Krivoshia. Causes, signs, methods of exaltation. Torticollis in newborns, spastic torticollis. Mechanisms of development and provocative factors of torticollis in mature adults: treatment methods, prevention, prognosis of torticollis in mature adults

Krivoshiya is a congenital chi nabute ill young child's age, which is the cause of the curvature of the shi as the wrong position of the head nabіk y ubіk.

Boreden's torticollis is more often stuffed. The frequency of occurrence of these anomalies takes one of the last few months of the average for the development of the musculoskeletal apparatus. Statistical data show that wryness is blamed more often on boys, and the turn of the shoulder on the right side is more important.

What causes torticollis?

For current evidence, the blame for any anomalies in development has not yet been sufficiently explained. Iznuє two main reasons for the development of torticollis.

1. Damage to the structure or deformation of one or a few ridges. The deformation of the ridge can be wedge-shaped, so it sounds one beat. At whom the minds are created, at some wildly rotting other neck ridges. Shia, at times you take the wrong place.
2. Damage to the development of the sternocleidomastoid muzzle from one side of the shi. In normі tsі m'yazi may be but rozvinenі rіvnomіrno, yak and vyznaє straight position of the head. With torticollis, one of these m'yazіv is short for the other.

It was brought to blame for the development of torticollis in neurogenic diseases, with anomalies in the development of the vessels of the neck, bones and soft tissues. Luckily, among the main reasons that call for torticollis, the most common of all reasons is insignificant.

Signs of torticollis in newborns

When people are born, the child looks completely normal, the head turns freely to the sides of the body. And yet, on the 2nd or 3rd of December, with a respectful glance, you can remember that the child’s head is turned at the right hand side. In this period, changes begin to appear on the side of one of the sternocleidomastoid malignancies, so that they begin to be stepwise short and even miss, then they are clearly sweating.

The sternoclavicular-nipple-like mass, as can be seen from the name, attaches to the same brushes of the head, chest and collarbone. The main її funktієyu є zginannya head at its own bik, and one hour turning at the opposite bik. With a direct straight line, the heads of the insulting m'yazi perebuvayut at the relaxed stand.

The more an hour passes without taking any jubilant procedures, the more clearly and more clearly the symptoms of congenital malignant torticollis begin to appear. Approximately on the third month of life, pathological changes in the m'yaz recognize significant changes, are strongly growing and short. Tse negainno is seen not only on the head of the afflicted m'yaz and the turned faces of the proliferating bek, but also other characteristic symptoms appear.

• There is asymmetry shiї, disguise.
• On the side of the strike, stand more straight on the opposite side.
• May develop curvature of the vertebral column as cervicothoracic scoliosis.

Shortening of the sternocleidomastoid m'yaz pulls the clavicle and nipple-like wind behind it, after which the stench is deformed. The upper and lower slits develop incorrectly.

Diagnosis of torticollis

Diagnosis of congenital malignant torticollis is invariably associated with clinical symptoms of illness and an objective medical examination of the patient.

Earlier, on the 2nd or 3rd day, the appearance of the first symptoms of the disease is clearly indicative of congenital pathology.

In case of physical obstruction, the pediatrician covers the area of ​​the neck for the presence of an indentation in the area of ​​rosacea of ​​the sternocleidomastoid muzzle. When you are drunk, turn to the doctor, when you try, turn your head in a straight position, the child starts crying, screaming. To straighten the position of the head, one should not be aware of the significant shortness of the sternocleidomastoid muck.

X-ray follow-up
For clarification of the diagnosis, as well as for the diagnosis of possible cystic pathologies, which caused the appearance of torticollis, to remove a sprat of x-rays.

On roentgenograms, it is possible to show an irregular shape of the neck ridges (the presence of an additional wedge-shaped ridge, or deformation of the other neck ridges). Also, on the signs you can remember the frequent growth of the neck ridges, which led to the appearance of torticollis.

Otrimanі vіdhilennya shiї zustrichayutsya in such vipadka:

• With spasm of the cervical muscles, which surrounds the turn of the head. The movements of such ailments do not conform to their will.
• In the case of the opіkah of those other ushkodzhennyah, the shkіri in the dilyantsі shiї.
• After igniting processes in the cervical lymph nodes.
• With Grisel's ailment. Changing the normal position of the first cervical ridge (atlanta) in case of flare-ups of the pharynx and nasopharynx. Usunennya Atlanta pulls behind him and the frail camp of the head.
• Ridshe trapleyaetsya torticollis at the burning sickly camps of the neck m'yazyv (mialgiya).

Krivoshia's exuberance

Choose the method of likuvannya to lie down in the stage of fastness of the sternocleidomastoid meat, and also in terms of the cob of likuvalny entry.

Jubilation should be done once again after an accurate diagnosis has been made. If the pathology is not related to the deformity of the neck ridges, then it can be repaired from simple methods of conservative therapy.

Conservatively, the jubilation is carried out in stages, fallow in terms of the cob of the likuvalnyh procedures.

• Carry out special gymnastic exercises with the right, directing to the examination of that stretching of the pathologically changed sternocleidomastoid muzzle. Gymnastics is performed 3-4 times a day, stretching approximately 5-10 strands and bending in head turns to the right and left side.
• Periodic light massage of the cervicothoracic region in the course of the procedures that are warmed up, to improve the development of the pathological shortening of the affected mass.
• The child needs to be properly placed at the bedside. For this child, they lay down to that edge of the bed near the bik, like a win, turn their head, so that the bik has a healthy m'yaz. With the sounds of the child's teasing, you need to turn your head at the beak of the shortened meat, at your head you hope to get the right place. Trivale perebuvannya in such a position is allowed to properly develop however, the sternoclavicular masses from both sides.
• Vikoristannya komira from cardboard with a cotton-gauze lining to allow trimming the head straight.

