1. Torticollis Back to table of contents. torticollis. torticollis is defined as a condition where the head is tilted toward one side and the chin is pointing in the opposite direction. Etiology. Congenital muscular torticollis. approximately 1% incidence to subluxation of the atlantoaxial joint and torticollis. Has been associated with http://pedclerk.bsd.uchicago.edu/torticollis.html

Back to table of contents Torticollis Torticollis is defined as a condition where the head is tilted toward one side and the chin is pointing in the opposite direction. Etiology Congenital muscular torticollis approximately 1% incidence Often associated with a difficult delivery or breech presentation Often not noted until 2-8 weeks of age May feel a firm mass within the SCM muscle which is fibrous tissue that causes shortening of the muscle and resulting tilt Most of the time it resolves spontaneously, and may treat with passive stretching and heat. If associated with facial and cranial asymmetry after one year of age, surgical intervention may be necessary. Congenital positional torticollis Usually present at birth and thought to be secondary to intrauterine positioning. Resolves spontaneously. Trauma- usually painful and limitation of motion muscle injury Fracture of vertebrae or clavicle of atlantoaxial joint Posterior fossa tumors Hysteria Cervical adenitis, retropharyngeal abscess, or any cervical mass Ocular abnormalities like strabismus, muscle weakness, and nystagmus

2. Torticollis.org - National Spasmodic Torticollis Association Californian nonprofit organization, providing support, referrals and information for patients and http://www.torticollis.org/

3. Herbs For Spasmodic Torticollis Personal success story with dystonia and spasmodic torticollis using herbs, essential oils, and enzymes. Information and health program for spasmodic torticollis and a general health program. http://www.herbs4st.com

This site is my personal experience with the dystonia, spasmodic torticollis, ST. Read my spasmodic torticollis success story using alternative health methods of herbs, herbal remedies, essential oils, enzymes, homeopathic, aromatherapy, nutrition, diet, vitamins, minerals, and massage. Learn about dystonia, herbs, essential oils, enzymes, general health, spasmodic torticollis, ST, alternative health program for torticollis, supplements for ST, nutritional surveys and home-based business. HERBS FOR SPASMODIC TORTICOLLIS Dystonia Home-Based Business Herbs Gain the knowledge to improve and take care of your own health. I am a NSP Herb Specialist and Certified Natural Health Professional. Success Story Essential Oils Enzymes I have spasmodic torticollis which is a form of dystonia. Read my success story. Nutrient Survey General Health Send me your comments or questions Where To Start Resources Spasmodic Torticollis It comes from a variety of sources and from my own experiences.

4. EMedicine - Torticollis : Article By Michael Ross, MD torticollis torticollis (from the Latin torti, meaning twisted and collis, meaning neck) refers to presentation of the neck in a twisted or bent position. torticollis manifests in involuntary http://www.emedicine.com/emerg/topic597.htm

(advertisement) Home Specialties CME PDA ... Patient Education Articles Images CME Patient Education Advanced Search Link to this site Back to: eMedicine Specialties Emergency Medicine Neurology Torticollis Last Updated: October 9, 2001 Rate this Article Email to a Colleague Synonyms and related keywords: idiopathic spasmodic torticollis, IST AUTHOR INFORMATION Section 1 of 11 Author Information Introduction Clinical Differentials ... Bibliography Author: Michael Ross, MD , Staff Physician and Associate Director of EMS, Department of Emergency Medicine, Metrowest Medical Center Coauthor(s): Susan Dufel, MD, FACEP , Program Director, Associate Professor, Department of Traumatology and Emergency Medicine, Division of Emergency Medicine, University of Connecticut School of Medicine Michael Ross, MD, is a member of the following medical societies: American College of Emergency Physicians Editor(s): Jeffrey Glenn Bowman, MD, MS , Consulting Staff, Department of Emergency Medicine, Mercy Springfield Hospital; Francisco Talavera, PharmD, PhD

