Cervical Dystonia - is rhizotomy the next step after botox?

Cervical Dystonia (also called spasmodic torticollis) is a condition where the neck muscles contract (tighten) abnormally. This contracting causes the neck to twist and the head to tilt to one side, forwards, or backwards. Cervical dystonia may occur on and off or continuously. It often gets worse with stress.

Cervical Dystonia treatments include:

Medicines
Medicines that help decrease muscle spasm may be given. These include different medicines taken by mouth (such as baclofen) or given as shots. Botulinum toxin injections (Botox, Myobloc and Dysport) are often used for treating cervical dystonia.

Surgery
Surgery may be needed if other treatments fail. The nerves that supply the affected muscles may be cut. Sometimes, the muscles of the neck may be cut or separated. Surgical procedures include
*Thalamotomy and Pallidotomy
*Deep Brain Stimulation
*Myectomy (Myotomy)
*Ramisectomy and Rhizotomy
*Peripheral Denervation

You will find more information at http://www.drugs.com/cg/spasmodic-torticollis.html

There is some excellent information at http://www.wemove.org/dys/
Worldwide Education and Awareness for Movement Disorders. Hope this helps.