Abstract
Abstract Spasmodic torticollis is a rare condition characterized by involuntary movement of the head. The pain often becomes the primary reason for the patient to seek medical attention, with the patient almost indifferent to the dystonic movements. Prakupita Vata (aggravated Vata) causes various kinds of diseases of Vata called Vata Vyadhi (diseases of vitiated Vata) and treatments such as Snehana (oleation therapy), Swedana (sudation therapy), and Shodhana (internal detoxification) are advised. The patient complaining of pain, stiffness of the neck, and tremors gradually progressing to hyperextension of the neck was clinically diagnosed as Dhatu Kshaya Vata Vikara and treated on the lines of Vata Vyadhi (diseases of vitiated Vata). Shodhana (internal detoxification) such as Nasya and Basti, in combination with external Panchakarma procedures and internal medicines including Rasayana (rejuvenation), were administered. Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS) was assessed for the outcome of the treatment. The patient showed good improvement in pain, stiffness, tremors, and neck retention time. TWSTRS score had reduced from 66.25 to 29 and is presented here as a case study.
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