Common Specialities
{{speciality.keyWord}}
Common Issues
{{issue.keyWord}}
Common Treatments
{{treatment.keyWord}}

Spasmodic Torticollis Health Feed

I am suffering from neck pain /stiffness problem from last 6 months. Tried physiotherapy for 10 days but still the same. Guide what to do.

Dr. U. Sarada 90% (111 ratings)
Tcmt ,svims, Tcmt,svims
Physiotherapist,
I am suffering from neck pain /stiffness problem from last 6 months. Tried physiotherapy for 10 days but still the sa...
Take more sitings .do cryotherapy for 7 min, do static neck exercises. Remove pillow while sleeping. Go for ict and ift machines.
Submit FeedbackFeedback

I am a hard guy and use to do gym. 2 years back there was some pain in my neck because if a car accident and some popping sound use to came from my shoulder. I visit physiotherapist and took therapy for 2 weeks then I stop gaining and wait to heal my injury. Its almost 2 years now and my neck has almost no pain but shoulder popping sound is there whenever I lift something up. Also when I sleep and in morning my neck feels stiffness which reduces slowly during day. Please help me solving this issue.

Dr. S. Gomathi 88% (849 ratings)
BPTh/BPT
Physiotherapist, Bangalore
I am a hard guy and use to do gym. 2 years back there was some pain in my neck because if a car accident and some pop...
It's due to non healing disc lesions at cervical level, due to which it causes radiculopathy, associated symptoms of pain, stiffness, muscle weakness, and the solution is start physiotherapy asap, use proper mattress and cervical pillow, if pain comes down start with cervical isometric exercises to strengthen the muscles.
1 person found this helpful
Submit FeedbackFeedback

I am suffering from ankylosing spondylitis. My shoulders neck is totally stiff, can not pick items from ground as I can't bend.

Dr. Julie Mercy J David 92% (14730 ratings)
Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
I am suffering from ankylosing spondylitis. My shoulders neck is totally stiff, can not pick items from ground as I c...
Deep breathing for lung expansion and stretching exercises to improve spine and joint mobility. Are also advised to sleep on a firm mattress and avoid the use of a pillow in order to prevent spine curvature. Aerobic exercise is generally encouraged as it promotes full expansion of the breathing muscles and opens the airways of the lungs.
Submit FeedbackFeedback

Hi I have been suffering from chronic sinus problems for a long time I was given fluticone spray to help open up one side of my nose as I always breathe through one side of nose. My ent suggested surgery to open up the nostril at the end. Is there any other remedy or solution I can do I also have tinnitus for long time and stiff neck problems and do not know the cause of my tinnitus. I have had mri brain scans etc all done and blood tests am I missing something?

Dr. Jatin Soni 92% (39729 ratings)
MBBS
General Physician, Mumbai
Tinnitus will remain with you lifetime and I will suggest you to buy a steam inhaler machine of crescent company and Take a flow of steam (of plain water only ) over the forehead through the inhaler and can repeat the process after eight hours as and when required
Submit FeedbackFeedback

I have stiffness in my neck. I'm a student. I used to sit in the examination halls for hours. I have a really long and thin neck which made it really painful for my to sit and write. Now, as the problem increased I feel stiffness in neck and I wish to crack the neck bones.

Dr. Yogesh Sehrawat 90% (578 ratings)
MD - General Medicine
General Physician, Delhi
I have stiffness in my neck. I'm a student. I used to sit in the examination halls for hours. I have a really long an...
Dear student your neck stiffness problem is due to the prolonged hours of the posture which requires forward bending and it creates strain on both muscles and bones. I advise you change your posture regularly and not to bend too forward. Also you can take some muscle relaxant tablets if the problem is too worse or unbearable. Otherwise an ointment like volini or moove spray may be helpful for mild pain. Also do regular exercises and eat high balanced diet esp calcium rich. Good luck for your exams.
Submit FeedbackFeedback

Physiotherapy Treatment for Torticollis

Dr. Vishwas Virmani 92% (23114 ratings)
MPT, BPT
Physiotherapist, Noida
Physiotherapy Treatment for Torticollis

Torticollis:

A development defect is one sternomastoid muscle or mal-position of the neck in the uterus can give rise to the deformity. The shortening of the sternomastoid is the principal causative factor. There may be an associated shortening of the scalenii, platysma, splenius or trapezius muscles. Incidence is more common in girls, and the side affected is usually left. Occasionally, it may bilateral. The affected sternomastoid may get atrophied and facial asymmetry may occur in untreated cases. 

Nature of the deformity: 

The head is fixed inside flexion to the same side (i.e, on the side of the affected muscle) while it is rotated to the opposite side. The shoulder on the affected side is raised. 

