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Related Experiment Videos

Pain in spasmodic torticollis

O Kutvonen1, P Dastidar, T Nurmikko

  • 1Department of Neurology, Tampere University Hospital, PL 2000, 33521 Tampere, Finland Department of Radiology, Tampere University Hospital, PL 2000, 33521 Tampere, Finland Pain Research Institute, The Walton Centre for Neurology and Neurosurgery NHS Trust, Rice Lane, Liverpool L9 1AE, UK.

Pain
|February 1, 1997
PubMed
Summary

Pain in spasmodic torticollis (cervical dystonia) is common but its source is unclear. This study suggests neck pain in cervical dystonia may involve central mechanisms, not just muscles.

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Area of Science:

  • Neurology
  • Pain Medicine
  • Physical Therapy

Background:

  • Spasmodic torticollis, also known as cervical dystonia, is often a painful condition.
  • The specific characteristics and origins of pain in cervical dystonia remain poorly understood.

Purpose of the Study:

  • To investigate the presence, location, quality, and potential sources of pain in patients with spasmodic torticollis.
  • To explore the correlation between pain and postural abnormalities in cervical dystonia.
  • To differentiate between peripheral (muscular) and potential central mechanisms contributing to pain.

Main Methods:

  • Assessed 39 patients with spasmodic torticollis for pain characteristics.
  • Evaluated muscle tenderness using manual palpation and pressure algometry.

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  • Compared measurements in affected and unaffected muscles, and in 18 healthy controls.
  • Main Results:

    • Two-thirds of patients reported continuous or intermittent recurrent pain, often widespread in the neck and shoulders.
    • No significant differences in pressure algometry measurements were found between patient groups.
    • Moderate differences in manual palpation findings and no correlation between motor sign severity and pain were observed.

    Conclusions:

    • Pain in spasmodic torticollis does not appear to solely originate from muscles.
    • Findings suggest that central mechanisms may play a significant role in the pain experienced by cervical dystonia patients.