The page cannot be displayed

There is a problem with the page you are looking for, and it cannot be displayed.

Please try the following:

  • Contact us using this form and let us know that an error has occurred for this URL address. If using the online form, put please tell us where the error occurred or what you were attempting to do. Copying and pasting the URL of the page may be helpful.
HTTP Error - Internal server error.
Internet Information Services (IIS)
System Error

The page cannot be displayed

There is a problem with the page you are looking for, and it cannot be displayed.

Please try the following:

  • Contact us using this form and let us know that an error has occurred for this URL address. If using the online form, put please tell us where the error occurred or what you were attempting to do. Copying and pasting the URL of the page may be helpful.
HTTP Error - Internal server error.
Internet Information Services (IIS)

Torticollis

Definition

Torticollis is a twisted neck in which the head is tipped to one side, while the chin is turned to the other.

Alternative Names

Wry neck; Loxia

Causes

Torticollis may be:

If the condition occurs without a known cause, it is called idiopathic torticollis.

Torticollis may develop in childhood or adulthood. Congenital torticollis (present at birth) may occur if the baby's head was in the wrong position while growing in the womb, or if the muscles or blood supply to the neck are injured.

Symptoms

Exams and Tests

Tests or procedures may be done to rule out possible causes of head and neck pain. A physical examination will show:

Tests that may be done include:

Treatment

Treating torticollis that is present at birth involves stretching the shortened neck muscle. Passive stretching and positioning are used in infants and small children. These treatments are often successful, especially if they are started within 3 months of birth.

Surgery to correct the neck muscle may be done in the preschool years, if other treatment methods fail.

Torticollis that is caused by damage to the nervous system, spine, or muscles is treated by identifying the cause of the disorder.

Outlook (Prognosis)

The condition may be easier to treat in infants and children. If torticollis becomes chronic, numbness and tingling may develop due to pressure on the nerve roots in the neck.

The muscle itself may become large (hypertrophic) due to constant stimulation and exercise.

Possible Complications

Complications may include:

When to Contact a Medical Professional

Call for an appointment with your health care provider if symptoms do not improve with treatment, or if new symptoms develop.

Torticollis that occurs after an injury or with illness may be serious. Seek immediate medical help if this occurs.

Prevention

While there is no known way to prevent this condition, early treatment may prevent it from getting worse.

References

Spiegel DA, Hosalkar HS, Dormans JP, Drommond DS. The neck. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap. 679.

Persing J. Prevention and management of positional skull deformities in infants. American Academy of Pediatrics Committee on Practice and Ambulatory Medicine, Section on Plastic Surgery and Section on Neurological Surgery. Pediatrics. 2003;112:199-202.

Patel M, Shah K. Orthopedics. In: Rakel RE, ed. Textbook of Family Medicine. 7th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 42.


Review Date: 5/21/2012
Reviewed By: Luc Jasmin, MD, PhD, Department of Neurosurgery at Cedars-Sinai Medical Center, Los Angeles, and Department of Anatomy at UCSF, San Francisco, CA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M. Health Solutions, Ebix, Inc.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
adam.com
 
System Error

The page cannot be displayed

There is a problem with the page you are looking for, and it cannot be displayed.

Please try the following:

  • Contact us using this form and let us know that an error has occurred for this URL address. If using the online form, put please tell us where the error occurred or what you were attempting to do. Copying and pasting the URL of the page may be helpful.
HTTP Error - Internal server error.
Internet Information Services (IIS)