What is Torticollis?

The term “torticollis” signifies the development of tight neck muscles, resulting in an involuntary twisted or tilted neck position.
Torticollis may be present at birth (congenital). Or it may develop later in infancy or childhood (acquired).
Congenital torticollis is the most common type of torticollis. It’s usually quite painless, especially initially and you may not notice it until your baby is a few weeks old. Once they start to gain more head control you may notice that they are having difficulty turning their head to one side.
Acquired torticollis usually occurs a bit later in your baby’s life; around four to six months or later. You may notice it comes on quite suddenly or it may come on more slowly. Acquired torticollis is often be harmless (benign) but it may be a sign of a more serious health issue and it is therefore that you get it assessed by a specialist healthcare professional as soon as possible.

What Causes Torticollis in Infants?

Several factors contribute to the onset of torticollis in infants. The condition can stem from the baby’s position in the uterus, where prolonged periods in a cramped position lead to neck muscle tightness. Additionally, torticollis causes may include complications during childbirth, such as traumatic delivery or the use of forceps, potentially resulting in minor injuries to the infant’s neck muscles.

What are the Symptoms of Torticollis?

In infants, symptoms typically include a noticeable head tilt to one side, with the chin pointed towards the opposite shoulder. Parents may also notice their baby has difficulty turning their head toward the affected side, which could signal the presence of this condition.

Symptoms of congenital torticollis may include:

• Your baby’s head tilted to one side and chin tilted to the other side.
• Reduced movement of your baby’s head and neck.
• You baby’s shoulders might not be level; one of your baby’s shoulders is higher than the other.
• Neck muscle tightness or stiffness.
• Swollen neck muscles.
• Small pea-sized lump in one of your baby’s neck muscles.
• Uneven (asymmetrical) facial features.

With acquired acquired torticollis additional symptoms include:

• Severe neck pain.
• Head tremors.
• Headaches.

Diagnosis and Torticollis NHS Guidelines

Diagnosis of torticollis is generally made at birth or within a few weeks by healthcare providers. The NHS recommends that parents who notice signs of restricted head movement or persistent head tilting in their baby should seek a professional evaluation.
Early diagnosis and intervention are crucial steps in managing torticollis effectively.

How Do We Treat Torticollis?

The primary approach to torticollis treatment involves targeted physiotherapy. Our NHS-trained physiotherapists specialise in the assessment and treatment of torticollis in infants, employing a range of techniques to improve neck muscle strength and flexibility. Treatment plans typically include specific exercises designed to stretch and strengthen the neck muscles, alongside positioning strategies to encourage normal head movement.

Addressing Torticollis Spasm

In some infants, torticollis may manifest as spasmodic, known as torticollis spasm; where the neck muscles contract involuntarily. Our treatment protocol includes gentle stretching exercises and relaxation techniques to alleviate these spasms, promoting muscle relaxation and improved range of motion.

Why Our Torticollis Treatment Programme Stands Out

Our dedicated team of paediatric physiotherapists is committed to providing the highest standard of care for infants with torticollis. Drawing on the latest NHS guidelines and treatment methodologies, we offer personalised treatment plans tailored to the unique needs of each child. Our goal is to ensure your baby achieves optimal neck movement, supporting their overall development and well-being.

If your child is exhibiting torticollis symptoms or if you have concerns about their neck posture, please contact us to schedule an assessment. Remember, early detection and treatment are key to overcoming torticollis, and we are here to support you and your baby every step of the way.