4. Asymmetry of the Shoulders – A Twisted Tale
As spasmodic torticollis evolves, it might begin to influence the physical appearance of the individual. One such visible change is the asymmetry of the shoulders.
The constant contraction and spasm of the neck and shoulder muscles can lead to a scenario where one shoulder is positioned higher than the other. This altered posture, though not physically painful, is visually noticeable and can lead to considerable psychological distress.
The shoulder asymmetry is not a direct result of spasmodic torticollis but is a secondary consequence of the persistent muscle contractions. Over time, these contractions might lead to muscular hypertrophy, contributing to the visible imbalance. Moreover, the body’s attempt to compensate for the unusual head position can further accentuate this asymmetry.
Shoulder asymmetry can also influence how the person moves and carries themselves. It might impact the range of motion of the arms and shoulders, making certain movements uncomfortable or challenging to execute. In extreme cases, it might even alter the person’s gait, thus significantly influencing their daily functioning.
While this symptom might not cause physical discomfort, it can have profound psychological implications. The visible nature of this change can affect the person’s self-image and confidence.
The stress of dealing with these changes, coupled with the discomfort caused by other symptoms, can take a toll on the person’s mental health. It is thus, essential to address this aspect of the condition and provide the necessary support and resources to help individuals cope with these changes. (4)
