Understanding Torticollis and the Role of Chiropractic Care in Neck Pain Relief

Torticollis, often referred to as “twisted neck,” is a condition commonly discussed in chiropractic circles. It manifests as muscle spasms that cause the neck to pull to one side, affecting both children and adults. While we often hear about torticollis in infants—up to 16% of newborns experience it due to the challenges of birth—adults are not immune. In fact, it’s estimated that 90% of people will experience at least one episode of torticollis in their lifetime, often triggered by injury or trauma.

In most cases, the pain and disability from torticollis resolve within one to two days. However, when symptoms persist, healthcare providers must consider deeper underlying issues, such as neurological conditions like dystonia, which can cause muscle spasms.

A Case Study: A Unique Adult Torticollis Experience

A recent case report from the Journal of Contemporary Chiropractic shed light on a particularly interesting instance of torticollis in a 23-year-old female patient. Despite seeking help from over thirty different providers throughout her life, her right-sided torticollis remained untreated effectively, severely impacting her daily activities, from dressing to household chores.

The patient’s journey began with a challenging birth via C-section, followed by two motor vehicle accidents and various sports injuries. Upon examination, the chiropractor conducted a Rib Cage Compression Test and a full chiropractic assessment, discovering significant subluxations in the first through fourth costosternal joints on the right side. These subluxations caused muscle spasms and severely limited her range of motion, leading to pain and disability.

Chiropractic Intervention

The chiropractic care plan included specific adjustments to both the cervical and thoracic spine, targeting the affected rib areas. Utilising an activator, the chiropractor aimed to correct these subluxations and restore balance to the patient’s musculoskeletal system.

Throughout the treatment, the chiropractor monitored the patient's alignment while she walked. Notably, her alignment shifted as expected, given her long history with torticollis. To aid in recovery, the chiropractor recommended a brace to help maintain rib alignment during strenuous activities.

Positive Outcomes

Remarkably, the patient experienced relief after her very first adjustment. Common complaints such as headaches and restricted range of motion began to resolve rapidly alongside her chiropractic care. While she continues to use a rib belt for support during physical activities, she has not experienced a return of her head tilt or restricted motion.

This case underscores the importance of addressing potential underlying issues—like rib and chest alignment—in treating torticollis. The ribs play a crucial role in our movement and respiratory function, and their relationship with the scalene and costosternal muscles can significantly affect one’s well-being.

Woman training on exercise ball in a pilates train

The Power of Chiropractic Adjustments

Chiropractic care can be life-changing for those suffering from torticollis and related neck pain. By focusing on comprehensive assessments and targeted adjustments, chiropractors can often identify root causes of discomfort that other practitioners may overlook.

If you or someone you know struggles with neck pain, including conditions like torticollis, consider consulting a chiropractor. Effective adjustments can pave the way for relief and a better quality of life, allowing individuals to resume their daily activities without discomfort.

Torticollis is a common but often misunderstood condition that can significantly impact daily life. With proper chiropractic intervention, many patients can find relief from chronic symptoms, as demonstrated by the case of the young woman discussed.

The adjustments made by a chiropractor not only alleviate pain but can also address the underlying structural issues contributing to neck discomfort. If you're experiencing persistent neck pain, don't hesitate to reach out for help. Your journey to relief could start with a simple adjustment.

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