Torticollis

Torticollis, also known as wryneck, is a condition that causes the neck to tilt to one side and rotate to the other. It can be caused by a variety of factors, including muscle spasms, inflammation, …

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Jessica King

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Torticollis, also known as wryneck, is a condition that causes the neck to tilt to one side and rotate to the other. It can be caused by a variety of factors, including muscle spasms, inflammation, or structural abnormalities in the neck. Torticollis can occur at any age, but it is most common in infants and children. In this article, we will provide an overview of torticollis in children, including the symptoms, causes, treatment options, and prevention strategies.

Overview

Torticollis, also known as wryneck, is a condition that causes the neck to tilt to one side and rotate to the other. It can be caused by a variety of factors, including muscle spasms, inflammation, or structural abnormalities in the neck. Torticollis can occur at any age, but it is most common in infants and children.

Symptoms of torticollis can vary, and some children may not experience any symptoms at all. Common symptoms of torticollis in children include:

  • Tilted head to one side
  • Difficulty turning the head to one side
  • Tilted chin to one side
  • Difficulty breastfeeding or bottle feeding

It is important to note that these symptoms can also be caused by other conditions, and it is not always clear if torticollis is the cause. It is important to seek medical attention if you suspect your child may have torticollis, as prompt treatment can help to prevent complications.

Causes

Torticollis can be caused by a variety of factors, including muscle spasms, inflammation, or structural abnormalities in the neck. Some common causes of torticollis in children include:​

  • Congenital torticollis: This type of torticollis is present at birth and is caused by abnormal development of the muscles in the neck.
  • Acquired torticollis: This type of torticollis is not present at birth and can be caused by a variety of factors, such as muscle strains, inflammation, or injuries to the neck.
  • Muscular torticollis: This type of torticollis is caused by spasms or tightness in the neck muscles.
  • Skeletal torticollis: This type of torticollis is caused by structural abnormalities in the bones of the neck, such as an uneven curvature of the spine.
  • Infections: Infections, such as meningitis or abscesses in the neck, can cause torticollis.

Treatment

Treatment for torticollis will depend on the underlying cause of the condition and the severity of the symptoms. Some common treatments for torticollis in children include:

  • Stretching exercises: Stretching exercises can help to loosen tight muscles and improve range of motion in the neck.
  • Physical therapy: Physical therapy can help to improve muscle strength and flexibility in the neck.
  • Chiropractic care: Chiropractic care can help to realign the bones in the neck and improve range of motion.
  • Medications: Medications, such as muscle relaxants, can be used to help relax tight muscles and reduce pain.
  • Surgery: In rare cases, surgery may be necessary to correct structural abnormalities in the neck.

Prevention

There is no known way to prevent torticollis, but there are steps that can be taken to reduce the risk of developing the condition. These include:

  • Proper positioning: Infants should be placed in a neutral position (facing forward) when being carried, and their head should be supported when they are lying down to prevent strain on the neck muscles.
  • Avoiding neck injuries: Children should be taught to protect their neck when participating in sports or other activities that carry a risk of neck injuries.
  • Using proper posture: Children should be taught to maintain good posture when sitting, standing, and sleeping to reduce strain on the neck muscles.

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