Starting from the second month of the month, start zastosovuvati physiotherapy procedures with potassium iodide, which helps to improve the hardening of the affected m'yaz. It is also recommended to tie small bears with a squeak to the head, if the child is resting on the bed. To protect the head with the method of morning in the correct physiological position. Jubilantly come in to win the breaks at 3-4 months.

Even though conservative exuberance did not give good results until two years old, and the children’s fathers did not turn for help to the pediatrician, then in such a state they go to the gypsum of the gypsum comirs. Gypsum collars fix the head, neck and toelub, and change through the equal intervals of the hour on the new, fallow due to the success in correcting the position of the head.

Operation for torticollis

With the failure of conservative treatment, the need for surgical intervention is put in place. The operation is carried out under general anesthesia, and does not show that there were no difficulties.

The essence of the operation is near the bottom of the sternocleidomastoid nipple, with which the minds are created for the lowering. If necessary, plastic surgery on pathologically changed m'yazy is suggested.
After the operation, a cardboard wadded-gauze comir is put on the sprat. Then we will pick up a new plaster cast.

Post-operative care of the patient is weak at periodic head turns (through the skin 7-10 days), frailty at the opposite side of the deformity. Danny come in to spend until the feast, until there is no more wounded operative wound, and there will be no fixation of the head in a normal position. If you know a plaster bandage, then carry out a course of massage and occupation with a jubilant physical culture.

The transitional period is reachable for many months, until new movements for the child are born, and the coordination of the head and body is not expected.

Prevention of torticollis

Why blame the wryness of the new people?

Main causes of m'yazovoi torticollis:

• vrodzhene underdevelopment of the nodding m'yaza;
• opening the fibers of the nodular meat at the hour of the people - birth trauma;
• ignition of nodding m'yaz;
• damage to the blood supply of the nodding m'yaza on one side.

M'yazova torticollis is the widest, but the only form of torticollis in new people. Radical causes of illness:

• Anomalies of the high ridges. Stink can mother wrong ( cuneiform) shape, different sus_dn_ ridges grow among themselves.
• Klippel-Feil syndrome- Spadkov’s illness, when the ridges grow among themselves, or their savage population changes. Give respect to the short and low-rise neck of a child. It is important to diagnose Klippel-Feil syndrome in an hourly manner, shards of wine can be accompanied by other types of development.
• Severe illness of the nervous system. For example, swellings of the head and spinal cord.

Likuvannya krivosha zavzhdy is guilty of lying due to її reasons. For example, gymnastics, as it helps with m'yazovіy torticollis, is not effective and it's not safe, as it zastosovuєtsya in children with Klippel-Feil syndrome.

What is such a wryness? What are the reasons?

Pridbana torticollis is the result of illness and injuries, stuffed with protracted life. The main varieties of stuffed torticollis:

• Inadequacy of m'yazіv shiї- trapezium-like and sternoclavicular-nipple-like, - on one side.
• The rise of the mountain ridges– arthrogenic(associated with the pathology of the humus) torticollis.
• Hearing loss. At the same time, a person is constantly embarrassed to turn and heal his head in that same beak, so that it’s better than bachiti and a little. This type of torticollis is a compensatory reaction.
• Scar on the shkіrі. For example, after opikiv. Vіn encircle ruhi shiї and heads, zmushyu constantly trimat їх bent in one beak.
• Neurological illness. In case of damage to the brain or spinal cord, nerves from one side, on the affected side, the tone of the m'yazyv decreases and the fragility is intermingled.
• Spastic torticollis.
• Trivale vimushene camp of the head, if it is possible to bring up a fast trim її shabby and turned into one beak. Tse buvae people of various professions.

The exultation of the full torticollis, like i, like congenital, is the cause of illness.

Why is torticollis so spastic?

Spastic torticollis, or cervical dystonia, - Illness, which is the result of the strain of m'yaziv shi. Yogo causes the lack of good vivcheni. It is important that spastic torticollis is due to damage to the brain structures.

Spastic torticollis in figures and facts:

• Illness is caused by 1 person out of 10,000.
• Women are ill approximately 1.5 times more often than men.
• Cervical dystonia can be blamed on any other person. People of 30-60 years of age suffer the most.

Symptoms of spastic torticollis

With spastic torticollis, the head takes on a position of tension as a result of the tension of the muscles. You can blame the bіl head, bіl shiї, yak vіddaє in the shoulder. In some ailments, spasms of other diseases are blamed, as a rule, the appearance of that shoulder. Pain can be more painful, so that the ailing person’s practice decreases, and he falls into depression.

Likuvannya spastic torticollis

Cervical dystonia is forced to exult. There are a lot of medicinal preparations, which can zastosovat in case of any illness, may manifest side effects. Surgical treatment does not give the result forever.

