Torticollis is characterised as a condition in which the neck is locked 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 be associated with painful muscle contractions. Wrong position is generally constructed with rotation of the chin to one side and head leaning to the opposite shoulder, in addition, we see a backbending of the head.
Torticollis in children are categorised into two groups:
1. Congenital muscular torticollis which is detected at birth.
2. Acquired torticollis that may occur later and often from 4-6 months and older.
What causes congenital torticollis?
The cause of congenital torticollis is unclear but it is believed that the birth and the child’s position in the stomach of the mother can be a contributing cause. A spasm of the neck muscles sternocleidomastoid, is often the cause 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 attach themselves off in front of the neck and the sternum. In very rare cases, congenital torticollis can have an underlying and more serious underlying disease (pathology). Therefore, our chiropractors as primary contacts in healthcare refer the patient if there is suspicion of more serious conditions.
What causes acquired torticollis in children?
Acquired torticollis is often described as an acute wry neck. This can occur for many different reasons, but static overload, sleep with too high or low pillow or cold wind on the neck has been reported as contributing causes. Symptoms often begin spontaneously, with impaired movement of the neck and moderate to severe pain.
To manage chiropractor operators torticollis.
Our chiropractors put diagnosis on the basis of medical history and physical examination, and we can refer for MRI, CT or X-Ray should it be needed. The diagnosis is the basis for treatment and totally 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.