5. Bundesverband Torticollis E.V. Kurze Beschreibung des Vereins und der Erkrankung. http://members.aol.com/BVTorti/Torticollis.html

Bundesverband Torticollis e.V. Torticollis spasmodicus Zeitschrift "Torticollis Echo" Im Dezember 2001 hat unser Verband einen Sammelband des Torticollis Echo, den "Torticollis/Schiefhals-Dystonie-Ratgeber" Faltblatt "Was ist Torticollis?" sowie unser Plakat "Torticollis" anfordern. email : BVTorti@aol.com

6. TORTICOLLIS CAUSED BY INTERVERTEBRAL DISC CALCIFICATION torticollis CAUSED BY INTERVERTEBRAL DISC CALCIFICATION. TOBENNA OKEZIE, M.D., Orthopaedic Surgery Resident. S. JAY KUMAR M.D., Attending Pediatric Orthopaedic Surgeon. February 21, 1996. CLINICAL CASE PRESENTATION. ORTHOPAEDIC DEPARTMENT Common symptoms are neck pain, spasm torticollis and reduced range of motion http://gait.aidi.udel.edu/res695/homepage/pd_ortho/educate/clincase/tort.htm

TORTICOLLIS CAUSED BY INTERVERTEBRAL DISC CALCIFICATION TOBENNA OKEZIE, M.D., Orthopaedic Surgery Resident S. JAY KUMAR M.D., Attending Pediatric Orthopaedic Surgeon February 21, 1996 CLINICAL CASE PRESENTATION ORTHOPAEDIC DEPARTMENT THE ALFRED I. DUPONT INSTITUTE WILMINGTON, DELAWARE CASE HISTORY Patient is a 4 year old male who developed the insidious onset of neck pain and stiffness 4 days prior to admission. Over the intervening period, the patient suffered from worsening of his symptoms which led to increasing irritability and difficulty sleeping. On the day of admission, he was seen by a local pediatrician for severe neck pain. It was observed that his head was in a fixed position just slightly right of midline. The patient's past medical history was remarkable for two recent self-limited episodes of hives and urticaria on his trunk and extremities that was treated with prednisone. There was vague history of remote trauma about one month previously when the patient had been "horsing" around with his brother. The child had no evidence of a viral prodrome, constitutional symptoms or travel history. He was sent to a local hospital where radiographs of the cervical spine demonstrated calcifications in the C3-4 and C5-6 intervertebral disc spaces . Neurological exam was normal. The child's pain was refractory to morphine treatment and he was transferred to A.I. for the management of his intractable pain. On arrival, his physical exam was unchanged. Blood work revealed a WBC count of 12.7K with 75% PMNs and an ESR of 80. Radiographs of spine showed the presence of an addition calcification in his thoracic spine

7. Torticollis torticollis. What is torticollis? torticollis (wry neck) is a congenital or acquired condition of limited neck motion in which the child will hold the head to one side with the chin pointing to the http://www.pedisurg.com/PtEduc/Torticollis.htm

TORTICOLLIS What is torticollis? Torticollis (wry neck) is a congenital or acquired condition of limited neck motion in which the child will hold the head to one side with the chin pointing to the opposite side. It is the result of the shortening of the sternocleidomastoid (neck) muscle. In early infancy, a firm, non-tender mass may be felt in the midportion of the muscle. The mass will go away and be replaced with fibrous tissue. If untreated, there can be permanent limitation of neck movement. There may be flattening of the head and face on the affected side. How is torticollis treated? Treatment consists of gentle stretching exercises (see below). The face is turned away from the affected muscle while the head is tilted in the opposite direction with the neck extended. This position is held for a count of 5 and repeated 10 times twice daily. The baby can be placed in the crib or playpen in a way that encourages turning the head away from the deformity in order to observe activities and interesting or favorite toys. When placed in a car seat, padding may be placed on the affected side forcing the head to turn in the opposite direction. Long term follow up is important to assess for abnormal head shape . Follow up may be necessary in six months with pediatric surgery to assess for the necessity for head molding. Please do not hesitate to call the office if you have any questions. Where can a parent get help and talk with other parents about torticollis?

