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TorticollesTorticollis (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.

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Yours in Health, Naturally!

Dr. Gould