally means “twisted neck.”Typically, this condition involves spasm of the trapezius (Fig. 1)and/or sternocleidomastoid (SCM) (Fig. 2) muscles. The most common presentation is strong spasm with pain on one side, which makes it difficult to turn the neck, lift your head off the pillow, or hold the head in a tilted and twisted position.
The trapezius and SCM share a common nerve supply, the Spinal Accessory Nerve, which is also the 11th Cranial Nerve. Although cranial nerves typically begin and end within the skull, the Spinal Accessory Nerve is an exception, and has important internal connections in the cervical spine (neck). Frequently, torticollis occurs from having the neck in an awkward positon for a lengthy time. Because it is often noticed upon waking, people usually tell us they “slept wrong.” The spasm occurs because the abnormal positioning irritated a joint or nerve in the neck. Spasm is a protective mechanism designed to prevent further injury, in this case to a joint or a nerve.
Treatment involves reducing the spasm, eliminating irritation to the joint and nerve, and stretching out the muscle. Releasing the spasm can be quickly addressed with acupuncture or dry needling(click here). When combined with chiropractic adjustment, recovery may be realized with 2 weeks of regular care. If needling is contraindicated or not preferred, electric stimulation and ultrasound can be used as alternatives. The most effective stretching techniques to reduce the spasm of torticollis are assisted stretches (done with a practitioner’s help) called PNF/PIR. They involve contracting the affected muscle against resistance provided by the practitioner and then releasing into an assisted stretch.To further speed recovery, we now carry the legendary natural muscle relaxant, Formula 303 from DeeCee Labs. This powerful supplement combines Valerian Root and Passion Flower to complement the benefits of Chiropractic and/or Acupuncture and Dry Needling!
We can help you determine if your stiff neck is torticollis. If you’re suffering, don’t wait, call today!