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InsightHorizon Digest

What causes torticollis in children

Author

Isabella Turner

Updated on April 07, 2026

That’s because when we sleep in a new or uncomfortable position, the muscles and ligaments of the neck or spine can shift, causing painful pulled muscles or loosened ligaments. Some kids also get torticollis when they have colds or throat infections (like mono or strep) due to painful swollen neck glands.

How does a child get torticollis?

It happens when your child’s neck muscles are especially tight on 1 side, or if something has caused scarring on 1 side of the neck. The tight muscles or scarring can cause your child’s head to tilt to 1 side. Muscular torticollis happens more often if babies are crowded while developing in their mother’s womb.

What is the fastest way to cure torticollis?

Common medications to treat acute, spasmodic torticollis include benztropine (Cogentin) or diphenhydramine (Benadryl). Medical professionals usually administer these medications into the muscle or through the vein. The doctor may add muscle relaxants or benzodiazepines such as Ativan or Valium.

What condition can cause a torticollis?

  • Sleeping in an awkward position.
  • Neck muscle injury at birth.
  • Burn injury.
  • Any injury that causes heavy scarring and skin or muscle shrinkage.
  • Neck muscle spasm.

What happens if torticollis is not corrected?

Left untreated, torticollis can create long-term health issues for the infant, including: Developmental delays. Several key movement milestones may be delayed, including rolling over, sitting up independently, crawling, standing, and walking. Difficulty eating.

Can torticollis be genetic?

Torticollis may be: Due to changes in genes, often passed down in the family. Due to problems in the nervous system, upper spine, or muscles.

Can torticollis cause developmental delays?

CMT is a result of excessive shortening of the sternocleidomastoid muscle, which leads to an imbalance of muscle function around the neck. Previous studies found that postural torticollis may lead to motor development delay.

How do you get rid of torticollis?

Try gently moving your neck in circles and moving it backwards, forwards and to either side to loosen the muscles and keep your neck supple. If the torticollis doesn’t improve or you’re worried, you may need to see a physiotherapist or doctor or have further investigations.

Does torticollis go away on its own?

Congenital muscular torticollis most often goes away on its own by the time the child is 1 year of age. During this time, exercises help stretch the muscle. Your child may see a physical therapist (PT) for stretching.

Does torticollis affect speech?

Spasmodic dystonia affects your throat muscles, which play an important role in speech. Both of these forms can lead to slurred words. Cervical dystonia, or torticollis, may also interfere with speech because it affects your neck muscles, causing your head to twist and turn or lurch forward or backward.

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How long does it take for torticollis to go away?

Most babies with torticollis get better through position changes and stretching exercises. It might take up to 6 months to go away completely, and in some cases can take a year or longer. Stretching exercises to treat torticollis work best if started when a baby is 3–6 months old.

Is ice or heat better for torticollis?

Ice helps prevent tissue damage and decreases swelling and pain. Apply heat on your neck for 20 to 30 minutes every 2 hours for as many days as directed. Heat helps decrease pain and muscle spasms. Rest as needed.

How long can torticollis last?

A wry neck (acute torticollis) often improves within 24-48 hours. However, it may take up to a week for the symptoms to go completely. Occasionally, the symptoms last longer or come back at a later time for no apparent reason. Most people who have had torticollis do not have is again in the future.

What age can you diagnose torticollis?

Although your baby may have been born with torticollis, you may not notice any signs or symptoms until your baby’s between 6-8 weeks old. Around this age most infants begin to gain more control over their head and neck. At this point you may begin to notice the following symptoms: Head tilts or rotates to one side.

Why does my child tilt his head?

Most cases of head tilt are associated with a condition called torticollis, although in rare instances a head tilt can be due to other causes such as hearing loss, misalignment of the eyes, reflux (a flowing back of stomach acid into the esophagus), a throat or lymph node infection, or, very uncommonly, a brain tumor.

How do you unlock wry neck?

