Torticollis FAQ’s

What is Torticollis?

Torticollis is a three dimensional deformity of the neck due to rotational and either flexion or extension deformity. This results in the head tilting to one side. This can be painful at times or completely painless. The term torticollis comes from tortus which is a Latin word meaning “twisted” and collum refers to the the neck. So in summary torticollis is a twisting of the neck and is sometimes popularly referred to as “wryneck”.

How long does Torticollis last?

Torticollis can last a few months or it can be permanent, depending on the underlying cause. There are generally two main categories for the deformity; a bony problem or a soft tissue problem. If the problem is coming from a muscle spasm then it will usually resolve within a week. However if it is something bony or congenital, then it may take years to resolve, or possibly never resolve.

Does my baby have torticollis?

An infant may have torticollis if they are unable to turn or tilt their head in symmetric directions. In other words, the head should be able to turn in any direction equally on the left or right side, without assistance or persuasion. If the infant tends to keep their head in a tilted position to one side, they may have a milder form of torticollis due to some soft tissue and muscle contracture. On the other hand, if the child can only maintain their chin on one side of their body (Eg. Left or right), then they likely have a more significant type of torticollis. The most common type of torticollis is from congenital muscular abnormalities and this can often resolve over time but in some cases may require surgery if it does not improve.

What causes torticollis?

There are several causes for torticollis which are generally divided into two main categories; a bony problem (ie. Osseous abnormality), or a non-osseous problem (eg. Neurologic, myofascial, congenital, etc.). Another way of looking at torticollis is whether it is congenital, developmental, or acquired. The majority of cases in children are congenital while the majority of cases in adults are acquired. For example acquired causes include muscle spasms or ligament contractures due to infection or injury. It can even arise from sleeping in an awkward position. The causes can be divided into:

Congenital

  • Congenital Muscular torticollis
  • C1-C2 articular malformations
  • atlantoaxial dislocation
  • rotatory subluxation
  • Klippel-Feil syndrome
  • Sprengel’s deformity2
  • Congenital postural torticollis
  • Physiologic – transient or present at birth, secondary to abnormal fetal position

Acquired

  • Trauma
  • “Nasopharyngeal” torticollis
  • Grisel’s disease/C1-C2 subluxation
  • Drugs
  • Sandifer’s syndrome
  • gastroesophageal reflux
  • Psychiatric

Neurologic

  • Syringomyelia
  • Dystonia
  • Herniated cervical disks
  • Any posterior fossa
  • pathologic finding

Oculovestibular

  • extraocular movements
  • Vestibular
  • Congenital nystagmus
  • Paroxysmal torticollis of infancy:
  • episodic head tilt

How do we treat Torticollis?

Treatment of Torticollis depends on the underlying problem or etiology. If its due to a soft tissue abnormality, conservative treatment options involving physical therapy or muscle relaxation (eg. Botox for neuromuscular contractures), is often adequate. If the problem is more serious or complex, then surgery may be required. In the majority of adult cases, the neck muscles can simply be stretched out with massage and physical therapy.

How common is Torticollis?

Torticollis is relatively common in infants but tends to resolve within a few weeks of birth. The incidence among children is equal between Boys and Girls Club but is believed to occur in up to 3 in every 100 infants. In terms of the adult type we do not know the incidence.

What is a Torticollis baby?

This refers to a newborn who is found to have a tilted head or inability to turn the neck at birth. It is most likely related to positioning of the infant in the womb. The most common cause for this is congenital muscular torticollis.

Will Torticollis correct itself?

Whether torticollis can correct itself depends on the underlying cause. Congenital muscular torticollis, which is the most common type there is especially among children, generally results by one year of age. There are many things that can be done to speed up the process including physical therapy and massage therapy. Of course the underlying cause of the torticollis will define the outcome. If it is a congenital or neuromuscular problem then there may possibly be no cure except for either surgery or constant head support.

What is Torticollis?

In the neck torticollis refers to the twisted or tilted neck. It is more commonly called wryneck and can sometimes be painful but is generally painless. There are many causes for it and this can include muscular or neurologic causes as well as either bony abnormalities or other soft tissue abnormalities.

How to cure Torticollis?

In babies the treatment of torticollis in infants depends on the majority of cases it is due to congenital muscular contracture and therefore treatment will be focused on massage therapy and stretching. The exercises are meant to loosen the muscles and tendons, allowing the head to tilt back into a normal position. An infant is very unlikely to cause pain to themselves on their own when turning their own head. Therefore if the child is moving their head with no restrictions but seems to be maintained in a more tilted position within this means that the problem will more likely respond to massage her physical therapy.

What is Torticollisin adults?

In adults torticollis can either be due to muscle spasm or neuromuscular abnormalities. The likelihood of bony abnormalities contribute to torticollis is very unlikely. Unlike the pediatric subtype, adult torticollis is generally not painful.

How to cure Torticollis in adults?

