People with dystonia have involuntary muscle contractions that cause slow and repetitive movements. These movements can:
- cause twisting motions in one or more parts of your body
- cause you to adopt abnormal postures
The most commonly affected body parts include your head, neck, trunk, and limbs. While dystonia can be mild, it can also be severe enough to affect your quality of life.
Dystonia can affect you in different ways. Muscle contractions can:
- start in one area, such as your arm, leg, or neck
- happen during a specific action, such as handwriting
- get worse when you feel tired, stressed, or anxious
- become more noticeable over time
There are three main categories of dystonia:
- Focal: Thisis the most common type of dystonia. It affects just one part of your body.
- Generalized: This type affects the majority of your body, or your entire body.
- Segmental: This type affects two or more nearby parts of your body.
The exact cause of dystonia is unknown. However, doctors believe that certain medical conditions, genetics, or brain damage may be linked to this condition.
Certain medical conditions that affect your brain and nerve function are associated with dystonia. These conditions include:
- cerebral palsy
- Parkinson’s disease
- Huntington’s disease
- Wilson’s disease
- brain injury
- brain tumor
- brain injury during birth
- carbon monoxide poisoning
- heavy metal poisoning
Other factors known or believed to cause uncontrolled muscle movement include:
- side effects or reactions to certain antipsychotic medications
- lack of oxygen in your tissues and organs
- inherited genes or genetic changes
- disrupted communication between nerve cells in your brain
In many cases, dystonia is an ongoing symptom that may remain stable over time. You should see your doctor if:
- there’s no clear explanation for your dystonia
- your symptoms become worse over time
- you’re experiencing other symptoms in addition to dystonia
Before Your Doctor’s Visit
It may be helpful to take a few notes about your symptoms, including:
- when the uncontrolled movements began
- if the movements are constant
- if the movements get worse at certain times
For example, symptoms may flare up only after strenuous exercise. You should also find out if you have a history of dystonia in your family.
During Your Doctor’s Visit
Your doctor will likely take a thorough health history and perform a detailed physical exam. They will focus on your muscle and nerve function. They’ll note your:
- medication history
- recent illnesses
- past and recent injuries
- recent stressful events
Your doctor may ask you to see a neurologist to diagnose the underlying cause of your condition. Your doctor or specialist may perform tests to help make a diagnosis, including:
- blood or urine tests
- computed tomography (CT) scan
- magnetic resonance imaging (MRI)
- electromyogram (EMG)
- electro encephalogram (EEG)
- spinal tap
- genetic studies
There is no cure for dystonia. However, certain medications can help manage your symptoms.
Botulinum Toxin Type A (Botox) Injections
Botox injections into targeted muscle groups can help ease your muscle contractions. You must receive the injections every three months. Side effects include fatigue, dry mouth, and changes in your voice.
Medications that affect the neurotransmitter called dopamine may also improve your symptoms. Dopamine controls your brain’s pleasure centers and regulates movement.
Massage, heat treatment, and low-impact exercises may help manage your symptoms.
Research on alternative treatments for dystonia is limited. Some people have found relief by practicing certain alternative therapies, such as:
- acupuncture: an ancient practice that inserts small, thin needles into various points on your body for pain relief.
- yoga: exercise that combines gentle stretching movements with deep breathing and meditation.
- biofeedback: electrical sensors that monitor your body functions and identify ways to control your muscle tension and blood pressure.
Severe dystonia can cause a number of complications, such as:
- physical deformities, which may become permanent
- varying levels of physical disability
- abnormal positioning of your head
- problems swallowing
- difficulty with speech
- issues with jaw movement
Even though there’s no cure for dystonia, there are treatment options to help you manage your symptoms. Speak with your doctor about your risk of developing complications. You may have to try a few treatments, but there are steps you can take to start managing your dystonia.