Torticollis in Newborns: Treatment Options and Costs - Rehabilitation

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Torticollis


My baby, who is 15 days old, has torticollis.
What treatment options are available, and is there health insurance coverage for it? If surgery is required, what would the costs be?

ehai, 30~39 year old female. Ask Date: 2001/10/31

Dr. Pan Yingda reply Rehabilitation


Over 80% of cases of torticollis do not require surgery, and rehabilitation therapy is the mainstream treatment, which is covered by health insurance.
Torticollis can be classified into three degrees based on severity: 1.
The face habitually turns to one side, but the individual can still turn to the other side independently.
2.
The face habitually turns to one side, and the individual cannot turn to the other side independently, but can be passively turned.
3.
Even passive movement feels restricted.
Torticollis primarily affects facial development, leading to facial asymmetry.
The earlier it is detected, the better the treatment outcome.
The main goal is to encourage the individual to turn to the other side, including during sleep and when being held.
Additionally, it is beneficial to stretch the muscles when possible and gently massage the sternocleidomastoid muscle.
If there are still concerns, it is advisable to consult a rehabilitation physician nearby.

Reply Date: 2001/10/31

More Info


Torticollis, commonly referred to as "wry neck," is a condition where a newborn's head tilts to one side due to muscle tightness or shortening, often affecting the sternocleidomastoid muscle. This condition can be congenital (present at birth) or acquired, and it can lead to asymmetrical head shape and facial features if not addressed early.

Treatment Options
1. Physical Therapy: The first line of treatment for torticollis in newborns typically involves physical therapy. A pediatric physical therapist can guide parents through exercises designed to stretch the affected muscle and strengthen the opposing muscles. This approach is non-invasive and has shown to be effective in many cases. Parents are often taught how to position the baby during feeding and playtime to encourage the baby to turn their head in the opposite direction.

2. Home Exercises: Alongside professional therapy, parents can perform specific exercises at home. These may include gentle stretching and repositioning techniques. Consistency is key, and parents are encouraged to integrate these exercises into daily routines.

3. Helmet Therapy: In cases where torticollis has led to positional plagiocephaly (flat head syndrome), helmet therapy may be recommended. This involves the use of a custom-fitted helmet that helps shape the baby's skull as they grow.

4. Surgery: Surgery is generally considered a last resort and is only recommended in severe cases where conservative treatments have failed after the child reaches a certain age (usually around 1 year). The surgical procedure typically involves lengthening the sternocleidomastoid muscle to relieve the tightness.


Costs and Insurance Coverage
The costs associated with treating torticollis can vary significantly based on the treatment approach and the healthcare system in place.
- Physical Therapy: The cost of physical therapy sessions can range from $50 to $150 per session, depending on the provider and location. Many insurance plans cover pediatric physical therapy, but it’s essential to check with your insurance provider regarding specific coverage details.

- Helmet Therapy: The cost of a cranial helmet can range from $2,000 to $3,000, and insurance may cover part of this expense, depending on the policy.

- Surgery: If surgical intervention is necessary, the costs can be significantly higher, often ranging from $10,000 to $20,000, depending on the complexity of the procedure and the hospital's fees. Again, insurance coverage will vary, so it's crucial to consult with your insurance provider.


Conclusion
If your newborn has been diagnosed with torticollis, it is advisable to start with physical therapy as soon as possible. Early intervention can lead to better outcomes and may prevent the need for more invasive treatments later on. Always consult with your pediatrician or a specialist to discuss the best treatment options tailored to your child's specific needs. They can also provide guidance on insurance coverage and potential costs associated with each treatment option.

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