Likuvannya method	Description
Botulinum therapy: Botox; Xeomin; Dysport; Myoblock.	Botulinum toxin, which enters the warehouse of these preparations, weakens the mucus and brings relief. Botulinum therapy is safe for spasmodic torticollis, good, but not good effect. Zvuchay іn'єktsії be brought to work on the skin for 3-4 months.
Drugs for Parkinson's disease	Often get stuck with botulinum therapy. Polypshuyut effect, ale often give side effects: destruction of dawn; destruction of the cuttings; problems from memory; dryness in the mouth.
Muscle relaxants (drugs that reduce the tone of the bone pulp): diazepam; lorazepam; clonazepam; baclofen.	Zastosovuyutsya infrequently, to those who are not more effective and give side effects, the most widespread of them: lightly suffocating sound (sedative effect); memory loss; disrupted coordination of movements.
Painkillers (analgesics)	Stop if spastic torticollis is accompanied by pain. Call the doctor to prescribe drugs and non-prescription drugs, and in case of severe pain - more pains, which are allowed for a prescription.
Likuvalna physical culture (LFK)	Correctly selected program is right to help change the voltage of the mind and increase the strength of the bug.
Surgical treatment	Even though medication does not help, the doctor may prescribe an operation, at the hour when the pain and nerves are relieved. Tse help, but not everyone.
Deep stimulation of the brain	Stops in severe depressions, if other methods of likuvannya do not help. The surgeon introduces a thin electrode near the area of ​​the brain, which helps to break the spasmodic mass, and helps to interrupt the pathological impulses.

How to choose a pillow during dahu?

In this hour, special orthopedic pillows are being developed for children up to the age of birth, which are recognized for the prevention and treatment of torticollis, rickets and other pathologies. In the case of exuberant physical culture and massage, such a pillow is supposed to bring melancholy, but in this plan, the thought of doctors is ambiguous.

Irrespective of the melancholy of orthopedic pillows for small children, the stench may be deaf. For example, deyakі z them mayut such a form, like a child already є shyny vagin of the ridge, wanting to be true in the norm її molding starts, if the child utrimuє head. For a young man, such a pillow will help you to put a strain on my shiї and bring shvidsche shkoda, lower melancholy.

Orthopedic pillow fixes the child in the position on the back - it is not good, as the baby often has tremors.

I will look at all the descriptions above to fix the orthopedic pillow varto only for the confession of the doctor. Appropriate model tezh may suggest a license.

• Napovnyuvach is guilty of easily skipping the turn - as a child’s sleep, the child can turn over to the bottom.
• Like a child often sees - obov'yazkovo say about the target healer. Lіkar or to please not vikoristovuvaty pillow zovsіm, or recommend a suitable model.
• The seams of the pillows are to be sewn in parts and tucked in the middle. Flip it, so that you remember nowhere without looking at the names.
• Napovnyuvach pillows can be hypoallergenic. The same materials are important, like foam polyurethane, holofiber, komforel, synthetic winterizer, latex.
• Pillow cover can be made from natural material, which can be easily worn: chintz, linen, batovni.

Yaki have the right to win when wry?

The most common rule of gymnastics in case of torticollis in a child is that it is only the doctor’s confession that is to be blamed. Right, as if to help stretch the sternoclavicular-nipple mass with m'yazovy torticollis, you can, on the contrary, worsen the camp with cystic pathology.

Head of gymnastics for torticollis in children:

• podovzhennya m'yaza;
• usunennya spasms;
• polypshenya krovobіgu and exchange processes in m'yazi;
• virіvnyuvannya tone sternoclavicular-nipple-like m'yazіv right-handed and levoruch, usunennya asymmetry.

Exercise therapy for torticollis in a child can be started in about a month of life. The complex has the right to pick up the drug fallow in the face of the baby. Gymnastics can be passive(if all the ruhi vikonuє the massage therapist is the mother of the child) that active(At the elder vіtsі - the child vikonuє ruhi herself). Sound jubilantly and have the right to have a massage.

Why is it necessary to wear a comir when you have a wry neck? How to choose yoga correctly?

In case of torticollis in a newborn doctor, you can recommend wearing a special orthopedic commissar. comir Shangqiu. Vіn helps to fix the head in the correct position, to use other methods of jubilation, helps to correct the wrong position of the head.

Rules for choosing and wearing comir Shants:

• Zastosovuvati yogo varto less for the confession of a doctor. How to draw in the child of Shantz's comrade, if there is no need in the new, for a trival hour, then we can bring the m'yaziv shii to a weakening. Little more piznishe trim your head.
• Follow the recommendations of the doctor with the drive of the one, if it is necessary to wear an orthopedic commander and for a little more than an hour. Call the doctor and recommend victorious yoga after physiotherapy, massage, exercise therapy.
• Komir Shantsa may be ordered strictly for rozmir. Even if the wine will be small or large, it will not be possible to secure a sufficient fixation of the head. Call orthopedic salons for models for newborns with a width of 3 to 5 cm.
• Marvel at the materials prepared by the comir. Vin may be sufficient, but not too hard, with a hood, which is easily erased and does not evoke teasing shkіri.
• Treat yourself seriously to hygiene. Komir Shantsa is forever guilty but we are clean, between him and shkir is not guilty of buti katishkiv and rubbish. Keep in mind that there was no embarrassment on the children's skins.

Komir Shantsa is good at treating torticollis in children of a young age only in other types of lunacy.

Qi roblyat electrophoresis with dahu?

Electrophoresis- a procedure, for an hour, two electrodes are applied to the skin, soaked in the mouth of a medicinal speech. Electric impulses are applied to the electrodes, from which the narcotic speech penetrates the shkir.