The treatment of torticollis in adults depends on the underlying etiology. The majority of cases only symptomatic treatment with conservative options is required. This can include medications to relieve pain as well as relax the muscles. Sometimes in patients with neurologic causes, the patient may require neuromuscular relaxation medications or possibly injections. The majority of cases, especially when it is an adult onset type, will respond to massage therapy and stretching. On the other hand if there are more severe causes including either trauma or cervical pathology causes, and the patient may require surgical intervention in order to help relieve other problems including disability when driving or working, as well as swallowing.

Is Torticollis genetic?

Since torticollis can affect both children and adults the underlying causes are generally not genetic. However there is definitely some genetic predisposition among the congenital muscular type of torticollis but the penetrance is low, meaning that there is less than a 1 in 8 chance that if you had torticollis as a child, one of your children will.

Is Torticollis hereditary?

Yes, there is a subtype of torticollis known as hereditary muscle aplasia where the patients have a unilateral absence of the sternocleidomastoid and trapezius muscles. In other words although the vast majority of torticollis cases have known genetic or hereditary predisposition, there are rare subtypes which can contribute to torticollis in a familial manner.

What is Torticollis in babies?

In a newborn or young infant who is found to have a tilted head or inability to turn the neck, he or she may have torticollis. The majority of cases of torticollis in babies is most likely related to positioning of the infant in the womb. The most common cause for this is congenital muscular torticollis.

What is Torticollis in infants?

As previously mentioned, torticollis in infants is the inability to turn the neck or to have the head to constantly tilted in one direction. It is rare for pediatric infants to present with torticollis. The majority of cases present by three months of age.

How to correct Torticollis?

The treatment of torticollis depends on the underlying cause. Congenital muscular torticollis, which is the most common type there is especially among children, generally results by one year of age. There are many things that can be done to speed up the process including physical therapy and massage therapy. Of course the underlying cause of the torticollis will define the outcome.

If it is a congenital or neuromuscular problem then there may possibly be no cure except for either surgery or constant head support. Otherwise the majority of cases in children can simply be managed with physical therapy exercises. On the other hand, the treatment of torticollis in adults depends on the underlying etiology. The majority of cases only symptomatic treatment with conservative options is required.

This can include medications to relieve pain as well as relax the muscles. Sometimes in patients with neurologic causes, the patient may require neuromuscular relaxation medications or possibly injections. The majority of cases, especially when it is an adult onset type, will respond to massage therapy and stretching. On the other hand if there are more severe causes including either trauma or cervical pathology causes, and the patient may require surgical intervention in order to help relieve other problems including disability when driving or working, as well as swallowing.

How do I know if my baby has Torticollis?

In the majority of cases torticollis can only be definitively diagnosed by a physician or physical therapist. It is common for torticollis to resolve in young infants by one year of age. However there can be several clues as to whether the infant has torticollis at all or simply posturing and a preferred position. Infants with torticollis will turned her head to one direction and in over 75% of cases this will be to the right side.

Feeling along the side of the neck there can often be a lump but no infant or child should have their neck palpated especially in both sides to compare for any lumps. This is because of the carotid arteries lie on the side of the neck and palpating both sides may cut off the blood supply to the head. Other clues may be the child’s movement or pain expression. If the child is able to turn his head to the opposite side for several seconds and then return in this means that there is no bony block to movement. Likewise if the child is unable to turn his head at all without significant pain, then there is an underlying bony problem.

How to relieve Torticollis?

In both children and adults, the majority of cases of torticollis can be relieved with massage therapy and stretching. It is important to keep the neck muscles active and moving. Applying a heat pad or an ice pack if there is significant pain may help in adult cases. However this should virtually never be provided to children. Stretching of the neck muscles can be done by placing contralateral forces and slowly stretching out the muscle and tendons. One can find many YouTube videos from different physical therapy sites and physical therapists that demonstrate different techniques for stretching the neck. However this should never be pain and should only be performed after review by a healthcare professional.

How do we treat Torticollis in adults?

In adults, the treatment of torticollis in adults depends on the underlying etiology. The majority of cases only symptomatic treatment with conservative options is required. This can include medications to relieve pain as well as relax the muscles. Sometimes in patients with neurologic causes, the patient may require neuromuscular relaxation medications or possibly injections. The majority of cases, especially when it is an adult onset type, will respond to massage therapy and stretching. On the other hand if there are more severe causes including either trauma or cervical pathology causes, and the patient may require surgical intervention in order to help relieve other problems including disability when driving or working, as well as swallowing.

How to treat Torticollisin babies?

In babies, the treatment of torticollis in infants depends on the majority of cases it is due to congenital muscular contracture and therefore treatment will be focused on massage therapy and stretching. The exercises are meant to loosen the muscles and tendons, allowing the head to tilt back into a normal position. An infant is very unlikely to cause pain to themselves on their own when turning their own head. Therefore if the child is moving their head with no restrictions but seems to be maintained in a more tilted position within this means that the problem will more likely respond to massage her physical therapy.

On the other hand if the underlying cause for the torticollis is bony or neuromuscular, then the patient may even require surgical intervention. Evaluation by healthcare professional may be required and advanced imaging including x-rays or even CT scans or an MRI may help identify the underlying abnormalities. The treatment would then be tailored towards the underlying cause. For example if the problem is from a bony abnormality, then either surgical resection or reshaping of the bone may be required.

