Torticollis: Difference between revisions

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''Pain control and muscle relaxation''
*[[Opioid]] (e.g. 1-2 tabs of [[Norco]]) +/- [[benzodiazepine]] (e.g. [[Ativan]]) PO
*Muscle relaxants  
*Muscle relaxants  
*Botulinum toxin
*Botulinum toxin
*Physical Therapy
*Physical Therapy
*Normally outpatient
*Normally outpatient

Revision as of 17:11, 25 September 2015


  • Common term for various conditions of head and neck dystonia
  • spasmodic torticollis is an abnormal contraction of the muscle in one side of the neck.
  • Idiopathic (80-90%)

Clinical Features

  • Painful neck with inability to fully range laterally

Differential Diagnosis

Neck pain

  • Anterior horn disease
  • C1 and C2 fractures
  • Radiculopathy


  • Clinical Diagnosis
    • Consider cervical X-ray to rule out fracture or dislocation (unlikely to be necessary if no midline tenderness or history of trauma)



Pain control and muscle relaxation


  • Benztropine
  • Muscle relaxants
  • Botulinum toxin
  • Physical Therapy


  • Normally outpatient

See Also


  • UptoDate
  • Medscape