At cystic torticollis electrophoresis of marnium. At m'azovyі neurogenic may be effective in using other methods of laundering. Call to stop the preparations: papaverine, eufilin, lidase, iodine. The first two preparations help to relax the sternocleidomastoid mucosa, the other two - to heal the dissolution of scar tissue.

Other methods of physiotherapy that can be caused by torticollis:

• Іnfrachervone prominenya special lamps.
• Heat therapy: paraffin treatment.

How can there be traces of wryness?

Most often, at the right time on the cob, the glee with torticollis goes back. Vinyatok - Klippel-Feil syndrome. In case of any ailment, one should not go into sluggishness.

The ugly torticollis in children is threatening with various insults:

• In the course of time, the glee becomes more folded, to which the scarring changes in the sternocleidomastoid m'yazy grow.
• The growth of that development of the skull on the side of the wound is destroyed. The year of the appearance of a child becomes asymmetric Daedal.
• With torticollis, there is a rush of blood along the neck vessels to the brain. It manifests itself in the appearance of a headache, memory loss, respect, misery. The child is in line with the intellectual development of the same type.
• Through post_yny nahil head deformity of the trachea. The functions of the dichal system are disrupted, the child becomes more slender to the point of respiratory illnesses.
• As a result of torticollis in early age, the symmetry of the chest is broken.
• Deformation of the skull to cause partial inflammation of the paranasal sinuses (sinusitis), impaired hearing, skewed bones.

The sooner the exaltation is roaring - then the best effect is reached.

What is pardon wryness?

Razrіznyayut takі see krivoshiї, yak spravzhnya m'yazovaі hibna. When right in the sternocleidomastoid m'yazі є pathological changes, vin shortenings and for the ribs of which one beats the head in one beat. With mild torticollis stresses, but in itself there are no pathological changes, the primary cause of the problem is in the damaged function of the nervous system.

I’ll look around for an hour for the doctor to respectfully rozіbratisya, whether the crookedness is true or pardon. Vіd tsgogo zalezhateme likuvannya.

- tse ill, in case of any fear, he got his head hurt with a one-hour turn at the opposite side. Blame after pathological changes in the bones, nerves and soft tissues. Maybe be a congenital chi stuffed. It appears with a fixed or not fixed change in the position of the head. The last pathology may be deformity of the skull and ridge, neurological damage, damage to the intellectual development, decreased memory and respect, and impaired function of the breath. The diagnosis is made on the basis of physical examination data, radiographic results and other findings. It is a splendid tactic to lie down because of the causes of torticollis, it is possible, both conservatively, and operatively lykuvannya.

ICD-10

M43.6 Q68.0

Zagalni vіdomostі

Krivoshiy is a pathological camp, which is accompanied by a cheeky head with a one-hour turn to the next day. Є wide-spread pathology of newborns, prote can trapletisya and senior vіtsі. Includes a group of illnesses with similar symptoms. The cause of torticollis is the defeat of some of the anatomical structures of the neck, most of which are blamed for pathological changes in the division of the sternocleidomastoid mass. Children of orthopedists, child surgeons, infectious diseases, neurologists and other fahivtsy can take care of the causes of the development of ailment and torticollis.

Causes of torticollis

Boredena torticollis is formed in the intrauterine period. The reason for the development may be the wrong position of the fetus, the wrong mother's pelvis, infectious disease, dementia, and chromosomal mutations. Third for the breadth of the congenital anomaly of the cystic-mucosal system after the cliché-footedness of the congenital wivihu stegna. Girls suffer more often for boys.

The cause of the development of the torn torticollis can be pathological canopies, which are accompanied by wrapping around the umbilical cord, ischemia, or trauma to the neck. In the older one, the curvature of the head can be blamed for the aftermath of injuries, infectious diseases and ailments of the nervous system. The widest and easily forked by the shape of the full torticollis є curvature of the shiї as a result of the rotational movement of C1.

Symptoms of torticollis

Congenital variants of the disease include idiopathic, myogenic, osteogenic, neurogenic and arthrogenic forms of pathology.

Idiopathic torticollis- There is an insignificant non-fixation of the head. The reasons for the molding are unknown, the prote is installed, that the pathology is often blamed for the complicated canopies and pathological vaginess. On palpation, there is a sternocleidomastoid muzzle of a normal shape, which is resting at the station of the supramundane tension. In children with idiopathic torticollis, segmental insufficiency of the cervical spine and perinatal encephalopathy often also appear.

Myogenic torticollis- The widest form of torticollis. It develops as a result of the shortening of the sternocleidomastoid bone. Congenital m'yazova torticollis can be early and late. Early viyavlyaєtsya at the people, pіznya - vіkom 3-4 tizhnі. The reason for the development may be the transverse position or the pelvic diligence of the fetus, when the head of the child is often shattered up to the shoulder - this is the place that causes a decrease in elasticity and fibrosis of the m'yaz. When looking around, the baby's head is healed at the side of the affected meat and is torn to the protege.

On palpation, there is an even indentation of the m'yazovoi tissue and a locally indentation of a rounded shape between the middle and lower thirds of the m'yaza. Try passive ruhіv boluchі. Myogenic torticollis is unfavorable, which is the cause of the curvature of the ridge, damage to the development of the skull and the area of ​​the shoulder girdle. The guise of a child becomes asymmetrical, the brushes from the side of the wound are flattened, in the air, the eyebrows of that eye are lowered equally with the healthy half. Some people are afraid of bilateral myogenic torticollis, which is accompanied by a floppy head to the sternum and sharp colds.

