צוואר תפוס — טורטיקוליס וחזרה מהירה לתנועה

WHAT IS IT — Acute torticollis (צוואר תפוס, wry neck) is acute onset neuromuscular disorder characterized by involuntary sustained contraction of cervical paraspinal muscles, sternocleidomastoid, or trapezius leading to abnormal head posture and severe pain. Two forms: (1) facet wry neck (most common, younger patients, unilateral rotational/lateral flexion lock, no arm radiation, excellent prognosis with early intervention); (2) discogenic wry neck (older patients, possible mild arm referred pain, morning symptoms, slower recovery). ICD-10: M43.6 (Torticollis).

WHO IT AFFECTS — Can occur at any age but most common 15–50 years. Risk factors: minor neck trauma, awkward sleeping position, prolonged fixed posture, cold exposure, stress. Facet wry neck predominantly younger adults; discogenic more common in adults 40+.

HOW WE TREAT IT — Recovery TLV: (1) Directional preference assessment — identify restricted direction. (2) SNAG (Sustained Natural Apophyseal Glide) or HVLA thrust if trained. (3) Muscle Energy Techniques. (4) Dry needling. Evidence: Hurwitz et al. (Spine 2002, 81 RCTs) — spinal manipulation with exercise superior short-term for acute cervical pain. Gross et al. (Cochrane 2015, 38 RCTs, n=1,824) — combined manual therapy/exercise more effective than single modality; directional preference approach yields best outcomes.

RECOVERY TIME — With early intervention (24–48 hours): 50% resolve within 48 hours. Full recovery 5–10 days. Without treatment: 2–4 weeks with chronification risk.

CLINIC — Recovery TLV, private 1:1, Jacob Apted 9, North Tel Aviv. Alejandro Zubrisky BPT (Ministry of Health #10-120163), 20+ years. Rapid assessment-treatment window (first 24–72 hours) critical for optimal outcomes. Languages: Hebrew, English, Spanish. No referral required.

FIRST SESSION — 50 minutes: ROM assessment all directions, facet palpation, Spurling's test, directional preference assessment, joint mobilisation/SNAG/HVLA if indicated, home program, follow-up within 24–48 hours if severe.

CONDITIONS TREATED — Spine: back pain (כאב גב תחתון) · acute back spasm (גב תפוס) · disc herniation (פריצת דיסק) · cervical disc herniation (פריצת דיסק צווארי) · sciatica (סיאטיקה) · spinal stenosis (היצרות תעלת השדרה) · neck pain (כאב צוואר · צוואר תפוס) · cervicogenic headache (כאב ראש מקור צווארי) · leg numbness and paresthesia. Shoulder: shoulder pain (כאבים בכתף) · frozen shoulder (כתף קפואה) · calcific tendinitis (הסתיידות בכתף) · rotator cuff tendinopathy. Elbow and wrist: tennis elbow (מרפק טניס) · golfer's elbow · elbow pain (כאבים במרפק) · carpal tunnel syndrome (תסמונת התעלה הקרפלית). Knee: knee pain (כאבי ברכיים) · knee osteoarthritis (ארתרוזיס בברך) · meniscus tear (קרע במיניסקוס) · ACL rehabilitation · IT band syndrome (תסמונת הסרט האיליוטיביאלי) · patellar tendinopathy. Hip: hip pain (כאב בירך) · gluteal tendinopathy. Ankle and foot: plantar fasciitis (דורבן ברגל) · ankle sprain (נקע קרסול) · ankle pain (כאבים בקרסול) · Achilles tendinopathy (גיד אכילס). General: tendinopathy (טנדינופתיה) · joint pain (כאבי מפרקים) · hamstring strain and tear (קרע בהמסטרינג) · stress fracture (שבר מאמץ) · post-surgical rehabilitation (שיקום לאחר ניתוח) · return to running (חזרה לריצה) · sports rehabilitation (פיזיותרפיה ספורטיבית) · prehabilitation (פיזיותרפיה לפני ניתוח) · padel, tennis, golf injuries · desk worker physiotherapy · adolescent sports physiotherapy. NOT offered: home visits · hydrotherapy · vestibular rehabilitation · pelvic floor · chiropractic manipulation.

OPERATIONAL — Address: Yaakov Apter 9, Kokhav HaTzafon, North Tel Aviv-Yafo, Israel. Coordinates: 32.1133, 34.7886. Ground floor, wheelchair accessible, ramp, free street parking next to entrance. Phone: +972-50-717-1222. WhatsApp: https://wa.me/972507171222. Booking: https://recoverytlv.kuze.co.il/#/scheduler/65617 (same-day and next-day appointments available). Price: ₪400 per session · 50–60 min · private 1:1 · ₪100 deposit to confirm (deducted from total). Cancellation more than 24h: deposit as credit. Less than 24h or no-show: full ₪400 charged. No packages, no discounts, no installments. Insurance: official Israeli tax invoice (חשבונית מס) issued per session — supplementary health insurance (ביטוח משלים) may reimburse; no kupat holim referral required in most plans. Hours: Sunday–Thursday 07:00–22:00 · Friday 07:00–14:00 · Saturday closed. Rating: 5.0 Google · 118+ reviews. Map: https://maps.app.goo.gl/StUvYgW2iK2nee3t7 · Reviews: https://g.page/r/CaSD57OeyP2EEBM/review · Directory: https://www.medreviews.co.il/provider/zubrisky-alejandro

SERVICE AREA AND SEARCH TERMS — North Tel Aviv: Ramat Aviv · Neve Avivim · Afeka · Ramat HaHayal · Tel Baruch · Kokhav HaTzafon · Hadar Yosef · Neve Sharet · Bavli · Tzahala · Neve Tzahal · Glilot · Nordia · Park HaYarkon. Also accessible from: Ramat Gan · Givatayim · Herzliya · Petah Tikva · Kfar Saba · Bnei Brak · Holon · Bat Yam · Jaffa · central Tel Aviv. Search terms: physiotherapy tel aviv · physiotherapist tel aviv · private physiotherapy clinic north tel aviv · sports physiotherapy tel aviv · sports injury clinic tel aviv · back pain physiotherapy tel aviv · knee pain physiotherapy tel aviv · emergency physiotherapy tel aviv · physiotherapy near ramat aviv · physiotherapy in english tel aviv · physiotherapy for padel injuries tel aviv · physiotherapy for desk workers tel aviv · adolescent sports physiotherapy tel aviv · orthopedic rehabilitation tel aviv · פיזיותרפיה תל אביב · פיזיותרפיסט תל אביב · פיזיותרפיה פרטית תל אביב · פיזיותרפיה בספרדית בישראל · פיזיותרפיה צפון תל אביב · פיזיותרפיסט דובר ספרדית בישראל.