Acute Toticolis

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INJURY TITLE

Acute toticolis ‘wry neck’

 

 

INJURY OVERVIEW

An acute onset of neck pain, commonly experienced after a sudden and quick movement oron waking and trying to move your head.  Can affect people of all ages and normally resolves by itself in a few days.  It is normal accompanied by an inability to straighten your neck to it’s normal position.

 

 

INJURY IN-DEPTH INFORMATION

It can be categorised into two categories, joint based and disc based. 

Joint based: usually in younger people is associated with a sudden movement.  Also the patient will have difficulty straightening their neck.  The odd head posture is largely due to muscle spasm and pain.

 

Disc based: usually comes on over a longer period of time like sleeping in a awkward position.  It occurs in older populations and can have pain radiation from a central point that is usually around the lower parts of the neck.

 

 

COMMON SIGNS & SYMPTOMS

Acute pain, altered head posture, difficulty with normal neck movements and acute pain when trying.

 

 

HOW IS IT ASSESSED

Clinical assessment to assess the available range of movement in the neck.  Palpation of the neck and passive movements can help to assess the level of muscle spasm and joint involvement.

 

 

 

 

GENERAL TREATMENT

Initial treatment should astound to the level of muscle spam experienced in an attempt to reduce pain levels.  This can be done nicely with the aid of heat.  When this has been sufficiently addressed, manual therapy can help the joint based stiffness (either joint or disc). 

Manipulation can often provide a quick and easy relief from the ‘joint’ based stiffness but not the disc pain.

 

Controlled neck movements will help maintain any improvements in range.  Assessment and improvement of the muscle control around the neck will help to prevent future occurrences.

 

 

Exercise Videos: i.e.Rotator cuff strengthening

Pec stretch

Etc

 

 

WHICH HEALTH PROFESSIONAL TO CONSULT

PHYSIO     X MEDIC      PODIATRY     

 

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