8. EMedicine - Torticollis : Article By Norman C Reynolds, MD torticollis. Last Updated March 4, 2002, Another is rotational torticollis, in which partial rotation or torsion of the head occurs along the longitudinal axis. http://www.emedicine.com/neuro/topic377.htm

(advertisement) Home Specialties Resource Centers CME ... Patient Education Articles Images CME Patient Education Advanced Search Consumer Health Link to this site Back to: eMedicine Specialties Neurology Movement And Neurodegenerative Diseases Torticollis Last Updated: May 20, 2004 Rate this Article Email to a Colleague Synonyms and related keywords: retrocollis, anterocollis, laterocollis, rotational torticollis, spasmodic torticollis, cervical dystonia, idiopathic cervical dystonia, segmental dystonia of head and neck, head and neck dystonia, head tremor, head tilt, head jerks, head spasms AUTHOR INFORMATION Section 1 of 11 Author Information Introduction Clinical Differentials ... Bibliography Author: Norman C Reynolds, MD , Chief of Neurology, Milwaukee Veterans Administration; Professor, Department of Neurology, Medical College of Wisconsin Coauthor(s): Jianxin Ma, MD , Staff Physician, Department of Physical Medicine and Rehabilitation, Johns Hopkins University Hospital Norman C Reynolds, MD, is a member of the following medical societies:

9. Our Torticollis Experience Treatment options and information on tests that are available to assess a child. Also describes the parents personal experience with their son. http://home.earthlink.net/~thomsoc/

Our Torticollis Experience DoctorsVisits /Lucas'_Pictures Definitions /Link ... Homepage We want to share our experiences on the types of tests and treatment options that are available for Torticollis to help other parents understand more about Torticollis. We learned about these tests/procedures over a period of many frustrating months and the learning doesn't stop . Our son was diagnosed with Torticollis at five months of age and we were heart-broken to think our son would possibly need surgery to correct the problem. Turns out that our son is doing well now and won't need surgery to correct the problem. It took approximately five months of physical therapy before we saw noticeable, sustained improvement in our son , however PT wasn't enough, we found Osteopathy to be extremely effective He is doing extremely well. H e will be 3 years of age in November, 2001 This handsome picture was taken on May 5th, 2001. He was the life of the party. Click on the following link to visit a community support site, put up by a Torticollis parent. Answers and support from many parents going through the same situation as yourself is available at: http://www.onelist.com/community/torticolliskids

10. Torticollis torticollis. torticollis is also known toward the opposite shoulder. Congenital muscular torticollis is by far the most common form. http://www.drhull.com/EncyMaster/T/torticollis.html

Help for sleepless parents Encyclopedia Index T torticollis Search torticollis Torticollis is also It is a deformity of the neck in which the head tilts toward one shoulder and is simultanously the chin rotates toward the opposite shoulder. Congenital muscular torticollis is by far the most common form. It is associated with a mass in the sternocleidomastoid muscle (the strap that courses from beneath the angle of the jaw to the base of the neck above the medial It is usually diagnosed in the first couple of months of life. If it is picked up in the first few weeks, there may be a soft lump the size of an olive The theory is that during vaginal delivery, blood flow to the affect neck muscle is reduced, causing damage. This theory sounds pretty good for most cases, but there are familial cases and cases where the baby was born by C-section. Go figure. developmental dysplasia of the hip, so careful evaluation (to include a hip ultrasound) is imperative. Neck xrays are probably advisable for babies with torticollis as well, to rule out abnormalities of the neck vertebrae which can masquerade as simple muscular torticollis.

