Torticollis is a condition in which the neck is twisted and causes the head to rotate and tilt at an odd angle. The cause of torticollis is unknown, but treatment can help.
What is torticollis?
Torticollis, also known as wryneck or twisted neck, is a twisting of the neck that causes the head to rotate and tilt at an odd angle.
What causes torticollis?
The exact cause of torticollis is unknown.
Congenital muscular torticollis is a condition you are born with. It is more likely to happen in firstborn children. This may also be accompanied by a congenital hip dislocation. The cause is likely from the baby’s position in the uterus which leads to injury to the neck muscles.
Acquired torticollis may be caused by irritation to the cervical ligaments from a viral infection, injury, or vigorous movement. Additional causes may include:
Sleeping in an awkward position
Neck muscle injury at birth
Any injury that causes heavy scarring and skin or muscle shrinkage
Neck muscle spasm
Torticollis may also be a condition that results from the following:
Slipped facets (2 small joints on the side of the spine)
Viral or bacterial infection
What are the symptoms of torticollis?
The following are the most common symptoms of torticollis. However, each person may experience symptoms differently. Symptoms may include:
Neck muscle pain or pain down the spine
Head tilts to one side
Inability to turn the head, usually holding it twisted to one side
Spasm of the neck muscles
Awkward position of the chin
The symptoms of torticollis may look like other conditions and medical problems. Always talk with your healthcare provider for a diagnosis.
How is torticollis diagnosed?
Diagnosis of torticollis usually is confirmed with a medical history and physical exam.
How it torticollis treated?
Specific treatment for torticollis will be determined by your healthcare provider based on:
Your age, overall health, and medical history
Extent of the condition
Your tolerance for specific medicines, procedures, or therapies
Expectations for the course of the condition
Your opinion or preference
Treatment may include:
When should I call my healthcare provider?
If your symptoms have not improved within the time frame suggested by your healthcare provider, you should let them know. Also, if your symptoms get worse or you get new symptoms, tell your healthcare provider.
Key points about torticollis
It is a twisting of the neck that causes the head to rotate and tilt at an odd angle.
The exact cause is unknown. It can be congenital or acquired.
Diagnosis is usually confirmed by history and physical exam.
Tips to help you get the most from a visit to your healthcare provider:
Know the reason for your visit and what you want to happen.
Before your visit, write down questions you want answered.
Bring someone with you to help you ask questions and remember what your provider tells you.
At the visit, write down the name of a new diagnosis, and any new medicines, treatments, or tests. Also write down any new instructions your provider gives you.
Know why a new medicine or treatment is prescribed, and how it will help you. Also know what the side effects are.
Ask if your condition can be treated in other ways.
Know why a test or procedure is recommended and what the results could mean.
Know what to expect if you do not take the medicine or have the test or procedure.
If you have a follow-up appointment, write down the date, time, and purpose for that visit.
Know how you can contact your provider if you have questions.
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