Torticollis (Wry Neck)

A person with torticolles typically enters my office with his head tilted to one side and is able to turn his head in one direction but not the other. The pain initially is mild but becomes intense as time passes. This can actually happen at any age. Some people are born with it. Torticollis usually has an insidious onset. Sleeping funny or having your head turned to one side for a prolonged period of time. In fact, initially most people think they just have a crick in their neck.

The problem in the majority of cases begins at the spinal joints or facets. When the spine is put into rotation for a prolonged period of time, this causes the affected spinal joints to separate. This separation causes the capsule to stretch. As the spinal joint surfaces get pulled apart, the surrounding capsule can be pulled into the joint due to a negative pressure. Once this occurs, the joints are now able to “pinch” the capsule. This pinching in turn causes the muscled that cross that joint to go into spasm which causes more pinching. This in turn causes more spasm. This is why the pain tends to spread over time and is always on one side. Warning: Get this treated ASAP.

I hope this post has been helpful.

Yours in Health, Naturally!

Dr. Gould

Below are a few tips when selecting a pillow:

1. When choosing a pillow, be selective. When lying on your side, your head and neck should remain level with your mid and lower spine. When lying on your back, your head and neck should remain level with your upper back and spine. In other words, your pillow should not be so thick that it causes your head and neck to be propped up or angled sharply away from your body.
2. Be wary of pillows that are made out of mushy foam materials. The weight of your head can displace this kind of foam, leaving little support. Choose firmer foam and materials that press back and support the head and neck.
3. If you find yourself sleeping on your side with one hand propped under your pillow, that’s a clue that you’re not getting the support you need from that pillow.
4. There is no such thing as a universal fit when it comes to pillows. We are all different! Find one that is consistent with the shape and size of your body.

If you currently have neck pain and find that you are doing all of the above correctly, I would advise you to give me a call to set up an appointment to be evaluated.

Yours in Health,

Dr. Gould