chronic neck and shoulder pain

I have chronic neck and shoulder pain that wakes me during sleep.I find mr shoulders are strained and my tongue to be pressed toward my palate and top teeth.I also am straining my head and jaw forward.Through out the day the pain and presure of my actions can make my head shake? Can you give me a solution ?

[Dr Rajgopal]

Hi,
The cause of your symptoms could be dystonia .Dystonia is a neurological movement disorder. It is the term used to describe particular types of involuntary and abnormal movements and postures which are seen in a variety of neurological disorders. Dystonia can affect just one part of the body or several different areas.The causes of this illness are not yet fully understood, but  in some cases, at least, it may be caused by a chemical imbalance in a particular area of the brain. The basal ganglia are structures deep in the brain that are in part responsible for controlling movement. They regulate the numerous muscle contractions that are necessary to move the body.  If this part of the brain is damaged in some way, the wrong muscles contract when we try to move or the muscles contract unnecessarily even when we do not move, causing uncontrollable twitching, tremor and contractions. These spasms are known as dystonic movements.
Cervical Dystonia (Spasmodic Torticollis): affects the neck muscles and causes the head to twist to one side (torticollis), forwards (anterocollis), backwards (retrocollis) or over one shoulder (laterocollis).  Cervical dystonia is the most common form of dystonia. It is often accompanied by a tremor or shake of the head.
Oromandibular Dystonia: affects the muscles of the lower face,  jaw, tongue and mouth.

Please consult a neurologist for the confirmation of diagnosis and treatment . Hope this helps you . Take care and regards !