Is antispasmodic therapy for torticollis?

In the case of spastic torticollis, medication should be administered first. When the symptoms develop to a certain extent, or when the conservative ** effect is getting worse and worse, surgery ** can be selected, which is still in the development stage, and there is no standard surgical method. The key to surgery is to build on the understanding of spasmodic muscle groups, and among the current international popular surgical methods, selective peripheral neurotomy is the most popular, bilateral cervical rhizotomy and accessory nerve microvascular decompression are still selected by some doctors.

The triple surgery and selective posterior neck extensor muscle extermination advocated by Professor Chen Xinkang in China have also achieved good results and are widely used in China.

1. Drugs**.

Botulinum toxin injection** is a major breakthrough in the drug** spastic torticollis, most cases can be significantly relieved by intramuscular botulinum toxin injection** for 3 to 4 months, and some patients develop anti-botulinum toxin antibodies and gradually fail to do so. There are also some patients who do not respond to botulinum toxin**. In addition, some patients have difficulty maintaining this**.

Other drugs and physics**, the initial drugs** are anticholinergic drugs such as trihexyphenidyl (trihexylfendi), diazepam drugs such as diazepam, the above drugs can make some relief of spasmodic torticollis when applied in large doses, *** is also obvious. In addition, long-term physical** and biofeedback** may also improve the symptoms of mild spastic torticollis.

2. Surgery**.

1) Indications and contraindications:

Drugs**, mainly botulinum toxin injections**, no longer have satisfactory results, or have produced severe ***, and surgery can only be considered 4 months after botulinum toxin ** is ineffective.

The course of the disease is more than 1 year, preferably more than 3 years, and the clinical symptoms do not progress again.

Symptoms of dystonia are confined to the neck, or at least predominantly neck.

The best indications for surgery are rotation, lateral spasm, and bilateral head tilt. The first two are suitable for triple surgery, and the latter is suitable for selective suboccipital muscle resection. Selective peripheral neurotomy is most satisfactory for rotational or its combination of mild anterior or posterior flexion.

I don't know you can try.

Spastic torticollis cannot be completely ** at present, and the clinical symptoms are mainly improved by conservative** and surgical**, as follows:

1. Conservatism**: Clinical symptoms can be significantly improved through conservatism**, such as local injection of botulinum toxin can improve muscle spasm.

2. Surgery**: Surgery mainly includes accessory nerve and upper cervical rhizotomy and thalamic lesions, which can significantly improve the patient's clinical symptoms, but still cannot completely**.

If spastic torticollis is an unexplained central nervous system lesion, it causes paroxysmal involuntary contractions of the neck muscles, resulting in spasmodic tilting of the muscles. Most cases occur in middle-aged or older women or patients with a family history, and patients will have involuntary contractions of sternocleidomastoid muscles, trapezius muscles and other muscles.

At present, there are three main types of spastic torticollis: drugs, botulinum toxin injections and surgery. Commonly used drugs include anticholinergics, benzodiazepines, bachonofin, etc. Medications** have some effect, but their effect on improving symptoms is limited and short-lived.

Drugs** are generally used to adjuvant botulinum toxin, and although there is no experimental evidence of a synergistic effect between the two, high doses and high frequency injections of botulinum toxin produce neutralizing antibodies. The specific use of the drug may be to prevent this complication. Compared with the previous method, botulinum toxin increased the rate of symptom improvement in a short period of time.

However, botulinum toxin injections can only provide temporary relief of symptoms and many complications, and repeated use can produce anti-botulinum toxin antibodies, so the long-term effect is not ideal. Botulinum toxin injections require attention to the identification of pain sites and muscles causing abnormal posture, and require the injector to have a good understanding of the role of the muscles in the neck. Patients with severe spastic torticollis that seriously affect their life and work can choose surgery**, and at present**, there are several commonly used surgical methods for spastic torticollis.

People with spasmodic tilting have a slower onset of symptoms, with the head rotating to one side and the neck flexing to the other. These symptoms may be exacerbated by emotional agitation and may disappear completely by the time the person falls asleep.

Traditional Chinese medicine can be used** one-to-one targeting**.

I ate the ancient antispasmodic soup and ate it well, and I have been eating it for four months.

Spastic torticollis is the most common type of focal dystonia, occurring in people around the age of 30 to 40.

The clinical manifestations are that the neck muscles are subjected to abnormal discharge of the central nervous system, resulting in involuntary contraction, resulting in spasmodic twisting, skewing and abnormal posture of the head and neck, which can be accompanied by spasmodic pain of the corresponding muscles, usually involving the sternocleidomastoid muscle, trapezius muscle, cephalic clamp muscle and levator scapulae muscle.

Congenital torticollis generally refers to a deformity in which the neck is tilted to one side immediately after birth.

Among them, those caused by muscle lesions are called congenital myogenic torticollis, and those caused by skeletal development deformities are called congenital osteogenic torticollis. Congenital torticollis has an early onset and uninterrupted or sustained involuntary muscle contractions, which can be distinguished from spastic torticollis.

Spastic torticollis often cannot heal on its own, if it is not timely and effective, spasmodic torticollis will become more and more serious, and bring great pain to the patient's life, seriously harm the patient's physical and mental health, therefore, for spasmodic torticollis, once found, you should go to the hospital in time.

At present, symptomatic injections** such as botulinum toxin injections are mostly used.

Oral medications, surgery, etc., are aimed at relieving symptoms, improving quality of life, and preventing complications.

Due to individual differences, there is no absolute best, fastest and most effective medication, except for commonly used over-the-counter drugs, the most appropriate drug should be selected under the guidance of a doctor in full combination with individual circumstances.

Patients should pay attention to correcting bad habits and wrong posture in daily life, keep the neck relaxed, and carry out muscle function training under the guidance of doctors.