11. Nackspärr (Torticollis) Kort om symptom och behandling. http://www.fass.se/LIF/lakarbok/artikel.jsp?articleID=5772

12. Torticollis, Keep Hoping!! Torticollis, Er Is Hoop!! Persoonlijk verslag over het zoeken naar een geneesmiddel, wat torticollis spasmodica is en hoe ermee om te gaan. http://www.torticollis.nl/

T O R T ... Burnout en torticollis Scroll naar beneden! E n g l ... Burnout and torticollis W elkom op de homepage van Rob Oele Zie ook mijn GASTENBOEK Scroll verder naar beneden !! Hallo, (nogmaals) welkom op mijn homepage Deze homepage gaat over de wijze waarop ik omga met torticollis spasmodica , een aandoening die in februari 2000 bij mij is vastgesteld. Ze is is als volgt opgebouwd: Waarom deze homepage, Wat is torticollis spasmodica eigenlijk, Verloop en beleving van torticollis, Op zoek naar een aanpak, Inspiratiebron uit Amerika, Hoe probeer(de) ik mezelf te genezen, Feldenkrais therapie. Huidige stand van zaken. Overige informatie. Waarom deze homepage Wat is torticollis spasmodica eigenlijk Torticollis spasmodica is een vorm van dystonie hetgeen letterlijk verkeerde spierspanning betekent. Het uit zich doordat je je hoofd niet stil kunt houden (tremoren) en in verergerde vorm mondt dit uit in een dwangstand van je hoofd. Dit kan een stand zijn naar rechts of links maar ook naar voren of naar achteren. Tot voor pakweg 10 jaar dacht men dat deze aandoening louter psychisch was; tegenwoordig neigt men meer naar een neurologische verklaring. Inmiddels heb ik zelf het idee dat er nog meer verklaringen zijn: fysiologisch - waaronder burnout- , mechanisch, en hooggevoeligheid. Zie ook

13. Orthoseek | Orthopedic Topics | Congenital Muscular Torticollis What is congenital muscular torticollis? The layman’s term for this condition is wryneck. What causes congenital muscular torticollis? http://www.orthoseek.com/articles/congenmt.html

Congenital Muscular Torticollis What is congenital muscular torticollis? Congenital muscular torticollis or Sternomastoid torticollis is a condition that occurs at birth or up to 2 months of age, where the child’s head is tilted to one side. The layman’s term for this condition is wry-neck. What causes congenital muscular torticollis? It is traditionally thought to be due to trauma at birth, that causes bleeding in the muscles of the neck, usually the Sternomastoid muscle. The hematoma (blood clot) within the muscle scars down over time, causing the muscle to shorten, thus pulling the head to the typical tilted position. Sometimes, there is an associated mass that can be seen or felt within the Sternomastoid muscle, and usually thought to be a hematoma that is in the process of forming scar tissue. This mass usually disappears by 3 months of age. More recently, it has been postulated that the sternomastoid muscle shortens as a result of scarring due to an intrauterine vascular disturbance. Still others think that it is due to intrauterine position of the head causing fibrosis or shortening of the muscle. What are the symptoms?

14. National Infant Torticollis Association the generous contributions of it s members. For technical problems with this website contact webmaster@infanttorticollis.org. http://www.infant-torticollis.org/

Working toward a straighter tomorrow...One child at a time. Home About NITA Contact Us What is Torticollis? ... 2004 Survey Results NITA is a parent led, all volunteer 501(c)3 organization dedicated to providing information on infant forms of torticollis. Become a Member of NITA Make your voice heard by shaping the future of NITA! Member's Only Bulletin Board ASK QUESTIONS on our Bulletin Board Share your thoughts, and help others! Participate in our 2004 Survey We are gathering information to present to healthcare professionals in conjuction with requests for early diagnosis and treatment. The information on this website is not intended to take the place of medical advice. You should consult with your child's physician for diagnosis and treatment and you should not attempt any home treatment program without medical consultation. Funding for this website has been provided by the Everett Family. NITA receives funding from sales generated thru it's association with Amazon.com and by the generous contributions of it's members. For technical problems with this website contact : webmaster@infant-torticollis.org

