Marked cervical curvature to the right and type 2 acromion.

by Marensia
(South Africa)

I have had trouble with my neck involuntarily turning to the right for years but recently it's increasingly difficult to control and accompanied by pain due to a spasm. I've also been experiencing increasing shoulder pain. I've been to physio-, cranio-sacral- and chiropractors but my symptoms keep getting worse and I now have pain in my hips and lower back as well. No one has suggested xrays so I went on my own accord and the results came back normal except for the marked spinal curvature and type 2 acromion. To be honest I'm not sure what it means and after ample googling I discovered your page.

I would appreciate it hugely if you can tell me which treatment regime would be the best. My cranio-sacral therapist diagnosed it as an awkward position in the womb, the physio (who did something called visceral therapy) said it was my kidneys...neither of which made sense to me. Would or should a chiro click my neck considering the curvature? Please help, I'm 53 but I feel like an old broken toy and I'm a very active person.

Hello Marensia,
You most likely have a condition known as cervical dystonia in which there is altered muscle tone in a group of muscles causing your neck to turn involuntarily like that.

Do you find yourself sitting with your hand on your chin to prevent the movement?

It's not at all common and I've only treated one case with some albeit limited success. There was considerable relief of pain by working with the muscles and joints in the neck, but the underlying cause is deep within the brain; it's quite likely genetic.

I would agree that those two diagnoses are probably hogwash.

Those muscular spasms often involve the muscles that attach in the shoulder area, so referred pain is not uncommon. You may however have a primary shoulder condition. Try doing some gentle shoulder stretches; they physio could help you.

A thorough examination by a neurologist is your next step.

Like I said, I have little experience with treating dystonias, but I would think that keeping active, doing neck and shoulder exercises and stretches, and having a regular massage either from a sports masseuse, or even your husband, would all contribute something.

I'm sorry I have little to recommend and don't feel alone; dystonias make all sufferers miserable.

Let me know if you find anything that helps; others will find your reports and comments very helpful.

Dr B

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Mar 28, 2018
by: Anonymous

Thank you for your advice. It's offered with wisdom and kindness. I'll definitely post if I find any relief for the dystonia.

Pleasure, let us know how you get on.

Dr B

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Interesting challenges of the day

1. Mr S is a 76 year old man with neck pain of some 9 months duration. Luckily, most of the discomfort is upper cervical which is only rarely arthritic; his lower cervical spine is a degenerative mess that I have left alone. After seven treatments his pain and stiffness is 50 percent better, and he is happy in the circumstances. He can sleep through the night now and that makes a huge difference.

2. Mr P is 32 year old man with very severe lower back pain radiating to the big toe which is 30 percent numb. He had an episode three weeks ago, took anti-inflammatories and was soon better as is typical of the medial disc herniation. But before it healed, after a trivia it came roaring back, much worse. The characteristic crossed sign was evident; sitting in a chair, straightening the right leg provoked severe left back pain and tingling in the leg. He is doing well.

3. Severe lower back pain is scary; just ask Mrs P. Just watching her get out of the car I she was in trouble; she had a slipped disc at L4 making her lean towards the opposite side; luckily she had no pain in the leg. Despite family pressure that this was far too severe for a chiropractor, she persevered. Within five days she was standing upright, and after two weeks almost pain-free. 

Despite a hectic job, she wisely took my advice and stayed home for what I call exercising bed rest.

4. Mr S has had lower back, groin and back of thigh and calf pain for fourth months.

He has a pincer deformity in the hip causing the stabs in the groin, and a degenerative facet causing the sciatica. Both are responding well to chiropractic and he is well pleased; sixty-five percent better after three treatments.

5. Mr T is a wise man; he has taken a warning TIA seriously and has lost 15 pounds, and has at least as much again to lose. A change to a low starch diet and half hour daily stroll has made the difference; but the walking is making his foot and back miserable. The expensive orthotic is hopeless; luckily his hips and back are fine, but he needs a simple heel lift; he has a short leg.

6. I too have had serious lower back issues, luckily fixed by my own chiropractor; so I too have to do my exercises, take care when lifting supers full of honey, gardening and using the chainsaw. Regaining the function of your spine is just as important as the pain.

7. My own granddaughter, only 7 is hypermobile giving her pelvic, knee and ankle issues. X-rays show a mildly dysplastic hip. Years ago we would have called it growing pains. She too regularly needs chiropractic care and luckily responds well. Increased range of motion is more difficult than too stiff in my opinion. Our care is for kids too.

8. This 65-year old lady is a serious gardener; every day she is bending, lifting and digging for 2 to 3 hours a day. It regularly catches her in the sacroiliac joint, so she has a treatment once a month that sorts it out. She does her lower back exercises faithfully.

9. This 88-year old lady is an inspiration; every day she is busy in the community. With a nasty scoliosis she manages very well with a chiropractic adjustment every six weeks and exercises faithfully done. 

10. Mr X is a 71-year old retired man who wants to continue with maintenance care every six to eight weeks; he had suffered from two years of lower back pain when he first came a few months ago. He has no discomfort now after 8 chiropractic treatments, but is aware that danger lurks.

11. Mrs C has been having severe headaches, and taking a lot of analgesics. It is a non-complicated upper cervical facet syndrome, and she is doing well.

12. Mr D is a 38-year old year man with chronic shoulder pain after a rotator cuff tear playing cricket. It responded well to treatment, but he knows he must do his exercises every day; for two years he could not sleep on that shoulder.

13. Mr D, a 71-year old man, has a severe ache in the shoulder and midback since working above his head. Trapped nerve tests are negative but he has advanced degenerative joints of Luschka; after just two treatments he is 50 percent better. Can we reach 90?

And so the day goes; chiropractors should not be treating the elderly most medical sites state but that is so much bunkum.

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