Prydbana torticollis can be permanent, compensatory, reflex, traumatic and infectious. In addition, they see torticollis with puffy ridges; hysterical form of ailment, which in some cases can be seen in hysterical psychosis; dermatogenic torticollis, which is to blame for rough scars on the skin; desmogenic curvature of the skin, which is the result of inflammation and cicatricial degeneration of tissues (m'ulcers, ligaments, cells, lymph nodes); myogenic torticollis, which is formed after inflammation of the m'yazіv shії (myositis), that neurogenic form of illness, as it can develop with infantile cerebral palsy or as a result of a transferred neuroinfection.

Installing torticollis- it develops, like a child for a trivial hour, rests in the wrong position in a lizhechku. Pathological changes in organs and tissues daily.

Compensatory and reflex torticollis. Reflex curvature of the ear can be blamed for purulent processes in the neck dilatation, perichondritis of the ribs, inflamed nipple-like growth (mastoiditis) and middle ear (otitis media) - in such cases, to change the pain, the patient nahelya his head ubik . Compensatory torticollis can develop with skewed bones and ailments of the internal ear (labirintitis). For the first one, he has his head sharpened, allowing him to better vicorate the field of dawn, for the other - to change the confusion. Ruhi near the cervical spine in compensatory and reflex forms of torticollis in total obsession.

Traumatic cystic-suglobova torticollis- Vinikaє gostro, the cause is a fracture of the first cervical ridge. Accompanied by severe ailments, cold ruptures in the neck joint, pain on palpation, development of pyramidal insufficiency and bulbar syndrome. One more variety of nabutoj kіstkovo-suglobovoї torticollis є podvivih C1, which can be settled in any case, but is most often seen in children. The reason for the rise is a sharp turn of the head at the next hour to play sports.

Non-traumatic (infectious) cystic-globular torticollis- May be seen in osteomyelitis, cystic tuberculosis and tertiary syphilis. The reason for the development is the melting of pathological fractures of the cervical ridges.

Diagnostics

The diagnosis of congenital torticollis is established by a physician in the field of traumatology and orthopedics, pediatrics, child surgery on the basis of an anamnesis, given an examination of the results of radiography of the cervical spine. Under the hour of obstezhennya, the doctor’s illness is not so good, like boules - normal or pathological, if there were problems during the hour of pregnancy, if the fathers remembered the curvature of the shi - from the first days of life, through the singing period, it’s just an hour. To turn off the damage to the side of the nervous system, a neurologist's examination is prescribed. If necessary, evaluate the soft tissue structures of the child to send for MRI.

The use of diagnostic methods in cases of suspected torticollis should be taken according to the anamnesis and the nature of the pathology. X-ray dosledzhennya to enter obov'yazykovogo plan of obstezhennia, in case of which it can be recognized as radiography of the cervical spine, as well as radiography of the first or other cervical ridges. In case of skewness, consultation of an ophthalmologist is indicated, in case of suspected tuberculosis - consultation of a phthisiatrician, in case of suspicion of syphilis - consultation of a venereologist, in case of hysterical form - consultation of a psychiatrist.

Krivoshia's exuberance

Treatment of congenital myogenic pathology can be both conservative and operational. At the early stages, electrophoresis with lidase and potassium iodide, UHF, special correction and massage are carried out. Most often, for a complete diagnosis of the pathology, 5-6 months are needed. In case of ineffectiveness of conservative therapy, a surgical operation is carried out, changing the heads of the sternocleidomastoid mass. For example, the speed of the affected m'yaz to become 40 and more vіdsotkіv pіvnyа zі healthy side, to carry out plastic surgery. In the post-operative period, a plaster cast is applied, which is replaced by Shants's commander in a month. When nabutіy m'yazovіy torticollis, similar methods are used.

With congenital neurogenic torticollis, medical therapy, physiotherapy, exercise therapy and massage are required. In case of curvature of the neck, which is caused by a neuroinfection, antibiotics, muscle relaxant and anti-seizure drugs are prescribed. After the inflammation subsides, the ailing person is recommended to wear the comir Shangqiu and direct it to exercise therapy. In severe depressions, surgical correction is necessary.

With congenital osteogenic torticollis (Klippel-Feil disease), exercise therapy and massage are prescribed. To change the cosmetic defect, the upper ribs are highly ruffled. In case of traumatic deformity of the neck, which developed as a result of a fracture, tighten the loop of Glisson and the plaster bandage, if necessary, perform surgical operations. In case of torticollis after C1 substitution, traumatologists close the adjustment of Glisson's loops and impose a comir Shangciu. In the distant period after injury, for the presence of organic changes in the ridge, neck and shoulder girdle, electro-impulse therapy, electrophoresis, massage and exercise therapy are prescribed.

Desmogenic and dermatogenic torticollis are used in an operative way, with scar tissue and plastic surgery with auto-, alo-or xenografts. With puffiness and infectious lesions of the cysts, the treatment of the main pathology is reduced, and in the future, recovery operations are carried out.

