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Home > Conditions > Children > Torticollis in children
Torticollis (twisted neck) is a condition in which the neck locks in an unequal position, which in turn can cause pain in the neck, shoulders and head. This position can often occur with involuntary, jerky neck and head movements. The condition has different degrees and can have painful muscle contractions. Wrong position is generally constructed with rotation of the chin to one side and the head leaning to the opposite shoulder, we also see a backbending of the head.
1. Congenital muscular torticollis which is normally detected at birth.
2. Acquired torticollis that may occur later and often from 4-6 months and older.
The cause of congenital torticollis is unclear. But it’s believed, that the birth and the child’s position in the womb can be a contributing cause. A spasm of the neck muscles sternocleidomastoid as the child lies with his head to one side and rotated to the other. This muscle arises from the scalp behind the ear and attaches themselves off in front of the neck and the sternum. Also, in very rare cases, congenital torticollis can have a serious underlying disease (pathology). Therefore, our chiropractors as the primary contact in healthcare can refer the patient if there is suspicion of more serious conditions.
Acquired torticollis is often described as an acute wry neck. This can also occur for many different reasons. For example, static overload, sleeping with a too high or low pillow or even cold wind on the neck can be contributing factors. Symptoms often begin spontaneously, with the impaired movement of the neck and moderate to severe pain.
Our chiropractors put a diagnosis on the basis of medical history and physical examination, and we can refer for MRI, CT or X-Ray if needed. The diagnosis is the basis for treatment and dependent on the underlying cause. Treatment may consist of, among other joint corrections, muscular therapy and ergonomic advice. To avoid recurrence the chiropractor will provide training exercises; training in the correct use of muscles and proper posture will in most cases have a preventive effect.