Medications

• If you have spasmodic torticollis that was caused by trauma or by medications, the doctor may prescribe muscle relaxants and anti-inflammatory drugs. These agents usually relieve the symptoms completely within a few days. Common medications to treat acute, spasmodic torticollis include benztropine (Cogentin) or diphenhydramine (Benadryl). These medications are usually given into the muscle or through the vein. The doctor may add muscle relaxant or benzodiazepines such as Ativan or Valium. The medications are continued in their oral form for 48-72 hours to avoid recurrent symptoms. Ice packs and massage therapy may also be used for relief if desired.
  
  
• If you have chronic neck muscle spasms, a neurologist may give you a local injection of botulinum A toxin. This toxin comes from Clostridium botulinum bacteria. It acts locally to prevent muscle contraction in the muscles where it is injected. The toxin often can stop torticollis from progressing and can lead to complete recovery.