Is Torticollis permanent?

In the majority of cases torticollis is only temporary and generally resolves especially in infants and the adult onset type. On the other hand if the torticollis is due to a bony structural abnormality or a neuromuscular cause, then the problem may be more permanent. Of course surgery can often would otherwise physical therapy and stretching exercises may not be that effective and therefore the torticollis may remain more permanent until the underlying bony or neurologic problem is addressed.

What causes Spasmodic Torticollis?

Spasmodic Torticollis is sometimes also known as cervical dystonia and it is a spasm of the muscles that control the neck. As a result the neck muscles pull the head toward one side. There are many underlying causes for this but in the vast majority of the spasmodic type it occurs among adults and is usually due to poor sleeping posture. It can sometimes also be related to trauma including a motor vehicle accident or a fall.

Unlike the pediatric subtype which is generally congenital, the adult type tends to be painful and more quickly resolved over time. Of course there are other possibilities especially among the adult onset type which can include medications that can lead to specific muscle spasms and torticollis. Therefore any spasmodic or adult onset type of torticollis which does not resolved within a few days should be assessed by healthcare professional.

What is Congenital Muscular Torticollis?

Congenital muscular torticollis is the most common cause for torticollis or wryneck. The majority of patients with congenital muscular torticollis present at approximately two months of age. In the majority of infants the problem is not immediately identified as the child is able to maintain their head tilted in one direction and breast-feed. However after several weeks and the persistent inability of the child to turn his head to the opposite direction is then noted by the mother or parents. Likewise because the turning of the head is not painful and the infant does not communicate the problem is typically not identified until several weeks after birth. The underlying pathophysiology is typically due to a unilateral shortening or contracture of the sternocleidomastoid muscle.

What type of doctor treats Torticollis?

Many types of physicians can treat torticollis including family physicians, orthopedic surgeons, neurosurgeons, and rheumatologists. Even pain and physiatry physicians are well trained to manage torticollis. Of course if the underlying problem turns out to be abnormalities with the eyes or ears then the management would be better suited by either an ophthalmologist or a otolaryngologist. However in terms of diagnosing the underlying cause the can be done by any of the physicians named above.

How do you treat Torticollis?

The treatment of torticollis depends on the underlying cause as well as the age of onset. There are both adult and pediatric subtypes as well as different categories for the underlying problem. Congenital muscular torticollis, which is the most common type, is especially common among children, and generally presents by one year of age. There are many things that can be done to speed up the treatment process including physical therapy and massage therapy.

Of course the underlying cause of the torticollis will define the outcome. If it is a congenital or neuromuscular problem then there may possibly be no cure except for either surgery or constant head support. Otherwise the majority of cases in children can simply be managed with physical therapy exercises. On the other hand, the treatment of torticollis in adults depends on the underlying etiology.

The majority of cases only symptomatic treatment with conservative options is required. This can include medications to relieve pain as well as relax the muscles. Sometimes in patients with neurologic causes, the patient may require neuromuscular relaxation medications or possibly injections. The majority of cases, especially when it is an adult onset type, will respond to massage therapy and stretching. On the other hand if there are more severe causes including either trauma or cervical pathology causes, and the patient may require surgical intervention in order to help relieve other problems including disability when driving or working, as well as swallowing.

Is Torticollis serious?

Torticollis is generally not a serious or severe problem. The majority of cases respond to simple conservative treatment measures including physical therapy and muscle stretching. Of course there are rare subtypes of torticollis which may be related to more serious underlying pathology. For example if it occurs after a car accident or a injury to the brain, there may be neurologic problem causing muscle contractures. Similarly there may be a bony or soft tissue injury resulting in deformity of the neck.

What is Spasmodic Torticollis?

Spasmodic torticollis is sometimes also known as cervical dystonia and it is a spasm of the muscles that control the neck. As a result the neck muscles pull the head toward one side. There are many underlying causes for this but in the vast majority of the spasmodic type it occurs among adults and is usually due to poor sleeping posture. It can sometimes also be related to trauma including a motor vehicle accident or a fall.

Unlike the pediatric subtype which is generally congenital, the adult type tends to be painful and more quickly resolved over time. Of course there are other possibilities especially among the adult onset type which can include medications that can lead to specific muscle spasms and torticollis. Therefore any spasmodic or adult onset type of torticollis which does not resolved within a few days should be assessed by healthcare professional.

How to sleep with Torticollis?

Sleeping with torticollis can be difficult. If the underlying cause is muscle spasm and related to adult onset type, then avoid using a pillow that is too high or too stiff. It is often better to prevent the neck from overly flexing. Sleeping on the side and trying to keep the head in a neutral position with the neck and shoulders is probably the best option. In general the years should be at the same level as the shoulders and the nose can and neck should all be in the same line.

What’s Torticollis?

Torticollis is a three dimensional deformity of the neck due to rotational and either flexion or extension deformity. This results in the head tilting to one side. This can be painful at times or completely painless. The term torticollis comes from tortus which is a Latin word meaning “twisted” and collum refers to the the neck. So in summary torticollis is a twisting of the neck and is sometimes popularly referred to as “wryneck”.

