What is Torticollis (Wry Neck)?

Torticollis, also known as wry neck, is a condition characterized by an abnormal, asymmetrical head or neck position, often due to muscle spasm or congenital malposition.

Abnormal neck posture

Muscle spasm and pain

It can be congenital or acquired, with the acquired form often resulting from muscle strain, trauma, or inflammation.

Abnormal head tilt and rotation

Neck pain and stiffness

Limited range of motion in the neck

May be congenital or acquired due to muscle strain, trauma, or inflammatory conditions.

Diagnosis is based on clinical examination and patient history; imaging may be used to rule out underlying structural abnormalities.

Physical therapy and stretching exercises

Muscle relaxants and NSAIDs for pain relief

Botulinum toxin injections in refractory cases

Surgical intervention in severe, persistent cases

Initial treatment includes physical therapy, heat application, and medications to reduce muscle spasm and pain.

Gentle neck stretching exercises

Strengthening exercises for neck muscles

Posture correction and ergonomic adjustments

Surgical correction is rarely required and is reserved for cases unresponsive to conservative treatment.

Torticollis involves the muscles of the neck, particularly the sternocleidomastoid, which may be shortened or spasmodic.

Neck muscles (sternocleidomastoid, trapezius)

Cervical spine

QuestionAnswerCan torticollis resolve on its own?In many cases, especially congenital forms, symptoms improve with non-surgical treatment.What is the role of physical therapy?Physical therapy is key in stretching and strengthening neck muscles to improve posture.

Practice good posture

Avoid prolonged static neck positions

Engage in regular neck exercises

Cervical dystonia

Muscle spasm syndromes

In some cases, medications or botulinum toxin injections may be used.