15. Soft Tissue - Congenital Muscular Torticollis | Warren Hammer, MS, DC, DABCO Soft Tissue. Congenital Muscular torticollis. Congenital muscular torticollis (CMT) refers to a shortening of the sternocleidomastoid (SCM) muscle in an infant. http://www.chiroweb.com/archives/12/26/21.html

Dynamic Chiropractic December 16, 1994, Volume 12, Issue 26 Printer Friendly Version Email to a Friend Search ChiroWeb! Other MPAmedia Alternative Health Site Links Acupuncture AcupunctureToday.com Massage Therapy MassageToday.com Warren Hammer, MS, DC, DABCO Soft Tissue Congenital Muscular Torticollis Congenital muscular torticollis (CMT) refers to a shortening of the sternocleidomastoid (SCM) muscle in an infant. It is a condition that responds very well to a stretching program and spinal adjustments. The most common causes are considered to be due to intrauterine malposition and/or birth trauma since CMT is more frequent after breech presentations1 and congenital hip dysplasias.2 In rare instances bony anomalies of the cervical spine such as Klippel-Feil syndrome3 or ocular imbalance might be causative. Other possibilities are spontaneous subluxation of a cervical vertebra, cervical adenitis secondary to upper respiratory tract infection, unilateral soft tissue infection, neck tumors, myositis or disease of the basal ganglia.3 Turek3 feels that every case of torticollis deserves roentgenographic study before treatment is instituted. Often a fibrous mass may be palpated in the SCM. The mass, which may the result of venous occlusion during the birth trauma, usually appears within three weeks after delivery and attains maximum size by one month.4 The infant will show the typical head position of head tilt toward the side of shortening and contralateral neck rotation. The face and even the skull may appear asymmetrical. While spontaneous recovery may occur, if left untreated, the cervical fascia and scaleni muscle may contract and a cervical and thoracic scoliosis may develop.3,5 Infants treated before one year of age had better results.6

16. Acute Torticollis -- A New Approach To Treatment | Shahriar Karimi, DC Acute torticollis a New Approach to Treatment. Abstract. A case history of a 23year-old male with a traumatic acute spasmodic torticollis is presented. http://www.chiroweb.com/archives/10/02/22.html

Dynamic Chiropractic January 17, 1992, Volume 10, Issue 02 Printer Friendly Version Email to a Friend Search ChiroWeb! Other MPAmedia Alternative Health Site Links Acupuncture AcupunctureToday.com Massage Therapy MassageToday.com Acute Torticollis a New Approach to Treatment Abstract A case history of a 23-year-old male with a traumatic acute spasmodic torticollis is presented. The symptoms diminished very quickly with chiropractic care with an emphasis on physical therapy and cervical spine adjustments. Introduction Torticollis is caused by spasm of the neck muscles which causes rotation and tilting of the head.1 The spasm can be quite severe, not allowing the patient to move his head to a normal posture. But in the doctors office, the spasm can be helped by physical therapy modalities.2 We have found that by coupling interferential muscle stimulation with cryotherapy and range of motion exercises, followed by spinal manipulation, patients will enjoy normal motion very quickly. With continued care, the patient can resume normal activities more rapidly than without the above care. Case history A 23-year-old Caucasian male presented at our office seven days post-injury with his chin approximating his right shoulder. He had severe pain worsened with any cervical spine motion and was unable to raise his head to a neutral position. He was the driver of a vehicle which was broadsided on the left side of his car by another vehicle. He was treated by paramedics at the scene and taken home by a friend. His symptoms worsened to the point where he presented for treatment.