How to fix Torticollis in babies?

In babies, the treatment of torticollis depends on the underlying cause. In the majority of cases it is due to congenital muscular contracture and therefore treatment will be focused on massage therapy and stretching. The exercises are meant to loosen the muscles and tendons, allowing the head to tilt back into a normal position. An infant is very unlikely to cause pain to themselves on their own when turning their own head. Therefore if the child is moving their head with no restrictions but seems to be maintained in a more tilted position within this means that the problem will more likely respond to massage her physical therapy.

On the other hand if the underlying cause for the torticollis is bony or neuromuscular, then the patient may even require surgical intervention. Evaluation by healthcare professional may be required and advanced imaging including x-rays or even CT scans or an MRI may help identify the underlying abnormalities. The treatment would then be tailored towards the underlying cause. For example if the problem is from a bony abnormality, then either surgical resection or reshaping of the bone may be required.

What is Congenital Torticollis?

Congenital muscular torticollis is the most common cause for torticollis or wryneck. The majority of patients with congenital muscular torticollis present at approximately two months of age. In the majority of infants the problem is not immediately identified as the child is able to maintain their head tilted in one direction and breast-feed. However after several weeks and the persistent inability of the child to turn his head to the opposite direction is then noted by the mother or parents. Likewise because the turning of the head is not painful and the infant does not communicate the problem is typically not identified until several weeks after birth. The underlying pathophysiology is typically due to a unilateral shortening or contracture of the sternocleidomastoid muscle.

How to prevent Torticollis in adults?

Adult torticollis is generally not preventable. This is because the majority of cases are due to muscle spasm and poor sleeping posture. If this occurs then only physical massage therapy is required and generally Results over a few days.

What is Acute Torticollis?

Acute torticollis is usually due to spasms of the neck from either overuse or poor sleeping posture. On the other hand it can be due to a traumatic event like a motor vehicle accident or a neurologic injury resulting in muscle spasm. The term acute simply refers to the onset being quick in developing in less than a few hours or days. The other hand chronic torticollis means that it has been present for several weeks, even if it came about through an acute event. It is now being persistent and lasted long enough that it is considered chronic.

What to do for Torticollis?

There are many things that can be done to treat torticollis. The most important factor is the underlying cause. This often has to be diagnosed by health professional. Then treatment can be directed and tailored towards the underlying problem. Of course if it is just an adult onset type due to poor sleeping posture and the patient wakes up the next morning with a stiff painful neck, then this can often resolve on its own within several days. On the other hand if the torticollis persists for more than several days or is associated with significant pain or neurologic changes then aim more concerning underlying problem may be present in the patient may require advanced imaging evaluation.

What causes Torticollis in adults?

There are many causes for adult onset torticollis which can include neuromuscular causes, traumatic causes, infectious causes, and rheumatologic causes.

How long does Torticollis last in adults?

This depends on the underlying etiology or cause. They can last anywhere from several hours or days, to possibly weeks or months.

Is Torticollis considered a disability?

Yes it can often be considered a disability if the patients don’t have full range of motion and has difficulty with activities of daily living or occupational activities. This can include driving due to the need for shoulder checking or looking up at the rear. View mirror. Other tasks involving looking at a monitor for long periods or constantly turning the head to move and place objects may be limited by the pain and limited range of motion of the neck.

Does Torticollis go away in adults?

This depends on the underlying cause but in the majority of cases is to to simple muscle spasms and should resolve over several hours or days.

Can Torticollis be cured?

Yes the majority of cases of all torticollis can be cured however whether this require surgery is a difficult question. The vast majority of all torticollis can be treated with conservative options including physical therapy and stretching. Only a very small range of causes require surgical intervention

Can Torticollis come back?

Yes torticollis can definitely occur several times in a person’s lifetime. The frequency ultimately depends on the underlying etiology. If the patient has a neuromuscular disorder and gets treated by stretching out the muscles and either taking medication or Botox injections for the may, then the torticollis deformity should resolve. However if the patient does not continue with those treatments and is no longer compliant, then the torticollis can progress and eventually return the patient back to their original state.

Babies with Torticollis need a helmet?

No babies with torticollis did not need a helmet unless there is some other associated abnormality skull. In general cervical callers to not provide any relief or treatment of torticollis. In fact it may worsen the situation because it relaxes the muscles and possibly atrophied surrounding muscles that are providing support to the neck.

Does my baby have left or right Torticollis?

This is a very controversial subject but the direction that the head tilts in is generally the contralateral direction underlying problem. For example if the patient has a left-sided torticollis meaning that their head tilts towards the left, the muscle contracture is most commonly on the right side. Therefore surgery the sternocleidomastoid muscle contracture generally be performed on the side opposite the location of the chin. As a another example if the chin tilts towards the right side then the underlying problem is with the left sternocleidomastoid muscle surgery and treatment is directed towards that side.

Does Torticollis affect development?