Forecast and prevention

Prevention depends on the etiology of illness. The prognosis is to fall due to the reasons for the development and the trivality of the underlying pathology. More births and swollen forms of torticollis with early adequate lubrication are good for correction. Vinyatok - Klippel-Feil's ailment, for which the exchange of ruhiv is protected. Inappropriate curvature can cause damage to the development of a child, gross cosmetic defects and further disability. It is a vicious position to cause dystrophic degeneration of m'yaziv, overcoming the normal development of the skull and causing a progressive asymmetry of appearance.

Zayviy vice on the judge, which delivers blood to the brain, the back becomes the cause of migraine-like headache, and then - I damage to brain functions. Children suffer from intellectual development. The grown-ups lose respect and memory. Through a change in the position of the trachea, the functions of the ovary respiratory tract are reduced, with congenital pathology and torticollis, which vinicles in the early age, it is possible for the growth of the thorax on the side of the injury. Otitis and sinusitis often develop, hearing deteriorates, and a squint forms.

Damage to the function of the m'yazovogo apparatus can become the cause of the development of various illnesses. Such problems are provoked by various officials, including injuries, infectious diseases, hormonal problems and complications in the face of medical treatment. The treatment of such ailments of the m'yazovy apparatus usually takes a little time and requires significant pain in the case of the ailing. So one of the cases of serious illnesses of this type is spastic torticollis in adults, the symptoms of which can be seen on www.

How does spastic torticollis manifest itself, what are the symptoms?

Spastic torticollis for its own sutti - tse spasm of m'yazіv in shiї, which may be a fleeting tonic and periodic character. Doctors look at this disease, as one of the various types of focal dystonia. At whom the head of the patient is resting in an abnormal state, and violent turmoil is inflicted on the neck.

Spastic torticollis is rarely diagnosed - only in one person about ten thousand. It is important that such a pathological camp is most common among women.

The most common symptom of torticollis is an abnormal turn of the head. In case of this disease, the sound develops through the hypertonicity of the sternocystic meat, but the hypertonicity is fixed in other diseases as well. Painful spasms flare up raptly (once you wake up at the hour of sleep), sometimes they are periodic and constant.

The head of an ailing person can be wounded in different sides: at the side along the vertical, forward or to the shoulder, or back. Also, pathological ruptures can be treated with spastic torticollis. Sometimes the stench looks better, in which case there is a tonic form. In the same way, the parts of the victim's head are shaken and killed, in other words, the clone form of the disease. In some cases, the form is fixed.

With spastic torticollis in older adults, tremors and various dystonic syndromes can be caused, represented by facial spasm, writing spasm, spastic dysphonia and dystonia of the foot. Vrantsі symptoms of illness sound weakly pronounced, manifest themselves after walking and when stressed.

Spastic torticollis in a grown-up man sounds like it develops to do it properly, sometimes with a stretch of the day, and sometimes with a stretch of the month. The most common way to express yourself is to let yourself know only after the first symptoms of the disease appear. In severe cases of illness, I give remission. However, often tonic spasms are accompanied by a pronounced pain syndrome.

How do spastic torticollis heal, exuberant in the face of ailment?

In that case, as spastic torticollis in a grown-up person has developed through pathological growth of the cystic tissues, then it is real to swallow the pathology as a whole. It’s more folded to get out of the ailment, like it’s vining on the aphids of the ailment of the nervous system.

Spasms with spastic torticollis can be used as a whole for additional massages and physiotherapy injections. When zdіysnennі massage slits, the emphasis is to slacken on the beat, which has its head turned.

Vykoristovuyuchi medicines, you can use sickness, which is to blame for spasms. For whom, call for anticholinergic drug treatment, blocking impulses, for example, trihexifendil at a dose of 10-20 mg once or twice per dose orally. However, it is safe to say that such medicines often cause side effects, although they may be less common. Also, benzodiazepines are often used as drugs of choice, which may calm the authorities, for example, clonazepam 0.5 mg orally per day. The drug can also cause the ingestion of antidepressants of the tricyclic type (amitriptyline and others) and drugs that induce muscle relaxation (baclofen and others). The heart of such a sound should be prescribed at the minimum dose, as you can move up from time to time (as required).

A patient with spastic torticollis can be injected with a drug that provokes the development of botulism, which gives the opportunity to change the severity of pain and spasms by an order of magnitude, and also to ensure that the head is in the correct position for the singing period. (Sound for a sprig of months). For injection, botulinum toxin type A is used; Such a likuvannya helps seventy hundreds of sick people.

Although all listed methods of treatment do not give a positive positive effect, the doctor can cause an operative intervention directed to the nerves. Sound, such a surgical correction gives a stable positive result.

Sometimes spastic torticollis in adults develops through emotional discord. And here її correction may be due to the accumulation of psychotropic drugs.

Vikoristannya zabiv in folk medicine with spastic torticollis rarely gives a positive effect. Bad results can sometimes be reached for additional manual therapy and acupuncture.

Unfortunately, today spastic torticollis is far from being constantly resurrected and often recurs. If you suspect the development of such a pathology, you should consult a general practitioner and a neuropathologist.

Name "wryness" speak for itself - it is natural that the deformity of the head is wrongly positioned. Krivoshiy occupies a third of the middle of congenital pathologies of the musculoskeletal apparatus, doing less than congenital vivice of the leg and klishonogosti. Tsya pathology can be congenital and stuffed.

Like mi lykuєmo torticollis

It is possible to resurrect the battles of m'yaz for help, right, as it is necessary to carry out more carefully, to overcome the violent and rude ruins, so that a new injury does not force the camp. So it is right in our clinic to be carried out under control and under the help of a kinesiotherapist. Our doctor will show you how to correctly win and right yourself, to teach you how to work your child.

