What is Torticollis in Babies?

Torticollis in babies occurs when tight or shortened neck muscles cause their head to tilt or turn to one side. Also known as wryneck, this condition can be present at birth (congenital torticollis) or develop later in infancy (acquired torticollis).

While torticollis baby symptoms may be concerning, early intervention with stretching exercises and positioning techniques can help correct it. Most babies respond well to non-invasive treatments, ensuring healthy neck movement and preventing long-term complications.

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Signs & Symptoms of Torticollis in Babies

Does your baby show any of these signs?

✅ Head tilts to one side while the chin points to the opposite side
✅ Limited ability to turn their head in both directions
✅ Uneven shoulder height
✅ Tight, stiff, or swollen neck muscles
✅ A small, pea-sized lump in the neck muscle
✅ Uneven facial features due to restricted movement

If you notice these torticollis baby symptoms, consult your pediatrician for an evaluation.

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Causes of Torticollis in Babies

The two main types of torticollis in babies are:

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Congenital Torticollis (Present at Birth)

Congenital torticollis baby cases are the most common and often result from:
✔️ The baby's position in the womb (leading to muscle tightness)
✔️ Birth trauma or pressure on the sternocleidomastoid muscle (SCM)
✔️ A hematoma (blood collection in the neck muscle)
✔️ Abnormal thickening of muscle tissue (fibrosis)

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Acquired Torticollis (Develops After Birth)

Acquired torticollis baby cases may develop due to:
✔️ Gastroesophageal reflux (GERD) – Babies may tilt their heads to relieve discomfort
✔️ Swollen throat tissues – Caused by infection or inflammation
✔️ Vision problems – Leading to an unnatural head posture
✔️ Neurological or skeletal conditions – Such as Klippel-Feil syndrome

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How is Torticollis in Babies Diagnosed?

A pediatrician or specialist will assess your baby’s head and neck movements. In some cases, imaging tests like X-rays, CT scans, or MRIs may be needed to rule out underlying conditions.

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Best Treatments for Torticollis in Babies

Most cases of torticollis baby treatment involve gentle stretching exercises and positional therapy.

1. Torticollis Stretches & Exercises

Daily stretching can improve neck flexibility. Your healthcare provider may recommend:
✔️ Gentle head turns to stretch the tight SCM muscle
✔️ Tummy time to encourage head control and muscle balance
✔️ Side-to-side movements using toys to engage full neck rotation

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2. Positioning Adjustments

✔️ Alternate sleeping positions to avoid consistent pressure on one side
✔️ Encourage your baby to look in different directions during play
✔️ Use feeding positions that require head rotation

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3. Physical Therapy for Severe Cases

If symptoms persist after a few months, a pediatric physical therapist may be needed to guide advanced exercises.

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4. Medical Treatments for Acquired Torticollis

For acquired torticollis baby cases, treatment focuses on the underlying cause, such as:
✔️ Antibiotics (if an infection is causing swelling)
✔️ Botulinum toxin injections for severe muscle stiffness
✔️ Massage therapy or heat treatment for muscle relaxation

Surgery is rarely needed but may be considered for extreme cases.

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Can Torticollis in Babies Be Prevented?

There’s no guaranteed way to prevent torticollis in babies, but early tummy time, alternating head positions, and avoiding prolonged time in car seats can help reduce the risk.

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Outlook: Will My Baby’s Torticollis Go Away?

With early intervention, most babies recover within a few months of treatment. In rare cases, untreated torticollis may lead to facial asymmetry or flat head syndrome (plagiocephaly).

If your baby’s head tilt doesn’t improve with stretching exercises, consult a healthcare provider for further evaluation.

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Get Expert Guidance on Baby Torticollis Treatment

If you're concerned about torticollis baby symptoms, don’t wait—early treatment leads to the best outcomes. Learn more about effective torticollis baby exercises and expert-recommended solutions at Skully Care today.

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