Yes, torticollis can affect normal pediatric development but is generally identified at a very early stage. Torticollis should never be present for more than several hours or days regardless of the underlying cause. If it persists for more than that then the underlying problem should definitely be addressed to help prevent long-term complications

Does Torticollis affect vision?

Yes, Torticollis can affect vision and vice versa. In other words, Both problems with the vision can cause torticollis,s well as torticollis contributing to problems with vision.

Does Torticollis cause developmental delays?

Note Torticollis should not cause a developmental delay but it can lead to developmental abnormalities you to deploy posturing including abnormal eye focus patterns and asymmetry of the face and surrounding muscles.

Does Torticollis go away?

This depends on the underlying cause. Torticollis can go away if it is simply due to a muscle spasm from poor sleeping posture or in the case of infants, you to the position in the womb. On the other hand if it is to to a congenital problem or from a traumatic event then it may possibly remain permanent. For example if it is to a fracture of the bone resulting in dislocation or subluxation of the neck bones and not treated or managed appropriately, then the bones may become fused or contract in that position and can then only be managed with further surgery. This case remain permanent unless surgery is performed.

How is Torticollis named?

Torticollis is named after two connected terms. The term torticollis comes from tortus which is a Latin word meaning “twisted” and collum refers to the the neck. So in summary torticollis is a twisting of the neck and is sometimes popularly referred to as “wryneck”.

How long can Torticollis last?

Torticollis can last from anywhere from a few hours to a few weeks and can also be permanent.

How long does Acute Torticollis last?

Acute adult type torticollis generally only lasts several hours or days. For persists more than a week then it should be definitely assessed by healthcare professional. Likewise it is very painful and associated with any neurologic abnormalities including numbness in the fingers or weakness and then definitely be assessed by healthcare professional.

How long does it take for Torticollis to resolve?

Torticollis can last a few months or it can be permanent, depending on the underlying cause. There are generally two main categories for the deformity; a bony problem or a soft tissue problem. If the problem is coming from a muscle spasm then it will usually resolve within a week. However if it is something bony or congenital, then it may take years to resolve, or possibly never resolve.

how long does it take to correct Torticollis?

This depends on the underlying cause. If the cause is simply due to a muscle contracture from poor sleeping posture or position in the womb, then this will result quite quickly within several days or weeks. On the other hand if it is a long-standing problem may be permanent and only surgery can

How long does Torticollis last in babies?

The vast majority of cases in infants and babies, torticollis is usually due to muscular contracture. Therefore the majority resolve within several weeks or months once the child has adequately stretched out the contracted muscle. Overall, Torticollis can last a few months or it can be permanent, depending on the underlying cause. There are generally two main categories for the deformity; a bony problem or a soft tissue problem. If the problem is coming from a muscle spasm then it will usually resolve within a week. However if it is something bony or congenital, then it may take years to resolve, or possibly never resolve.

How long Torticollis lasts?

This can either be short duration lasting several hours to days working long-term permanent problem the duration depends on the underlying cause.

How to cure Torticollis?

The treatment for torticollis depends on cause. There can be permanent cure or a short-term treatment which depends on the underlying cause. If the cause is simply due to a muscle contracture from poor sleeping posture or position in the womb, then this will resolve quite quickly within several days or weeks. On the other hand if it is a long-standing problem it may be permanent and only surgery can treat the problem.

How to fix Torticollis in adults?

This depends on the cause for the torticollis and there are many things that can be done. The underlying cause often has to be diagnosed by a health professional unless it is due to poor sleeping posture in an adult patient. In general, once the cause is known, the treatment can be directed and tailored towards the underlying problem. Of course if it is just an adult onset type due to poor sleeping posture and the patient wakes up the next morning with a stiff painful neck, then this can often resolve on its own within several days, or undergo chirpractic or physical therapy treatment to help with the muscle spasm.

On the other hand if the torticollis persists for more than several days or is associated with significant pain or neurologic changes then aim more concerning underlying problem may be present in the patient may require advanced imaging evaluation.

How to get rid of Torticollis?

Resolving the torticollis can take time if it is due to muscle spasm. In general the options range from conservative treatment to surgical treatment depending on the underlying cause. Medications can help with pain control and to allow patient to stretch out the neck more easily. Physical therapy and other ancillary treatments like massage therapy and chiropractic treatment can help stretch out and resolve the muscle spasms. Treatments like cervical traction and heating pads can also help.

How to help Torticollis?

This depends on the underlying cause. If it is due to muscle spasm then conservative treatment options are available. Medications can help with pain control and to allow patient to stretch out the neck more easily. Physical therapy and other ancillary treatments like massage therapy and chiropractic treatment can help stretch out and resolve the muscle spasms. Treatments like cervical traction and heating pads can also help.

How to prevent Torticollis?

adult torticollis is generally not preventable. This is because the majority of cases are do you two muscle spasm and poor sleeping posture. If this occurs then only physical massage therapy is required and generally results over a few days.

How to treat Torticollis at home?

This depends on the underlying cause. If it is simply due to muscle spasm then stretching as well as massage therapy, medications including analgesics like anti-inflammatories, topical creams, and physical therapy or chiropractic treatment can provide relief.