For the exaltation of torticollis, it is miraculous to come up with such a method, like kinesiology. The strange hands of a kineziologist will help to put on the slab of the collapsed ridges and put on artrogenic torticollis for a few sessions. Kinesiological manipulations with body softness and dbailivish, lower manual therapy. The stench does not injure the body and is suitable for small patients.

Polypshity of the blood supply of the wounded m'yaz is supplemented by hirudotherapy, physiotherapy and reflexotherapy. Our doctors know how to carry out such procedures for small children.

Relieve m'yazovі spasms and at the same time use the reflex spasmodic torticollis to help special massage., Yakі volodіyut our fakhіvtsі.

However, when jubilant krivosha is more important - it’s time to turn to the doctor. Hourly rozpochat likuvannya shvydko and easily osnovlyuє functions of the affected m'yaza in 82% of ailments of different age. And the axis is running torn, it gets even more painful, especially for children.

How does congenital torticollis develop

Fallow in the form of terms, the manifestation of torticollis is divided into early life. No more than 14% of all ailments suffer from an early form. They already have a nationality, or after the first days of their lives, shortening of the sternocleidomastoid muzzle, their head is healed ubik, and that skull is asymmetrical.

At the most important ailments, deformations are growing step by step. In the end of another day of life in the middle third of the month, there is more sweating, as it reaches the maximum value of hairy peas up to 4-6 days.

The shield over the indentation does not change, it does not burn. Become aware of the frail head, that turn of the її at the protilezhny bіk, obmezhuetsya ruh head. With a conservative treatment, the improvement changes and after 2-12 months it develops. M'yaz nabuvaє normalї elasticity and tovshchina.

Causes of congenital torticollis

birth trauma;

ischemic necrosis (necrosis) of the m'yaza (for an hour the flattening of the fetus is embossed on the upper part of the neck, as a result, sour starvation of the m'yaza and yogo deformation develops);

intrauterine penetration of microbes into the m'yaz due to further development of infectious myositis;

trivale, the position of the head of the fetus in the empty uterus was lost.

Causes that you see pridbanoї torticollis

Arthrogenic torticollis is the result of vivuhu or development of the cervical ridges.

Hypoplastic - due to the underdevelopment of the trapezium-like or sternocleidomastoid mass.

Dermatogenous torticollis - in the end, the stupor of the hips, for example, during opikami.

Compensatory torticollis occurs with decreased hearing in the morning.

The kіstkova krivoshia is maddened by the ridges.

Neurogenic guilt in case of damage to the nervous and m'yazovyh nests.

It is reflexive or spastic in case of short-term rashes.

Chim is not safe wryness

Torticollis is not safe in front of its complications, the development of secondary deformations. It's hard to lie down like a stage of shortening of the m'yaz and the age of the ailing. With trival torticollis, an important asymmetry of the skull develops. Half of the yogo from the side of the changed m'yaz flattens out, becomes less tall, the eyes of the eyebrows grow lower, lower on the unchangeable side. Try to save the vertical position of the head to bring it to the bottom of the shoulder girdle and deformity of the clavicle, the head moves at the side of the shortened meat. In important cases, scoliosis develops in the cervical and upper thoracic ridges.

Spastic torticollis (cervical dystonia) - a curvature of the cervical spine, in which the head is formed incorrectly, caused by various pathologies.

The twisting of the neck is accompanied by a supra-mundane tone and spasm of m'yaziv both constant and periodic. Illness is rarely seen in the region, the greatest risk of a healthy woman.

Form illness and symptoms

Nasampered cervical dystonia is attributed to the wrong position and the head. Distinguish such forms of torticollis:

• lowering the head forward;
• cocked his head to the shoulder;
• throwing the head back;
• turning the killer's head vertically.

The most common disease is diagnosed in people aged 30-50 years. The main symptoms of spastic torticollis can be defined as follows:

• the composure of the ruptures is framed by a weak tone of the m'yaziv and is manifested by the twisting of the phase component;
• tremor
• mimovilni posmikuvannya head in a beak;
• spasm of the facial skin;
• impaired motility of the fingers;
• stop dystonia;
• clearly expressions of pain syndrome;
• the characteristic frailty of the head of the bik, which zooms in on the damage to the proportions of the face and the asymmetry of the skull;
• deformation of the sternum, chest bones and skull;
• Changes are clearly stitched at the skeleton.

The symptoms of illness are exacerbated by overworld anxiety, active walking, increased stress. Vіdomi vypadki remіsuvannya ailment — stribkopodіbіbіbіbіbіbіbіbіbіbіbіbіbії symptoії, pіslja kohvoryuvannі nabіvає є stаіlіє bіgu.

Cause the development

Speaking about the terms of guilt, it should be noted that the torticollis develops properly, step by step progressing. Not the ailment of one day - even more often there are prophets. Explicit symptoms show up through a sprat of roki after an ear of the development of ailment.

Krivoshiya is most often stuffed, but the form is not included and is congenital. The causes of illness, as a rule, are neurological changes that cause spasms and mimic contractions of the skeletal muscles of the neck and facial ulcers. From the physiological point of view, the disease is explained by the disruption of the supply of impulse signals to the sternocleidomastoid bone, through the erasure of the intersternal discs and the squeezing of the segmental nerve between the ridges themselves. Tse vede to hypertrophy of m'yazіv shiї and obmezhennya їhnої friability.

