Wryneck may develop over time. It can also occur after an injury to the area, or because of a reaction to medication.
A person with wryneck may find it uncomfortable or painful to put their head up straight or bend their neck to the unaffected side.
Wryneck in infants is common, with some sources reporting that it affects 3 in every 100 babies. In most infants, the condition is easily treatable.
Benign paroxysmal torticollis of infancy (BPTI) is a much rarer medical disorder in infants where the baby experiences recurrent episodes of the head tilting to one side.
In this article, we take a look at the causes behind wryneck, along with the possible treatment options for this condition.
Causes
In adults, there are several reasons why wryneck may develop, though doctors are often unable to specify a reason.
Some of the common causes include:
- injury to the neck or spine, causing the muscles to spasm
- infection of the head or neck, where inflammation causes the muscles to contract
- abscesses in the throat or upper airway
- infections of other parts of the body, such as ears, sinuses, jaw, teeth, or scalp
Less common causes of wryneck include:
- scar tissue
- arthritis of the cervical spine
- vascular abnormalities
- drug misuse that causes a lack of muscle control
- use of certain medication
- tumors
Wryneck in children
Children, infants, and newborns usually develop wryneck because of congenital muscular torticollis (CMT), meaning they are born with the condition.
CMT develops when a muscle on one side of the neck called the sternocleidomastoid muscle is too short.
Other causes of wryneck in children include:
- trauma during birth
- flat head syndrome, where an infant keeps their head in the same position whenever they sleep
- inherited diseases that cause problems with the muscles and nervous system
Symptoms of wryneck vary from person-to-person. The most apparent sign of the condition is the neck twisting or tilting to one side.
People with wryneck may also experience:
- painful, tense neck muscles
- neck cramps or burning sensations in the neck
- an unwillingness to turn or bend their head and neck to the opposite side
- their eyes looking up without control
- their tongue sticking out without control
- jerky muscle spasms and head and neck movements
- back pain
- headaches
In infants, the symptoms of wryneck include:
- tilting of the head to one side
- flattening on one side of the head behind the ear
- limited movement in the head and neck
- features of the face appearing asymmetrical
- a small, soft lump in the neck
- breastfed babies favoring one breast over the other
- musculoskeletal problems, such as hip dysplasia
In cases of torticollis that develop after birth, a baby may appear tired, irritable, and may vomit during episodes of head tilting.
Treatment for wryneck depends on the type and cause.
Some instances of wryneck can disappear within a few days if the person rests and avoids moving their neck.
Treatments for wryneck include:
- ice packs
- medication
- physical devices to keep the neck fixed in place
- physical therapy
- massage therapy
- stretching exercises
- surgery
A doctor may prescribe muscle relaxants and anti-inflammatory drugs for spasmodic torticollis caused by injury or as a side effect of medications.
In cases of chronic neck muscle spasms and cervical dystonia, botulinum A toxin, also known as Botox, may provide relief by preventing the muscles from contracting. Botox may also prevent the condition from progressing.
Surgery can help avoid further symptoms if other forms of treatment do not work. A surgeon may cut certain nerves and muscles to stop them contracting.
Around 10 percent of children who have wryneck from birth will require surgery to lengthen the sternocleidomastoid muscle in the neck. This surgery will likely take place once the child reaches preschool age.
Brain stimulation is a rare treatment option. A doctor can do this by inserting a wire into the part of the brain that controls movement and disrupts the brain signals. Brain stimulation may help with cervical dystonia.
People with wryneck can also try home remedies to help manage symptoms of pain and discomfort. These remedies include:
- Sleeping and getting plenty of rest. Wryneck symptoms may disappear during sleep, so getting plenty of rest and lying down can help to ease symptoms and bring relief.
- Using heat packs or ice packs. These devices can relieve pain and soothe tight muscles.
- Touching the opposite side of the face, chin, or neck. Doing this can trick the body and could help to stop spasms temporarily.
- Reducing stress. Stress can cause muscles to tighten and may worsen wryneck symptoms. Knowing what triggers stress and using stress-reduction techniques can help to manage symptoms.
- Stretching exercises. These may include gradually trying to move the head in the opposite direction, further and further each time, and can help to improve motion and ease discomfort.
People may want to speak to a physical therapist before attempting any stretches for wryneck.
In infants with wryneck, stretching can also help. Encouraging the baby to turn their head in both directions can relieve tension and build strong neck muscles. Using stimuli, such as noise and lights, can also encourage babies to move their heads.
A physical therapist can perform more intensive treatment on infants with wryneck and can advise on stretches to try at home.
Outlook
Wryneck is not always preventable, but prompt treatment can cure it or stop it from becoming worse.
There are many treatment options for managing symptoms and reducing how often they occur, and the outlook for people with this condition is usually good.
Nevertheless, people can become disabled from wryneck, particularly if they leave the condition untreated. They may find they have difficulty doing daily activities, such as driving, and they might experience persistent pain and discomfort.
Early intervention and physical therapy can help successfully treat infants and children with wryneck and prevent the condition from worsening.
In more severe cases, surgery on the nerves and muscles of the neck is an option, though the condition can still return.
In many cases, however, and with the right treatment, wryneck will go away within a few days or weeks.
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