17. The Family Village - Spasmodic Torticollis Sections include contact information, message board and web site links. http://www.familyvillage.wisc.edu/lib_spa-tort.html

Spasmodic Torticollis Who to Contact Where to Go to Chat with Others Learn More About It Web Sites ... Search AltaVista for "Spasmodic Torticollis" Who to Contact National Spasmodic Torticollis Association 9920 Talbert Ave #233 Fountain Valley, CA, 92708 1-800-HURTFUL (487-8385) E-mail: nstamail@aol.com Web: http://www.torticollis.org/ Where to Go to Chat with Others Spasmodic Torticollis Bulletin Board Learn More About It What is Spasmodic Torticollis? Web Sites National Spasmodic Torticollis Association SpasmodicTorticollis.org Spasmodic Torticollis - United Kingdom Back to [ S - T Family Village Home Library Coffee Shop ... Information by familyvillage@waisman.wisc.edu Document Source: http://www.familyvillage.wisc.edu/lib_spa-tort.html

18. Understanding Spasmodic Torticollis, Cervical Dystonia Welcome to the National Spasmodic torticollis Association. Understanding Spasmodic torticollis. Spasmodic torticollis (ST) is a painful http://www.torticollis.org/understanding.html

Welcome to the National Spasmodic Torticollis Association Understanding Spasmodic Torticollis Spasmodic Torticollis (ST) is a painful and debilitating neurological disorder. It is also known as "Cervical Dystonia," and many people also call it just "torticollis." Approximately 3 in every 10,000 people - about 90,000 people in the United States - are known to suffer from ST. This movement disorder is caused by a dysfunction of the brain. The symptoms are caused by intermittent or sustained contractions of the muscles around the neck which control the position of the head. This causes the head to lean to one side, or be pulled forward or backward. The shoulders may also be uneven and some patients experience tremors in the head or arms. ST is usually accompanied by constant and extreme pain. Although it's not related, ST can resemble other disorders including Parkinson's disease, epilepsy, muscular dystrophy and wry neck (an acute episode of pain and spasm in the neck that resolves itself in days or weeks.) ST can limit a person's ability to function, but it's a localized disability which does not affect other body systems. Because it can be more severe during times of anxiety or stress, ST was once thought to be a psychiatric disorder. Research has shown, however, that while ST does indeed seem to originate in the brain, it is clearly a neurological disorder rather than a psychiatric one.

19. Donders' Law In Torticollis Abstract of an article that appeared in the Journal of Neurophysiology, Nijmegen Institute for Cognition and Information. http://www.nici.kun.nl/Publications/1999/13474.html

NICI Publications Information News ... Search Reference Medendorp, W.P. Van Gisbergen, J.A.M. Gielen, C.C.A.M. Journal of Neurophysiology, 82 Abstract About this site... This page was rendered at 13-05-2004; 08:04:53.

20. Torticollis torticollis. DESCRIPTION Rotation and tilting of head caused by primary pathology of the neck muscles or secondary to head and neck disorders. The condition may be congenital or acquired. System(s) http://www.5mcc.com/Assets/SUMMARY/TP0928.html

Torticollis DESCRIPTION: Rotation and tilting of head caused by primary pathology of the neck muscles or secondary to head and neck disorders. The condition may be congenital or acquired. System(s) affected: Musculoskeletal, Nervous Genetics: No known genetic pattern Incidence/Prevalence in USA: Uncommon Predominant age: Congenital - newborn Acquired - under age 10, and adults 30-60 Predominant sex: Male = Female CAUSES: Congenital Injury to sternocleidomastoid muscle on one side at birth Possible malposition of head in utero Prenatal injury Acquired Muscular damage from inflammatory disease (myositis, lymphadenitis) Cervical spine injuries Ocular disorder Organic CNS disorder Psychogenic Tumor Cervical spondylosis Vestibular dysfunction Synonyms: Spasmodic torticollis Wryneck ICD-9-CM: 333.83 Spasmodic torticollis 754.1 Certain congenital musculoskeletal deformities of sternocleidomastoid muscle 300.11 Conversion disorder REFERENCES: Salter R. Clinics of North America August 1996;43(4):919-31 Tachdjian M: Pediatric Orthopedics. 2nd Ed. Philadelphia, W.B. Saunders Co., 1990 Wenger DR, Rang M: Art and Practice of Children's Orthopedics. New York, Raven Press, 1992

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