Factors that force the development of torticollis can be:

• genetic strength;
• hyperthyroidism;
• infectious diseases, inflammation of the central nervous system, as well as neuroinfections;
• tardive dyskenesia (mimic shortness of the facial muscles as a result of taking neuroleptic drugs);
• hepatocerebral dystrophy;
• swelling of the cervical vein, as well as the brain;
• traces of intoxication;
• paralysis;
• traces of shallow injuries, severe slopes and complications that cause disruption of the normal function of m'yazіv shiї nemovlya;
• pathology of fetal development (incorrect intrauterine position of the fetal head or hypoxia);
• Parkinson's syndrome;
• Alzheimer's disease;
• chorea of ​​Huntington;
• body intolerance to neuroleptics;
• arteriosclerosis of the vessels of the brain;
• injuries, vivihita and fractures of the ridge (especially in the region of the neck);
• incorrect growth of the brushes of the neck veil following the obsession with mechanical ears;
• degenerative-dystrophic disease (scoliosis, osteochondrosis, rickets);
• pathological changes in the ridge and m'yazah of the neck, nabutі in the process of professional activity.

The signs of the development of cervical dystonia in a child's head may result in the collapse of intramural malignancies and the frequent loss of the eye, the complete deformation of the cervical vertebral ridge. In unborn children, torticollis is characterized by:

• impaired functions of the nervous system;
• aggravated by a frailty and a turn of the head (often the first breaks of the little ones begin to make it less up to three months of life);
• fixed mucosal spasm, which leads to the asymmetry of the skeleton and strong curvature.

Most of the torticollis in young children can go away on its own, with low complex visits it is less likely to speed up the wear and reduce to a minimum the risks of possible negative consequences.

Krivosh's jubilation by folk methods

At the cob stages, the development of the disease is good for the good, so that the next memory does not start the disease. In the last terms, the ailment of the “crooked” ailment can be mostly surgical methods, and the most remote nerves, which complicate and block the work of the nodular and suicidal groups of m'yazyv, which cannot be completely safe for people.

At the heart of non-traditional methods, which are used in the treatment of “crooked” skin, lie the active speech of herbs and herbs, massage and special right, straightened to relieve stress.

Grass and splint, scho mayut natural likuvalni power in likuvanni neurotic ailments, widely zastosovuyutsya for the power of torticollis. As a rule, with phytotherapy, an underlying effect is achieved: phytoncides are not only on the very cause of the vindication of ailments, relaxing m'yazi and suvayuchi zavyu naprug, but often give a calming effect, normalizing exchange processes in the body , usuvayuchi stagnant elevated nervous awakening.

1. Calm choice: wood, dog nettle, mint, chemist's chamomile, scarlet and hairy pea kernels(2:1:1:1:1). Place one teaspoon of taken herbal sum in a flask and fill it with dill, cover with a lid, let it brew for a day and drink half a flask in front of hedgehog.
2. Good authorities inspire blood circulation berries yalivtsyu. In case of spastic torticollis, it is recommended to live in them with sirimi, while taking one berry each day and gradually increasing their number, until they are equal 12.
3. Take a teaspoon at the glass of milk honey and 0.3 g mummy. It’s necessary to drink a glass of glass at a time, it’s a lie.
4. Details nirki buzku zvichaynogoі pork fat in proportions of 1:5, drink roses in a water bath for a year, after which you take it out of the fire and cool. Otrimanu rub the ointment on the skin of the shoulder girdle up to four times a day.
5. Bark and Kalini berries, lavender and linden blossoms. take in equal doses and prepare two teaspoons of sumishi with warm teaspoons for a bottle of water. Bring it to a hot boil and immediately take it out of the stove, leave it to infuse for 2-2.5 years. After that, they take half a bottle of at least three times a day.

Massage and special right

Masazh in case of dahіv may be of great importance, for that it is important to take the pressure off the wounds. The main emphasis is to fight on the masuvannya of nodding m'yaza and cracks. Self-massage of the crack helps to change the turn of the head in the correct bik.

Get a massage:

• with careful tapping of the fingertips, walk through the sternoclavicular-nipple-like meat, the hands are due to the lower ones, without too much force and in the same time do not hit the beat. Approximately through the quill, if the mind relaxes, it is necessary to smoothly and without pressure move the head up to the shoulder along the turn;
• lying on the zhorstkomu lizhku from that side, more poshkodzhenі shiyni m'yazi, prop your head with your hand with the emphasis of the elbow in the lizhko.

It is even more important with the strength of the viability to go to the choice of bedtime speeches: the pillow is to blame for being handy, and lightly orthopedic.

Positive trends - and with fixed special tight fittings and vantages from the poshkodzhenny side of the neck. As a rule, they are fastened on clothes, focusing on the comfort of putting on an ailing person. As such vantages, small little bags with cereals or dry river piss can victorious.

For the treatment of cervical dystonia in newborns and children up to 3 years of age, it is recommended:

A cream for improving the sickness and normalization of cerebral blood circulation during the day, to take walks in the fresh air. Swimming and using the Dolphinarium are also prescribed by physicians as procedures that give good results. At the cob stages, the development of torticollis in adults is sensible to do yoga. Polypshenya in patients with a severe form of ailment was reached by a path of hiring hirudotherapy, as an addendum to massage sessions and a course of phytotherapy.

Video - Massage for torticollis