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Wry Neck: Causes, Symptoms, and Effective Treatment

Wry neck is a painful and uncomfortable condition that can severely limit movement and daily activities. It often appears suddenly and can significantly impact daily activities due to the discomfort and stiffness it causes. Physiotherapy in North Sydney, along with rest, pain management, and activity modification, plays a significant role in relieving symptoms and restoring normal neck function.

What is a Wry Neck?

Tendinopathy is when a tendon (the tissue that connects muscles to bones) gets irritated from repeated use or overactivity. If the tendon of the long head of the biceps becomes inflamed from frequent shoulder movements, it can feel sore, tender, or less flexible. This usually happens gradually from activities that involve repetitive shoulder motions, like lifting or playing sports.

Acute wry neck: This form develops suddenly, often overnight, causing intense pain and stiffness.

Causes

  • Acute wry neck: This is often caused by muscle spasms or strain from poor posture, sleeping in an awkward position, or sudden neck movements. Stress and tension in the neck muscles can also contribute to its development.

  • Congenital wry neck: This is typically caused by shortened or tight neck muscles, usually the sternocleidomastoid muscle, due to positioning in the womb or birth trauma.

  • Cervical spine issues: In some cases, underlying issues with the cervical spine, such as a herniated disc or vertebra misalignment, may trigger wry neck.

  • Infection or inflammation: Upper respiratory infections or ear infections can sometimes irritate the muscles or nerves in the neck, leading to wry neck.

 

Common Signs and Symptoms

  • Neck pain: Sharp pain on one or both sides of the neck that worsens with movement.

  • Stiffness: A tight, stiff feeling on one or both sides that makes it difficult to move the head.

  • Limited range of motion: Difficulty turning the head to one or both sides.

  • Head tilt: The head may be fixed in a tilted position, often to one side.

  • Muscle spasms: Involuntary muscle contractions in the neck can lead to further discomfort and stiffness

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The Role of Physiotherapy at Urban Physiotherapy North Sydney in Recovery

​Physiotherapy is critical for both non-surgical and post-surgical recovery. A structured program includes exercises to improve the flexibility and strength of your shoulder muscles, as well as techniques to correct posture and movement patterns that may be contributing to the problem. Research shows that consistent therapy can lead to significant improvements in shoulder function and pain relief.

Manual therapy: Techniques such as joint mobilisation or soft tissue massage can relieve muscle tension, reduce pain, and improve mobility.

Neck mobilisation: Physiotherapists may use hands-on techniques to gently mobilise the neck joints, improving range of motion and easing discomfort.

Stretching exercises: Gentle stretches can help lengthen the neck muscles, improving flexibility and range of motion.

Strengthening exercises: Strengthening the muscles in the neck and shoulders can help improve stability and prevent future injuries.

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