Scoliosis with convexity to the sound side may be present in the cervical region. Facial asymmetry with smaller eye and lowering of the corners of the mouth and eye with a deviation of the nose on the affected side may be present. In rare bilateral affections, both the sternomastoid are contracted. The head is protruded forward with associated kyphosis.

Treatment:

The basic objectives are: 

  • To correct the deformity by release of the contracted soft tissues and 
  • To maintain the correction by suitable exercise regime; avoiding recurrence. 

Early mild cases

Children with a mild degree of deformity reporting early for the treatment can be managed with physiotherapy

The physiotherapy procedures employed are:       

 I. Evaluation: Careful evaluation of ROM and the degree of deformity.      

II. Massage: Massage can relax the muscle preceding the stretching manoeuvres.  

III. Thermo Therapy Modality: Carefully administered thermo-therapy modality induces relaxation.  

IV. Passive movements: The child is placed in supine position with head beyond the edge of the table with the neck in extension by positioning a pillow under the thoracic region; Shoulders are stabilized by an assistant.

  • To attain relaxation, all the movements of the cervical spine are done in a form of slow relaxed passive movements.
  • This should be followed by sustained passive stretching to the affected sternomastoid. E.g. when the right sternomastoid is involved the head should be gradually bent inside flexion to the left, held there for a while and then rotated gradually to the right. Try to gain as much overcorrection as possible by applying gradual traction to gain further stretching.
  • Maintenance of Correction: Once the correction is achieved. It has to be maintained by passively holding or keeping a sandbag.
  • The same manoeuvre can be repeated during the subsequent visits.
  • Active correction: Active correction is best achieved by assisting the child head to follow an object moved in the proper arc of correction. The bright-coloured sound producing object is ideal to attract the child attention.
  • PNF: patients with neck extension can be used to an advantage with emphasis on stretch and traction
  • Home treatment programme: This assumes an important role as these manipulations needs to be repeated. The mother should be trained properly for this. The best method is to put the child in prone and the teach the mother to carefully move the head towards the affected side and the child is encouraged to look back over the right shoulder.
  • Positioning: Exact positioning of the head during sleep is important. The child should be made to sleep on the opposite side of the lesion and the position of head adjusted by pillow or sandbag in a maximally corrected posture during sleep. This positioning has two advantages:- First, there is natural relaxation of the muscle- Secondly, whatever correction is achieved, it is maintained for a longer period during sleep.However, the mother should intermittently check the correction.
  • Older children and adults: With advancing age the deformity gets organized and does not get corrected by conservative management.
  • Surgical: The sterna and the clavicular heads of sternomastoid are divided close to the origin along with the release of the tight fascia. The head is then immobilized in a plaster cast in over-corrected position for 2 to 4 weeks. Mobilization is begun as soon as the cast is removed.
3 people found this helpful

Massaging Your Body - 9 Reasons Why You Must!

Dr. Kant Veer Vikram 90% (74 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS), C.C.Y.P.
Ayurveda, Faizabad
Massaging Your Body - 9 Reasons Why You Must!

In order to know the benefits of abhangya, it is important to understand what exactly abhangya is. We do, at times, massage ourselves unconsciously. However, the practice of massaging oneself from head to toe with nice and warm oil lovingly is known as abhangya. According to Ayurveda, like being loved by another person, abhangya too provides individuals with a deep sense of stability. Ayurveda states that daily practice of abhangya helps in restoring the balance between the three doshas of our body - the pitta dosha, kapha dosha and vata dosha.

Ayurveda states that the individuals who practice this self massage technique regularly become vey less affected and even less subjected to accidental injuries. These individuals also tend to become charming and very less affected by age. Now that we have discussed a bit of what abhangya is, here is a list of the benefits that come with it. 

  1. This self massage technique helps in nourishing the body and slowing down the ageing process considerably.
  2. This technique helps is bestowing individuals with good vision.
  3. This process helps in stimulating the internal body organs and increases and improves blood circulation. This results in lesser blood pressure and a healthier body.
  4. This technique helps in imparting a sort of firmness to the limbs and hands, thereby strengthening the body’s tolerance.
  5. This technique also benefits the skin. Well, the thing about our body is each organ in our body is interrelated with each other. So when any one organ starts working perfectly, everything else follows suit. It has been seen that this technique helps impart a sort of tone and vigour to the tissues of the body itself.
  6. Abhangya helps pacify the vata and the pitta doshas.
  7. If applied to the scalp, it helps in growing luxurious, soft, thick and really glossy hair.
  8. This is also said to reduce wrinkles on the face.
  9. When applied to the ears, stiffness of neck and jaw can be eased.

