Description
Acute Torticollis
Instructor: James Demetrious, DC, DABCO
Cost: $50 – 2 CE Hours
Course Description:
This evidence-informed two-hour course examines the anatomy, biomechanics, and pathophysiology of acute facet-mediated wry neck, with emphasis on synovial inflammation, meniscoid entrapment, and intra-articular pathology. Participants will develop a practical differential diagnosis, recognize serious competing disorders, and learn patient-centered management strategies, including appropriate application of high-velocity, low-amplitude (HVLA) spinal manipulation, informed consent, and evidence-based clinical decision-making.
Hourly Breakdown:
- Hour 1 – Anatomy, Pathophysiology, and Clinical Assessment
- Cervical facet joint anatomy, biomechanics, synovial tissues, meniscoids, and mechanisms contributing to acute torticollis.
- Pathophysiology of synovitis, plica/meniscoid entrapment, intra-articular loose bodies, and segmental hypomobility.
- Clinical examination, differential diagnosis, imaging considerations, and recognition of serious competing disorders requiring referral.
- Hour 2 – Evidence-Based Clinical Management
- Conservative management options and appropriate patient selection for manual therapy.
- Safe application of HVLA spinal manipulation, informed consent, patient communication, and technical considerations.
- Post-treatment expectations, home care, follow-up, documentation, risk management, and clinical outcomes.
Learning Objectives
- Describe the anatomy, biomechanics, and pathophysiologic mechanisms underlying acute torticollis, including synovitis, meniscoid entrapment, and facet joint dysfunction.
- Differentiate acute facet-mediated torticollis from competing musculoskeletal, neurologic, vascular, and infectious disorders that require alternative management or urgent referral.
- Develop evidence-informed treatment plans that incorporate appropriate clinical assessment, patient education, informed consent, and conservative management strategies.
Instructor: James Demetrious, DC, DABCO
Dr. James Demetrious is a nationally distinguished, board-certified chiropractic orthopedist. He is a clinician, educator, author, and editor. Dr. Demetrious is the co-founder and CEO of PostGradDC. He is an independent member of the NCMIC Speakers’ Bureau and teaches post-graduate coursework throughout the United States. He has published peer-reviewed journal articles on advanced differential diagnosis. Dr. Demetrious cared for patients for 40 years.