  1. Sleeping and getting plenty of rest. Wryneck symptoms may disappear during sleep, so getting plenty of rest and lying down can help to ease symptoms and bring relief.
  2. Using heat packs or ice packs. …
  3. Touching the opposite side of the face, chin, or neck. …
  4. Reducing stress. …
  5. Stretching exercises.

Can torticollis affect milestones?

Conclusion. The CMT group in our study had significant risk of a delay in early motor milestones compared with the control group until the age of 10 months. Torticollis seems to contribute to the risk of delay especially for infants below the age of 10 months.

Can torticollis affect fine motor skills?

Torticollis can impact an infant’s development of vision, sensory processing, feeding, and fine and gross motor skills.

Can torticollis cause walking issues?

This can cause difficulty with rolling, crawling, pulling to stand and walking. Some children with torticollis also have oral motor problems. They may have an open mouth posture.

Can a tumor cause torticollis?

Background and Purpose: Torticollis is commonly congenital muscular torticollis. Other causes include boney anomalies, neurological abnormalities, or visual impairments. A brain tumor may cause torticollis, but rarely without other symptoms.

Why does torticollis cause facial asymmetry?

We believe the torticollis may cause the facial asymmetry by altering the continuous tissue remodeling process and refer to such patients as having “ocular plagio- cephaly.” In the presence of strabismus, such facial asym- metry is a useful clinical sign of chronicity of the eye muscle imbalance.

How is torticollis diagnosed?

Physical examination checking the range of motion of the head and neck. palpating (examining by touch) the SCM muscle in the neck to see if there is a small lump, or “pseudo tumor,” that happens in about one in three cases of congenital muscular torticollis.

When should I worry about torticollis?

prefer looking at you over one shoulder instead of turning to follow you with his or her eyes. if breastfed, have trouble breastfeeding on one side (or prefers one breast only) work hard to turn toward you and get frustrated when unable turn his or her head completely.

What is torticollis and plagiocephaly?

Plagiocephaly is the most common form of flat head syndrome and presents itself as an asymmetrical head shape, with one side of the head usually being more flat than the other side. Torticollis is a condition characterised by a head tilt to one side as a result of a shortened neck muscle.

Can a chiropractor treat torticollis?

Chiropractic adjustments and massage therapy can be utilized to help relieve symptoms of torticollis and can even aid in healing the condition. In fact, the combination of physical therapy, home stretching, and chiropractic treatment can cure your baby’s torticollis.

Can torticollis be caused by stress?

Spasmodic torticollis (dystonia): this is the most common cause of neck rigidity. This type results from increased muscle tone. The most common triggering factors include emotional stress, physical overload, or sudden movement.

Can a pinched nerve in the neck cause speech problems?

A pinched or damaged nerve in your spine may lead to blurred vision or headaches, loss of hearing, slurred speech, and bowel and bladder problems, to name a few.

What causes dysarthria?

Dysarthria often causes slurred or slow speech that can be difficult to understand. Common causes of dysarthria include nervous system disorders and conditions that cause facial paralysis or tongue or throat muscle weakness. Certain medications also can cause dysarthria.

Does dystonia affect your speech?

Oromandibular dystonia affects the muscles of the jaw, lips, and tongue. It may cause difficulties with opening and closing the jaw, and speech and swallowing can be affected. Spasmodic dysphonia, also called laryngeal dystonia, involves the muscles that control the vocal cords, resulting in strained or breathy speech.

How do you sleep with torticollis?

If you’re dealing with neck discomfort, the best positions for sleep are on your back or side. These are both less stressful on your spine than sleeping on your stomach. It may be difficult to change your sleeping position, since your preferred position is often determined early in life.

Can I massage a stiff neck?

Massage. Massaging can help reduce the tension in your muscles that may be making your neck stiff. There are massages you can do on yourself. However, we recommend asking a partner to massage your neck or visiting a professional for help.