Physical therapy such as manipulation and massage.
(4) Use a "tennis elbow strap" to relieve strain on the affected forearm
muscles/tendons. Wrap the strap snugly around the forearm.
1-13. SPASMODIC TORTICOLLIS (WRYNECK)
Torticollis is the shortening of superficial and deep muscles of the neck.
Spasmodic torticollis, also known as wryneck, refers to these muscles contracting
spasmodically. Spasms. Spasms occur in the sternomastoid, trapezius, and other neck
muscles. The result is that the head bends to the affected side, and the chin rotates to
the opposite side. The head is in an unnatural position. Causes of this condition
include basal ganglia disease, central nervous system infections, tumors in the bones or
soft tissues of the neck, and psychological disturbances.
a. Signs/Symptoms of Spasmodic Torticollis. Signs and symptoms may
occur suddenly or gradually. The condition affects males and females equally. The
individual may find the condition occurring occasionally and mildly, or the condition may
be permanent, causing a deformity in the person's posture.
b. Treatment of Spasmodic Torticollis. Follow this treatment:
Remove local causes of the condition.
Apply tactile pressure to the same side of the jaw as the head rotation.
Refer the patient for psychiatric counseling.
1-14. LOW BACK PAIN
Pain that occurs in the low lumbar, lumbosacral, or sacroiliac region of the back
is all termed low back pain.
a. Cause of Low Back Pain. Causes include the following:
Degenerative joint disease of the lumbosacral area.
Ruptured discs in the spinal column.
Fractures, infection, and tumors of the back, pelvis, or retroperitoneum.
Traumatic ligament rupture.