We have discussed how this practice benefits us, but here are some of the situations when we aren’t supposed to perform abhangya.

  1. During menstrual cycle
  2. During pregnancy
  3. In swollen or painful areas
  4. Over skin that has any sort of rash or infection
  5. During any acute illnesses
  6. During any health condition until and unless the doctor said that it was perfectly fine to do abhangya

All in all, Abhangya is a process that should definitely be carried out for personal well-being. If you wish to discuss about any specific problem, you can consult an ayurveda.

5340 people found this helpful

Migraine - Identifying the Early Signs!

Dr. Sankalp Mohan 89% (98 ratings)
MBBS, MD - Internal Medicine, Fellow In Pain Management, DM - Neurology
Neurologist, Delhi
Migraine - Identifying the Early Signs!

Headaches and migraines can vary drastically depending on their duration, specific symptoms and the person they are affecting. The more you know about your specific type of headache or migraine, the better prepared you will be to treat them—and possibly even prevent them. The two types of migraine are- 

  1. Migraine without aura: The majority of migraine sufferers have Migraine without Aura. 
  2. Migraine with aura: Migraine with Aura refers to a range of neurological disturbances that occur before the headache begins, usually lasting about 20-60 minutes.

Symptoms of migraine vary and also depend on the type of migraine. A migraine has four stages: prodrome, aura, headache and postdrome. But it is not necessary that all the migraine sufferers experience all the four stages.

Prodrome: The signs of this begin to appear a day or two days before the headache starts. The signs include depression, constipation, food cravings, irritability, uncontrollable yawning, neck stiffness and hyperactivity.
Migraine Aura: Auras are a range of symptoms of the central nervous system. These might occur much before or during the migraine, but most people get a migraine without an aura. Auras usually begin gradually and increase in intensity. They last for an hour or even longer and are 

  • Visual: Seeing bright spots, various shapes, experiencing vision loss, and flashes of light
  • Sensory: Present in the form of touch sensations like feeling of pins and needles in the arms and legs
  • Motor: Usually related with the movement problems like the limb weakness
  • Verbal: It is related with the speech problems

Headache: In case of a migraine attack one might experience:

  • Pain on both sides or one side of the head
  • Pain is throbbing in nature
  • Vomiting and nausea
  • Sensitivity to smells, sound and light
  • Vision is blurred
  • Fainting and lightheadedness

Postdrome: This is the final phase of the migraine. During this phase one might feel fatigued, though some people feel euphoric.

Red flags that the patient may be having underlying serious disorder not migraine

  1. Onset of headaches >50 years 
  2. Thunderclap headache - subarachnoid haemorrhage 
  3. Neurological symptoms or signs 
  4. Meningism 
  5. Immunosuppression or malignancy 
  6. Red eye and haloes around lights - acute angle closure glaucoma 
  7. Worsening symptoms 
  8. Symptoms of temporal arteritis

These patients require CT scan / MRI or CSF examination. Most Migraine patients do not need these tests. 

Diagnosis of Migraine: Usually migraines go undiagnosed and thus are untreated. In case you experience the symptoms regularly then talk to the doctor, who evaluates the symptoms and can start a treatment. You can also be referred to a neurologist who is trained to treat the migraines and other conditions. During the appointment the neurologist usually asks about the family history of headaches and migraines along with your symptoms and medical history.

The doctor might advise for some tests like:

  1. Blood Tests: These reveal problems with the blood vessel like an infection in the spinal cord and brain.
  2. CT scan: Used to diagnose the infections, tumors, brain damage, and bleeding that cause the migraines.
  3. MRI: This helps to diagnose the tumors bleeding infections, neurological conditions, and strokes.
  4. Lumbar Puncture: For analyzing infections and neurological damages. In lumbar puncture a thin needle is inserted between the two vertebrae to remove a sample of the cerebrospinal fluid for analysis.

Treatments

Migraine treatments can help stop symptoms and prevent future attacks.

Many medications have been designed to treat migraines. Some drugs often used to treat other conditions also may help relieve or prevent migraines. Medications used to combat migraines fall into two broad categories:

  • Pain-relieving medications. Also known as acute or abortive treatment, these types of drugs are taken during migraine attacks and are designed to stop symptoms.
  • Preventive medications. These types of drugs are taken regularly, often on a daily basis, to reduce the severity or frequency of migraines.

Your treatment strategy depends on the frequency and severity of your headaches, the degree of disability your headaches cause, and your other medical conditions.

Some medications aren't recommended if you're pregnant or breast-feeding. Some medications aren't given to children. Consult a doctor find the right medication for you.

