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Dear Dr Sood, You had asked about the management in Toticolis. What are the long term benifits of Physical Therapy for eg:Stretching. I have been working in the Movement Disorders Section of a Research Hospital in India.We have been giving Boutilinium Toxin(Botox) for the treatment of Spamodic Torticolis Followed by Physical Therapy. These have shown very good results. The same can be done with case you have put in for discussion. Collar will not serve any purpose and it should be avoided. Jose P.Thomas. [log in to unmask] %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%