Torticollis
When my son was born, I noticed something unusual about his neck; his head always turned to the right.
Whenever I gently helped him straighten or turn to the left, he quickly returned to the right.
We took him to see a pediatrician, who diagnosed him with torticollis and advised us to start physical therapy as soon as possible.
I would like to ask the doctor if this condition is congenital, considering he is not yet a month old.
When can we start physical therapy? Is it possible for him to fully recover? Thank you!
Tsinghua, 30~39 year old female. Ask Date: 2008/03/17
Dr. Chen Xianchang reply Rehabilitation
Hello, sir: Thank you for your inquiry.
Here are my responses and suggestions: 1.
Generally speaking, the exact causes of torticollis are still not fully understood, but it is important to check for other issues, such as cerebral palsy or other neurological disorders.
2.
Rehabilitation can begin after one month, including ultrasound therapy, massage, or therapeutic exercises.
3.
In cases of simple torticollis, if other movements and reflexes are normal, the treatment success rate is very high.
Lastly, I wish you peace and happiness!
Reply Date: 2008/03/17
More Info
Congenital torticollis, often referred to as "wry neck," is a condition where a newborn's head is tilted to one side due to tightness in the neck muscles. This condition can be congenital (present at birth) or acquired. In your son's case, it sounds like he may have congenital torticollis, especially since you noticed the head tilt shortly after birth.
Early intervention is crucial for managing congenital torticollis. The sooner treatment begins, the better the outcomes tend to be. Typically, physical therapy is recommended as the first line of treatment. In infants, this often involves gentle stretching exercises to help loosen the tight muscles and strengthen the weaker ones. These exercises can be performed by a trained physical therapist, and parents can also be taught how to do them at home.
For infants under one month old, it is generally safe to start physical therapy. In fact, many pediatricians recommend beginning therapy as soon as the diagnosis is made. The goal of early intervention is to prevent further complications, such as flattening of the skull on one side (plagiocephaly) or developmental delays in motor skills.
Rehabilitation for congenital torticollis is usually very effective. Many infants respond well to physical therapy, and with consistent effort, most can achieve a full range of motion in their necks. The key is to be diligent with the prescribed exercises and to follow up regularly with your healthcare provider to monitor progress.
In addition to physical therapy, there are some other strategies that can be helpful. For instance, you can encourage your baby to turn his head to the left by placing toys or engaging in activities that draw his attention in that direction. Always ensure that your baby is placed in a safe environment where he can practice turning his head freely.
It's also important to maintain regular follow-ups with your pediatrician or a pediatric neurologist to monitor your son's development and ensure that the torticollis is improving. If the condition does not improve with conservative treatment, further interventions may be considered, but this is rare.
In summary, congenital torticollis is a manageable condition, especially with early intervention. Starting physical therapy soon after diagnosis can lead to significant improvements. Your proactive approach in seeking treatment is commendable, and with the right support and therapy, your son has a good chance of overcoming this condition. Always consult with your healthcare provider for personalized advice and treatment plans tailored to your child's specific needs.
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