1962 people found this helpful

Fever - What, When And Why?

Dr. Jasmeet Singh 89% (13 ratings)
DNB (General Medicine), MBBS
General Physician, Mohali
Fever - What, When And Why?

Fever is not a disease! It's a known fact that normal human body temperature is 98.6°F (37°C). If temperature goes beyond that, then it's called fever. But one must not worry every time if there is a rise in the temperature. 

Why?
The reason is that immune system is designed to raise temperature as a defence mechanism, if there is any attack by a foreign body (such as bacteria). So body temperature may fluctuate between 97 and 100.4. But there is no need to worry.

When to Consider Checking?
Routine check up is unnecessary. You may consider to check when:

  • You feel the warmth while you touch
  • You feel very tired, dizzy and lose appetite
  • You feel nauseated, see rashes on the body, experience loose motion, sore throat, muscle pain, headache, etc.

Is it Time to Worry? 
Normally, fever is not dangerous. However, if you see the following conditions, then it's time to worry and call a doctor. 

  • If the body temperature is more than 103 degree F 
  • If fever lasts for more than five days
  • If you feel difficulty in breathing
  • If there is severe vomiting or diarrhoea
  • If you feel stiffness in the neck and have headache
  • If you feel excessively sleepy and lethargic
  • If you see redness in skin, rashes or blood in stool.

If the condition worsens, it is time to rush to a hospital. There could be following:

  • Meningitis is life threatening and highly transmissible in case of bacterial infection. A combination of a fever, extreme headache and stiffness in the neck is an indication that you must rush to the emergency department of a hospital near you.
  • Difficulty in breathing or chest pain along with fever should prompt you to call for emergency medical assistance.
  • If someone has fever along with blood in stool, urine or mucus, it's one of the reasons to seek for emergency medical help.
  • If one has fever and is quite disturbed or puzzled unnecessarily, then the person should be taken to the emergency department.
  • A person with low immune responses (such as one who is suffering from cancer or AIDS) needs doctor's help in case of fever development.
  • Hyperthermia: it's a condition of very high fever, i.e., more than 104 degree F. The person seems to be confused and may not respond to verbal stimuli or commands. It's time for medical emergency.

What should You Do?
For mild fever, even home remedies can help. Aspirin shouldn't be the first choice and an absolute no for individuals less than 18 years. Other drugs that people usually tend to consume are ibuprofen or acetaminophen. One should also drink plenty of water. In case of a heat stroke, body needs to be cooled.
Other severe causes such as viral infection should lead you to a doctor. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

3310 people found this helpful

Headache - 5 Ways to Deal With it!

Dr. Anshu Jain 92% (515 ratings)
MBBS, DMCH, DEM
General Physician, Jaipur
Headache - 5 Ways to Deal With it!

Frequent headaches can be uncomfortable at best, and debilitating at worst. While a chronic migraine can come with a throbbing pain on one side of the head, headaches due to tension can cause mild to moderate pain on both sides. Also, daily headaches happen in at least 15 days, Hemicrania Continua is a condition that brings about constant pain, and usually happens on one side of the head. Other causes of headaches include eye problems like myopia, presbiopia, squint, long sitting on computer screen, low sugar, acidity etc. A proper eye checkup, neurologist opinion, diet, meditation for treatment is important. Read on to learn more about dealing with these different kinds of headaches.

1. Medical treatment: Inflammation, infections like meningitis and brain injuries that have been proven to be traumatic should be treated with due medication after a proper consultation with a doctor. In certain cases, headaches can be caused due to brain tumours and they must be treated at once. Also, headaches that come with fever, stiff neck, confusion and constant vomiting must be treated by a doctor immediately.


2. Take an over the counter drug: Taking an over the counter drug for instant pain relief can stop the pain and give temporary or long term relief, depending on the kind of headache you are experiencing. It is advisable to speak with a doctor before taking any kind of drug.

3. Find your triggers: Find and limit your triggers like certain food types as well as stress and certain seasonal changes. Stepping out in the summer with an umbrella and avoiding caffeine or too much of chocolate and cheese can also help in alleviating the pain. Stress is also a major factor that contributes to headaches and should be avoided in order to prevent or stop the pain.

4. Drink plenty of water: Staying hydrated is a good way to treat headaches instantly. The consumption of water is known to soothe the pain effectively.

5. A soothing break: Find a quiet place with dim lighting to take a break that should ideally last at least half an hour to one hour, or even more. This will help in diminishing and removing the pain. You can also use a cold compress and get yourself a massage.

5571 people found this helpful
Icon

Book appointment with top doctors for Spasmodic Torticollis treatment

View fees, clinic timings and reviews