Doctor insights on:
Medicine For Congenital Torticollis
Torticollis is a hyper spasmodic condition of the neck in which the neck and/or head is abnormally positioned in an asymmetric position. Also called Wry neck, the top of the head is tilted in one direction and the chin in another direction. Common causes are drug side effects (probably most common), and injury to the neck and cervical nerves. ...Read more
My infant son was diagnosed with congenital torticollis. Could this be a symptom of something more serious?
Depends: This is usually quite evident on the initial newborn exam. The baby can be folded into a distorted position that they do not find uncomfortable, that includes neck, jaw and other facial changes. It usually reflects distorted position in the womb. Infants with abnormal neck vertebrae can have a similar appearance, but the exam differs. Some infants acquire torticolas from birth trauma. ...Read more
What do you suggest if my infant son was diagnosed with congenital torticollis and I think something more serious may be going on?
Second opinion: If you are concerned the first doc has missed something, schedule a second opinion somewhere else. ...Read more
Torticollis: Time and gentle stretching, if ok'd by your pediatrician and orthopedic surgeon. ...Read more
I'm 35, was born with Congenital torticollis, had 2 surgeries at age under 5 - sholders are still dissymmetrical, scar tissue tightens neck. Surgery?
Many articles on congenital muscular torticollis have
been published in the surgical literature. Most have been
devoted to the histology of this disorder and the various
theories of its etiologyrelatively little has
been written about the long-term results of treatment.
From the literature, it is clear that: the pathogenesis and
etiology of congenital muscular torticollis are unknown. ...Read more
My bby dr said she had torticollis congenital she 5 mnth old now is this serious? And what could have caused this? I was abused while preg, is that y?
Hard to say: Some use the congenital label to imply it as present near birth, while others do for those with anomalies of the spine that will always be present. The majority of 1-3 mo babies that have it had one neck muscle stretched during delivery and that muscle spasms down and shortens. That form can gradually improve with therapy. Please clarify the issue with your doc. Outcome will differ with cause. ...Read more
Not exactly: There are certain drugs that work by blocking the action of dopamine, most of which are medications to treat psychosis or nausea (haldol, thorazine, phenergan, (promethazine) reglan) that can cause a "dystonic reaction" where the head is pulled involuntarily to one side, which would appear the same as someone with spasmodic torticollis. ...Read more
Spasmodic torticolli: Spasmodic torticollis is an extremely painful chronic neurological movement disorder causing the neck to involuntarily turn to the left, right, upwards, and/or downwards. The condition usually occurs in midlife. (wikipedia) http://en. Wikipedia. Org/wiki/spasmodic_torticollis the new treatment that is very effective is botulinum toxin injections. It is easily detected because it is very painful. ...Read more
Turning to one side:
Spasmodic torticollos is a nerve-based problem which results in muscles of the neck inappropriately turning to one side consistently. It can be painful and usually cannot be overcome by simply using the hands to push the face back to center.
There are treatments for this, though, including pills that alter the signal from the brain to the muscles as well as Botox to weaken the neck muscles. ...Read more
Surg RARELY Needed: Most patients with torticollis will respond to physical therapy. Rarely surgery is required - particularly if the torticollis is allowed to persist for an extended period of time. The surgical interventions are quite invasive and should be only used when absolutely necessary. ...Read more
Spasmodic torticolli: Spasmodic torticollis is an extremely painful chronic neurological movement disorder causing the neck to involuntarily turn to the left, right, upwards, and/or downwards. The condition usually occurs in midlife. (wikipedia) http://en. Wikipedia. Org/wiki/spasmodic_torticollis the new treatment that is very effective is botulinum toxin injections. ...Read more
While there can: Be a number of associated neurologic conditions, isolated spasmodic torticollis is usually idiopathic, as we do not know the cause. If there are other symptoms, there are many syndromes that include it, and neuro insults like brain injury or radiation treatments can also cause it. Even poor positioning in utero is speculated to be related. Best to have a thorough history to isolate that answer. ...Read more
A Few ideas: Cervical torticollis produces a drawing tightness affecting the posture of the head and neck, difficulty in turning the head to one side, pain and sleep difficulties. Botulism toxin treatments are the most gentle, pain relieving and effective treatments for this condition. Stretching with pt, chiropractic tx, oral muscle relaxers, and sleep medications with muscle relaxation effect may be tried. ...Read more
Depends on the: Cause- from several days to weeks for most conditions. If it persists or worsens, see your doctor. ...Read more
My 8mo old has a p.T. Appt for torticollis. Not really bad he can turn head but still favors one side. What can I do @ home in the mean time, appt 2wks?
Work on it at home: Have pt see him sooner and have them train you on what to do at home to help. This should improve with good phy therapy. See someone who has done this before. Also. You can help with the therapy as well. Good luck. ...Read more
Possibly: Not enough info to rule out heart or lung dz. If these have been ruled out then yes, torticollis could cause chest pain.Depending on cause of torticollis & whether congenital or acquired, tight neck muscles could pull on ribs (to which some of the muscles attach), stopping their proper respiratory motion. A good history & osteopathic exam might reveal cause. Manipulation could free up rib/vetebrae. ...Read more
Plagiocephaly: Pediatric neurosurgeon or plastic surgeon that deals with cranial facial problems - both can evaluate the two. ...Read more