Neck Pain? It might be Spasmodic Torticollis

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 or actually holds it 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 irritation to the joint and nerve and stretching out the muscle. The most effective stretching techniques to reduce the spasm of torticollis are assisted stretches (done with a practitioner’s help) abbreviated PNF/PIR. When combined with chiropractic adjustment, electric stim for pain, and ultrasound to break up any trigger points, full recovery is usually realized with 2 weeks of regular care.  Persistent pain or stubborn trigger points may be addressed with acupuncture and massage.  If you think you might have this and it has not improved in a couple days, call today!