How to treat torticollis

summary

Now most of the people are sitting in front of the computer, and many of them bow their heads. More and more people are sitting upright, and then they become more and more inclined. So now many people have problems with torticollis, but torticollis is also very serious. Let's share with you the common problem of how to treat torticollis!

How to treat torticollis

First: drug therapy botulinum toxin injection therapy is a major breakthrough in the drug treatment of spastic torticollis, most cases after intramuscular injection of botulinum toxin treatment, can get 3 to 4 months of significant remission, some patients produce anti botulinum toxin antibody and gradually ineffective treatment. There are also some patients who have no response to botulinum toxin treatment. In addition, it is difficult for some patients to maintain the treatment.

Second: drug therapy, mainly botulinum toxin injection therapy, no longer has satisfactory effect, or has serious side effects. Surgery can only be considered 4 months after botulinum toxin treatment is invalid. The course of disease is more than 1 year, preferably more than 3 years, the clinical symptoms no longer progress. The symptoms of dystonia are limited in the neck, at least mainly in the neck. The best surgical indications were rotation type, lateral contracture type and bilateral head supine type. The former is suitable for triple operation, and the latter is suitable for selective suboccipital myotomy. The effect of selective peripheral neurotomy is the most satisfactory for rotary type or combined with slight flexion or supination.

Third, if the symptoms can be improved by blocking bilateral sternocleidomastoid muscles with 1% lidocaine, bilateral accessory nerve transection or bilateral sternocleidomastoid muscle transection can be considered. However, flexion torticollis often involves the deep anterior cervical muscles, and the surgical effect is not good. There is a history of surgery, there are fibrosis or joint disease, poor surgical effect.

matters needing attention

Now the medical technology is so developed, when we find spasmodic torticollis, we should go to the hospital as soon as possible to make a detailed diagnosis. If we can do surgery as soon as possible, it will be good for our condition, otherwise it will only deepen our own condition if we drag on.