How to treat Torticollis in infants?

In infants, the treatment of torticollis in infants depends on the underlyiong cause. In the majority of cases it is due to congenital muscular contracture and therefore treatment will be focused on massage therapy and stretching. The exercises are meant to loosen the muscles and tendons, allowing the head to tilt back into a normal position. An infant is very unlikely to cause pain to themselves on their own when turning their own head.

Therefore if the child is moving their head with no restrictions but seems to be maintained in a more tilted position within this means that the problem will more likely respond to massage her physical therapy. On the other hand if the underlying cause for the torticollis is bony or neuromuscular, then the patient may even require surgical intervention. Evaluation by healthcare professional may be required and advanced imaging including x-rays or even CT scans or an MRI may help identify the underlying abnormalities. The treatment would then be tailored towards the underlying cause. For example if the problem is from a bony abnormality, then either surgical resection or reshaping of the bone may be required.

How to treat Torticollis in newborn?

In the newborn, the treatment of torticollis in infants depends on the underlying cause. In the Majority of cases it is due to congenital muscular contracture and therefore treatment will be focused on massage therapy and stretching. The exercises are meant to loosen the muscles and tendons, allowing the head to tilt back into a normal position. An infant is very unlikely to cause pain to themselves on their own when turning their own head. Therefore if the child is moving their head with no restrictions but seems to be maintained in a more tilted position within this means that the problem will more likely respond to massage her physical therapy.

On the other hand if the underlying cause for the torticollis is bony or neuromuscular, then the patient may even require surgical intervention. Evaluation by healthcare professional may be required and advanced imaging including x-rays or even CT scans or an MRI may help identify the underlying abnormalities. The treatment would then be tailored towards the underlying cause. For example if the problem is from a bony abnormality, then either surgical resection or reshaping of the bone may be required.

Is infant Torticollis a disability?

In the majority of cases torticollis in infants is not a long-term stability. The majority are due to congenital muscular torticollis and will resolve by the age of one year.

Is Torticollis a disability?

No, in the majority of cases torticollis in infants is not a long-term stability. The majority are due to congenital muscular torticollis and will resolve by the age of one year.

Is Torticollis curable?

Yes in the majority of cases torticollis is curable.

Is Torticollis painful?

Knowing the majority of cases to think this is not painful. However when it is due to muscle spasm especially among adults due to poor sleeping posture and it can be painful. If ridiculous is painful than it should deftly be evaluated by health professional

What causes Torticollis in babies?

The majority of cases of torticollis in babies is most likely related to positioning of the infant in the womb. The most common cause for this is congenital muscular torticollis.

What causes Torticollis in infants?

The majority of cases of torticollis in infants is most likely related to positioning of the infant in the womb. The most common cause for this is congenital muscular torticollis.

What does Torticollis mean?

The majority of cases of torticollis in babies is most likely related to positioning of the infant in the womb. The most common cause for this is congenital muscular torticollis.

What is Cervical Dystonia Spasmodic Torticollis?

Spasmodic Torticollis is one type of cervical dystonia. In general cervical dystonia simply means an abnormal muscle tone of the neck muscles. It can be due to neurologic abnormalities muscle abnormalities. Spasmodic torticollis is sometimes also known as cervical dystonia and it is a spasm of the muscles that control the neck. As a result the neck muscles pull the head toward one side.

There are many underlying causes for this but in the vast majority of the spasmodic type it occurs among adults and is usually due to poor sleeping posture. It can sometimes also be related to trauma including a motor vehicle accident or a fall. Unlike the pediatric subtype which is generally congenital, the adult type tends to be painful and more quickly resolved over time.

Of course there are other possibilities especially among the adult onset type which can include medications that can lead to specific muscle spasms and torticollis. Therefore any spasmodic or adult onset type of torticollis which does not resolved within a few days should be assessed by healthcare professional.

What is Cervical Torticollis?

Particular simply means twisting of the neck. Cervical refers to the spine area of the neck. Therefore the terms are redundant and anytime we refer to torticollis we are all referring to the cervical spine.

What is Ocular Torticollis?

ocular ridiculous is an abnormal deviation of the head to to vision abnormalities. As a result the patient looks like their head is tilted to the side due to normal cervical spine reality due to compensation for their vision problems.

What is the definition of Torticollis?

Torticollis is a three dimensional deformity of the neck due to rotational and either flexion or extension deformity. This results in the head tilting to one side.

What is the prognosis of Spasmodic torticollis?

Torticollis can last a few months or it can be permanent, depending on the underlying cause. In the case of spasmodic torticollis this is generally a soft tissue problem. There are generally two main categories for a torticollis deformity; a bony problem or a soft tissue problem. If the problem is coming from a muscle spasm, as in the case of spasmodic torticollis, then it will usually resolve within a week. However if it is something bony or congenital, then it may take years to resolve, or possibly never resolve.

What is Torticollis Congenital?

Torticollis is a three dimensional deformity of the neck due to rotational and either flexion or extension deformity. This results in the head tilting to one side. This can be painful at times or completely painless. The term torticollis comes from tortus which is a Latin word meaning “twisted” and collum refers to the the neck. So in summary torticollis is a twisting of the neck and is sometimes popularly referred to as “wryneck”.

