Which management is non-surgical for torticollis?

Which management is non-surgical for torticollis?

• A. Physical therapy with stretching and strengthening
• B. Cervical spine fusion
• C. Nerve root block
• D. Acupuncture

Answer: (A)

The main idea is that torticollis, when treated non-surgically, is managed by correcting the muscle imbalance and improving neck mobility. For congenital muscular torticollis, the most effective nonoperative approach is a structured program of physical therapy focused on stretching the shortened sternocleidomastoid and strengthening the opposing neck muscles, along with posture and range-of-motion exercises. This targeted therapy helps lengthen the involved muscle, realign the head, and often prevents the need for surgery, especially when started early. Surgical options like cervical spine fusion are reserved for advanced or fixed deformities after nonoperative methods have failed. A nerve root block targets pain relief from nerve irritation and does not fix the underlying muscle imbalance of torticollis. Acupuncture can be used as an adjunct, but the core non-surgical management that directly addresses the condition is physical therapy with stretching and strengthening.

The main idea is that torticollis, when treated non-surgically, is managed by correcting the muscle imbalance and improving neck mobility. For congenital muscular torticollis, the most effective nonoperative approach is a structured program of physical therapy focused on stretching the shortened sternocleidomastoid and strengthening the opposing neck muscles, along with posture and range-of-motion exercises. This targeted therapy helps lengthen the involved muscle, realign the head, and often prevents the need for surgery, especially when started early. Surgical options like cervical spine fusion are reserved for advanced or fixed deformities after nonoperative methods have failed. A nerve root block targets pain relief from nerve irritation and does not fix the underlying muscle imbalance of torticollis. Acupuncture can be used as an adjunct, but the core non-surgical management that directly addresses the condition is physical therapy with stretching and strengthening.