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