Dear Doctor Sood,
As the patient's spasm disappears during sleep it may indicate that the
cause of the problem could be:
1) Poor motor control of the head and neck. Does the patient have any
neurological signs and symptoms?
2) Linked in with 1), is the cause mechanical? Do the patient's
biomechanics contibute to the problem?
3) Is the condition psychological? Has a mentally traumatic incident been
the trigger?
I hope this helps.
Simon Mesner MBBS (A+B) B.Sc. (HONS) MCSP SRP Cert. Sports Physiotherapy
(On Chris McLean's e-mail address)
> -----Original Message-----
> From: sood [SMTP:[log in to unmask]]
> Sent: 18 June 1999 17:49
> To: [log in to unmask]; [log in to unmask];
> [log in to unmask]; [log in to unmask]
> Subject: spatic torticolis
>
> Dear friends,
> A 35 yr old male develops sudden onset
> torticolis .There
> is no pain or sensory involvement.X-ray cervical spine,blood test are
> normal .Spasm
> disappears during sleepbut as soon as he wakesup neck is turned in such a
> way he is looking over his left shoulder while walking ahead.Treatment
> tried without success
> drugs;muscle relaxants, NSAIDS ,antidepressants, carbazapine,vitamin
> B1B6B12
> Physio:infra red,ultrasonic,manual-therapy cervical
> traction,Interferential therapy
> Niether of these methods could cause any relief?
> CAN we find any pathology as the cause of this condition,what else can be
> done
> to help this person?
> Thanks in advance
> From,
>
> Dr.Sarveshwar Chander Sood,
> Orthopaedic Surgeon, & Head
> Department Of Physical medicine& Rehabilitation.
> SBLS Civil Hospital Jalandhar city,Punjab State.India
> Res;812/1Housing Board Colony Model Town,JalandharCity India
> E-mail [log in to unmask] <mailto:[log in to unmask]>
> FAX(603) 792-9107
> Phone:0181-273653
> 0181-463980
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