Infant type or baby-torticollis refers this refers to a newborn who is found to have a tilted head or inability to turn the neck at birth. It is most likely related to positioning of the infant in the womb. The most common cause for this is congenital muscular torticollis. in adults torticollis can either be due to muscle spasm or neuromuscular abnormalities. The likelihood of bony abnormalities contribute to torticollis is very unlikely. Unlike the pediatric subtype, adult torticollis is generally not painful.

What is Plagiocephaly and Torticollis?

There is a strong association between plagiocephaly and torticollis. Plagiocephaly relates to abnormal shape of the head, while torticollis relates to an abnormal deviation of the head and neck.

What muscle is affected by Torticollis?

The sternocleidomastoid muscle of the cervical spine the most commonly involved muscle in torticollis. However the underlying cause for the torticollis is not always due to abnormality of this muscle. It can be due to an abnormal innervation of the muscle as well as the muscle becoming overly contracted or spat stick due to other causes including medications, cranial neural abnormalities, and cervical spine abilities.

When does Torticollis go away?

Torticollis generally goes away several hours or days when it is due to poor sleeping posture or in the case of infants due to the position of their head in the womb. Overall the time that it takes to correct depends on the underlying cause. In some cases it may be permanent and never resolve especially when the problem is bony in the case of a spinal malformation.

Can adults get Torticollis?

Yes,adults and children can get torticollis. Children generally have congenital muscular torticollis. While I don’t generally develop posture ridiculous due to an abnormal sleeping position. If the torticollis lasts more than several days or weeks then the underlying pathology has to be investigated.

Can babies have Torticollis in both direction?

Yes, ridiculous can occur in both directions mean that the head can either turn to the left or to the right side depending on where the underlying problem is.

Can i get disability for Torticollis?

That depends on the underlying cause for the torticollis. If the reason is simply due to sleeping posture with muscle spasm and the majority of cases should resolve in a few days or weeks this would not really qualify for disability. However if the underlying cause is something chronic then yes it may qualify for disability.

Can I just work thru Torticollis?

Yes, you can often work through torticollis if the underlying cause is just muscle spasm. It should resolve over several days or weeks.

Can nerve compression cause Torticollis?

Yes, nerve compression can cause torticollis but it is generally often exceedingly rare. Majority are due to sleeping posture adults.

Can paralysis occur in Torticollis?

No process would be exceedingly rare in torticollis unless cause spinal subluxation with possible compression on the spinal cord. This is exceedingly rare.

Can Torticollis cause congestion?

No particular should not cause congestion.

Can Torticollis cause dizziness?

No torticollis should not cause dizziness but on the other hand, problems with the vestibular organs of the ear can result in torticollis.

Can Torticollis cause low muscle tone?

In the majority of cases it is increased muscle tone which causes torticollis. However we can muscles can definitely result in some degree of scoliosis curvature of the spine and may give an impression of torticollis. Nevertheless in the majority of cases when we refer to torticollis we are referring to increased tone and spasticity of the sternocleidomastoid muscle

Can Torticollis cause permanent damage?

No. In the majority of cases torticollis does not cause permanent damage. However this always depends on the underlying cause.

Can Torticollis delayed crawling?

No. It should have no impact on the remainder of the developmental milestones. However if the torticollis is not addressed then it can cause asymmetry and developmental problems with the eyes and other features.

Could my baby develop Torticollis?

Yes. It is possible to develop torticollis in infants at a later stage in life. However the majority of cases are found around the time of birth but are only really noticed several weeks after the child is born.

Could my baby develop Torticollis because medical bad practice?

It would be exceedingly rare for torticollis to develop from a practice error. Sometimes when there is a difficult delivery the head of the baby is used to help guide pull the body through the birth passage. However the more common injury is to the brachial plexus which results in abnormal function of the upper limb.

Do I have Spasmodic Torticollis?

You may have spasmodic torticollis which is the most common type and cost torticollis in adults. This is generally due to poor sleeping posture and we can with pain and soreness with a tilt towards one direction. It should resolve within several hours to days.

Does Acute Torticollis go away?

Yes.The majority of cases of acute torticollis results within a few days to weeks.

Does botox stop working for Torticollis?

Over time, botox becomes less effective if the underlying cause for the torticollis is sternocleidomastoid muscle spasm due to neurologic overstimulation

Does chiropractic make worse?

Yes. Chiropractic treatment can worsen torticollis and aggravate pain symptoms. The other hand it is often used to treat and manage torticollis.

Does massage help Torticollis?

Yes. Massage therapy can significantly help torticollis especially in regards to pain sensation and helping with stretching.

Does muscle relaxers help Torticollis?

Majority of cases muscle relaxants will only make you drowsy and likely not resolve torticollis any sooner. However if the torticollis is purely due to a muscle spasm then you may have some benefit from it but would likely still require a pain medication like an anti-inflammatory medication to help with the pain symptoms.

Does spasmodic Torticollis affect women more than men?

