STIFF NECK. Definition:. Pain or discomfort when trying to turn or move the neck. TYPES:. Postural Atlanto -axial Spasmodic Torticollis Hysterical Torticollis Stiff neck as a result of muscles. 1. Postural. Secondary to auditory and visual disturbances.
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Condition in which the head becomes persistently turned to one side.
MOBILISATION DOES NOT PLAY A ROLE IN THE MANAGEMENT OF THESE PATIENTS.
Painless contracture of 1 of sternocleidomastoid muscles
Neck fixates in side flexion-towards affected side + rotation away from it.
Lack of treatment= patient developing a permanent postural deformity + facial asymmetry
Identified by means of X-ray, MRI or CT
Advice for at home:
Bump against the head
Patient has unilateral sub-occipital pain + movement towards painful side. Lateral flexion and rotation feels stiff.
Prolonged repetitive movements stretch tissue in the neck over time, predisposing the facet joint to injury.
May originate from traumatic hyperextension injuries e.g. whiplash
McCoy, K. 2009. Stiff Neck: A Look At Possible Causes.
Retrieved on 16 July 2012
Sprague, R. B. 1983. The Acute Cervical Joint Lock. Journal of the American Physiotherapy Association 63: 1439-1444.
Kirpalani, D. and Mitra, R. 2008. Cervical Facet Joint Dysfunction: A Review. Division on the Physical Medicine and Rehabilitation 89:770-773.