12 May

Torticollis - the causes of , symptoms and treatment

Contents:

1. Causes of torticollis in newborns

2. symptoms and progression of the disease

3. torticollis treatment in newborns

4. spasmodic torticollis

Torticollis - a neck strain, causing incorrect position of the head.The disease can be congenital or acquired.Krivosheya newborn is the third highest among all congenital abnormalities of the musculoskeletal system, second only to deformity and hip dislocation.Most often the disease occurs in girls.

Krivosheya in infants is characterized by a tilt of the head to the affected side.However, it turns a little person in a healthy way.Less common sided torticollis in newborns, in which the baby's head leans back.

most frequently diagnosed congenital muscular torticollis associated with the pathology of the neck muscles.In addition, the cause of neonatal torticollis sometimes wedge-shaped neck, cervical rib or developmental disorders of the cervical vertebrae.

Causes of torticollis in newborns

lot of muscles located in the neck th

at are involved in the formation of head position and movement.There paired sternocleidomastoid (sternoclavicular-mastoid) muscles are attached at one end to the breastbone and collarbone, and another - to the mastoid process of the temporal bone.Muscular torticollis in infants emerges from the fact that on the affected side is shortened sternocleidomastoid muscle.Changing the length of the muscle is caused by different factors, such as its underdevelopment or birth trauma.As a result of shortening of the sternocleidomastoid muscle in a child develop the spine changes, collarbone and the skull.

main causes of neonatal torticollis:

  • pathology sternocleidomastoid muscle;
  • birth trauma as a result of which there was a break sternocleidomastoid muscle fibers;
  • chronic inflammation in the muscle;
  • poor blood supply to the sternocleidomastoid muscle;
  • long inclined position of the fetus in the womb, at which the shortening of the sternocleidomastoid muscle.

Symptoms and development

Torticollis disease in newborns has distinctive features.The baby's head is tilted to the affected side and slightly anteriorly.Person unfolds in a healthy way.There is an asymmetry of the face and skull, shoulder girdle elevation of the affected side.The child patient observed cervical scoliosis, asymmetry of the head and neck.

usually muscular torticollis in infants invisible in the first ten days of their life.But in the 15-20 th day and there is a seal in the thickening srednenizhney or the middle part of the sternocleidomastoid muscle.Gradually change progresses, the symptoms become more pronounced torticollis newborn.

Some children aged 2-12 months and thickening of the muscles of the seal may disappear on their own.But many babies, the disease progresses, muscle elasticity is reduced, it is compressed, it becomes thinner, lagging behind in growth from the muscles on the opposite side of the neck.Defects of muscle development in infants with torticollis violate local metabolism.It contributes to the further aggravation of the disease.If you do not hold the appropriate treatment of torticollis in infants, by the age of 3-6 years, these children will be significantly expressed in neck strain.

torticollis Treatment of neonatal torticollis

Treatment can be conservative or surgical.The method of treatment is chosen depending on the child's age, degree of neck deformation state of the sternocleidomastoid muscle.

torticollis Early treatment makes it possible to completely eliminate the disease without surgery.The older the child is, the less effective is the conservative therapy of this disease.

Treatment of congenital torticollis begins in the hospital.The newborn is placed on the healthy side.Feeding is carried out in such a way that the baby turned his head to the affected side, apply massage sternocleidomastoid muscle.

After discharge from the hospital the child needs special medical gymnastics, massage.Assign the heating of the affected muscles.At the age of two months, the child is carried out electrophoresis with potassium iodide.Most children suffering from torticollis, prescribe wearing a collar Schanz or a special cap.

very important to a sick child to provide proper care.When laying in bed you need to keep your baby's head in the right position.In the case of torticollis in a newborn, it can not be kept in an upright position early.With timely, proper treatment of neonatal torticollis, it is possible to achieve the complete elimination of the pathology to 5-6 imesyachnogo age of the child.

Surgical intervention is necessary in severe torticollis in a child older than two years.During surgery lengthen the sternocleidomastoid muscle on the affected side.After the operation for six months, the child should wear a special headholder.It is also prescribed exercise therapy and physiotherapy.

spasmodic torticollis spasmodic torticollis

referred to as the most common form of dystonia (increased muscle tension).This deformation of the neck, which is characterized by a deviation of the head from the middle line of the body.The cause of cervical dystonia are muscular contraction as a result of organic lesions of the central nervous system.

voltage boost, spontaneous movements affect the muscles of the neck and nape of the neck.They cause the pan and tilt head forward, backward or sideways.Muscle tension for a long time causes pain, often very high intensity.We suffer from spasmodic torticollis force of muscle contraction is very high.The movement can not be stopped with the help of passive resistance.

first disease symptoms are most often between the ages of 30-50 years.In women, the disease is twice as often than men.

Many patients with spasmodic torticollis is accompanied by some dystonic symptoms such as tremors, facial spasms, dystonia and other foot.The symptoms of torticollis aggravated by movement or stress.

disease usually develops gradually over several weeks or months.The greatest complications occur in 4-5 years from disease onset.

torticollis Treatment of this type is rather complicated.Primarily used drugs, whose action is directed to the removal of muscle spasm.

After that, for the normalization of the spine functions prescribed methods of acupuncture and manual therapy.The patient torticollis recommend special exercises and massage.

In severe cases, the only treatment may be surgery.

Attention!

This article is available exclusively in the educational purposes and is not research material or professional medical advice.

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