No. In both adults and children torticollis affects women and men equally.

Does Torticollis cause headaches?

No. Torticollis itself should not cause headaches solicitors leading to visual problems.

Does Torticollis cause scoliosis?

No. Torticollisis unlikely to cause scoliosis unless it has been present in the child for a long period of time. The other hand scoliosis can definitely contribute to and is one of the causes for torticollis.

Is Torticollis related to reflux?

Yes. Torticollis can be related to gastroesophageal reflux disease where it is known as Sandifur syndrome. This is where there is spasmodic cervical dystonia due to arching of the neck and back from reflux esophagitis from a hernia and a child. It can generally affect children up to two years of age but is rare after this since the majority of hiatus hernias resolve with growth in children or are eventually surgically managed. Children develop abnormal movements of their head and neck which can last a few minutes but are demonstrated multiple times throughout the day when feeding and shortly afterwards due to difficulties with food ingestion.

Likewise there can be vomiting for feeding stomach discomfort and abnormal eye movements. The torticollis that can develop from this is poorly understood but believed to be Q2 the infant trying to position himself to relieve the abdominal pain and the reflux. Although head movements and torticollis are seen in the vast majority of patients with over 80% demonstrating the signs, only one third of patients have any abnormal live movements. Treatment for this condition is usually directed towards treating the esophagitis and hiatus hernia.

Does Torticollis make a baby fussy?

No. The majority of cases of torticollis in children should not be painful as opposed to the type. Stretching the torticollis in infants can sometimes cause discomfort but should never really be painful.

How long does congenital Torticollis last?

The majority of cases of congenital muscular torticollis should result by one year of age and can often be treated within a few weeks.

How long does it take to recover from Torticollis?

It should take no more than a few days to one week to recover from torticollis

How long will Torticollis last?

Torticollis can last a few months or it can be permanent, depending on the underlying cause. There are generally two main categories for the deformity; a bony problem or a soft tissue problem. If the problem is coming from a muscle spasm then it will usually resolve within a week. However if it is something bony or congenital, then it may take years to resolve, or possibly never resolve.

Is Cervical Dystonia the same as Spasmodic Torticollis?

Yes. Spasmodic torticollis is one type of cervical dystonia. Cervical dystonia simply means abnormal muscle tone of the neck muscles. It may be due to either muscle spasm or increase neurologic stimulation from a brain injury or some underlying neuromuscular disorder. In other words there are many causes for cervical dystonia and spasmodic torticollis is one of them.

Is Congenital Torticollis hereditary?

Since torticollis can affect both children and adults the underlying causes are generally not genetic or hereditary. However there is definitely some genetic predisposition among the congenital muscular type of torticollis. Yes, there is a subtype of torticollis known as hereditary muscle aplasia where the patients have a unilateral absence of the sternocleidomastoid and trapezius muscles. In other words although the vast majority of torticollis cases have known genetic or hereditary predisposition, there are rare subtypes which can contribute to torticollis in a familial manner.

Is Spasmodic Torticollis hereditary?

pasmodic Torticollis is generally not hereditary. In fact since torticollis can affect both children and adults the underlying causes are generally not genetic. However there is definitely some genetic predisposition among the congenital muscular type of torticollis. Yes, there is a subtype of torticollis known as hereditary muscle aplasia where the patients have a unilateral absence of the sternocleidomastoid and trapezius muscles. In other words although the vast majority of torticollis cases have known genetic or hereditary predisposition, there are rare subtypes which can contribute to torticollis in a familial manner.

Is there any way to prevent Congenital Torticollis?

Both infant, pediatric, and adult torticollis our generally not preventable. This is because the majority of cases are do you to muscle spasm and posture. If this occurs then only physical massage therapy is often required and generally Results over a few days.

What is Wryneck Torticollis ?

Torticollis is a twisting of the neck and is sometimes popularly referred to as “wryneck”. The terms are interchangeable.

What is Congential Torticollis ?

Torticollis is a three dimensional deformity of the neck due to rotational and either flexion or extension deformity. This results in the head tilting to one side. This can be painful at times or completely painless. The term torticollis comes from tortus which is a Latin word meaning “twisted” and collumn refers to the neck. So in summary torticollis is a twisting of the neck and is sometimes popularly referred to as “wryneck”. Infant type or baby-torticollis refers this refers to a newborn who is found to have a tilted head or inability to turn the neck at birth.

It is most likely related to positioning of the infant in the womb. The most common cause for this is congenital muscular torticollis. in adults torticollis can either be due to muscle spasm or neuromuscular abnormalities. The likelihood of bony abnormalities contribute to torticollis is very unlikely. Unlike the pediatric subtype, adult torticollis is generally not painful.

What is the common name for Spasmodic Torticollis?

Torticollis is a twisting of the neck and is sometimes popularly referred to as “wryneck”.

I am Vedant Vaksha, Fellowship trained Spine, Sports and Arthroscopic Surgeon at Complete Orthopedics. I take care of patients with ailments of the neck, back, shoulder, knee, elbow and ankle. I personally approve this content, and have written most of it myself.