Neck Contracture

Neck contracture refers to the abnormal tightening or shortening of the muscles, tendons, or skin in the neck area, resulting in restricted movement and reduced flexibility. This condition can be caused by various factors, including burns, trauma, prolonged immobilization, or certain medical conditions.

Burn injuries are a common cause of neck contracture, particularly in cases where the burn affects the skin and underlying tissues of the neck. During the healing process, scar tissue may form, leading to the tightening of the skin and surrounding structures. Trauma to the neck, such as lacerations or deep cuts, can also result in scarring and contracture formation if not properly treated.

Prolonged immobilization of the neck, such as being in a neck brace for an extended period, can lead to muscle weakness and stiffness, contributing to contracture development. Additionally, certain medical conditions, such as dystonia or neurological disorders, may cause abnormal muscle contractions in the neck, leading to contracture formation over time.

The symptoms of neck contracture can vary depending on the severity of the condition but often include:

• Limited range of motion: Difficulty turning the head from side to side or tilting it up or down.
• Stiffness and tightness: Feeling of tightness or pulling in the neck muscles.
• Pain or discomfort: Discomfort or pain with movement or when pressure is applied to the neck area.
• Visible scarring: Scar tissue may be visible on the skin surface, particularly in cases of burn-related contractures.

Management of neck contracture typically involves a combination of conservative measures and surgical intervention, depending on the severity and underlying cause of the condition. Conservative treatment options may include physical therapy, stretching exercises, massage therapy, and the use of splints or orthoses to help gradually stretch and mobilize the neck tissues.

In cases where conservative measures are ineffective, surgical intervention may be necessary to release the tightened tissues and restore normal neck function. Surgical techniques may include scar tissue release, tissue grafting, or muscle lengthening procedures to improve neck mobility and alleviate symptoms.