What is a baby torticollis and what causes it?

Whether some babies are lying flat or being picked up, their heads will be tilted to one side, and there may be hard lumps in the neck, so parents should pay attention to it at this time.

Baby torticollis is mainly divided into congenital muscle torticollis and postural torticollis, congenital torticollis refers to the deformity of the neck tilted to one side after birth, which is called myogenic torticollis caused by muscle lesions; A deformity of skeletal development is called osteogenic torticollis. The main manifestation 1, there is a lump in the neck, the mother can feel whether there is a lump in the baby's sternocleidomastoid muscle that is 2 4cm long and 1 2cm wide, and has a hard texture, which is most obvious in the 3rd week after birth. 2. Torticollis, the head of the newborn is obliquely to the side of the lump after birth, and it is more obvious after half a month, and the torticollis deformity of the baby is more serious over time.

3. Facial asymmetry, generally after the age of 2, the facial features are asymmetrical, such as eye strabismus, the face is one large and one small, and the nose and ears are asymmetrical. If you find that your baby has these symptoms, you must detect them early. Bao Ma can help the baby at home through massage ** torticollis 1, the baby is lying on his back or sitting, Bao Ma fixes the baby's head with one hand, and the other hand is massaged with the thumb, food and middle fingers at the sternocleidomastoid muscle lump to make the local slight redness, generally 2 3 minutes.

2. Manual pulling, the baby's supine head is positioned on the side of the bed, assist the person to fix the baby's shoulders, fix the baby's pillow with one hand, fix the baby's jaw with one hand, gently and slowly tilt the baby's head back, fully elongate the sternocleidomastoid muscle, bend 0 45 degrees to the healthy side, rotate the affected side 0 90 degrees, hold for 5 10 seconds, and repeat 30 40 times. 3. In daily life, the mother should take the opposite direction of the head and face deformity to correct it, such as when feeding, let the baby eat more milk on the affected side, or use toys to tease the baby to the healthy side. Exclude congenital torticollis, the baby may be postural torticollis, the mother only needs to correct the baby's torticollis habits in the posture, such as paying attention to both sides of the feeding when feeding, the baby can use a pillow against the crooked side of the baby's head when sleeping, and let the baby sleep at the head and foot of the bed during the day, etc.

Diseases brought out of the mother's body.

There are many causes of neonatal torticollis, and it is currently considered that it may be caused by a combination of factors. The main ones are as follows:

1. First of all, because of the mechanical factors in the uterus, the fetus is prone to pressure in the uterus due to the abnormal fetal position, especially the breech position, which destroys or changes the neck structure;

2. It may be caused by the hematoma of the sternocleidomastoid muscle, mainly because the hematoma malabsorption will lead to a lump in the sternocleidomastoid muscle and torticollis;

3. There may be venous return disorder, especially when the breech is born, the fetus cannot enter the pelvis, resulting in vein blockage, resulting in sternocleidomastoid muscle ischemia, edema and fibrosis;

4. Considering the insufficient arterial blood supply, when the fetal head is flexed laterally, the blood flow of the sternocleidomastoid muscle sternal head and the arterial branch of the middle muscle abdomen may cause ischemic spasm, and the ischemic spasm is related to the compression of the umbilical cord, such as the rotation of the umbilical cord and the twisting of the umbilical cord will compress the blood of the sternocleidomastoid muscle, thereby causing a lump of the sternocleidomastoid muscle, and the remaining state of the child's source guidance causes the baby's torticollis.

Infant torticollis is a very common condition, and most babies will have torticollis. The reason for the phenomenon of torticollis is nothing more than three points, one is postural extrusion, the second is myogenic extrusion, and the third is osteogenic extrusion. So what about torticollis in babies?

There are three different causes of torticollis in infants, which can be corrected in the following ways:

1.For the infant torticollis caused by postural extrusion, you can observe more, and there is no need to do special **, this is because this kind of infant torticollis is caused by the fact that before the baby is born, the more the baby is in the womb, the more narrow the egg, and has to twist the body, generally as the baby grows up, the symptoms of torticollis will slowly reduce until it finally no longer occurs.

2.Myogenic torticollis is the most common type of torticollis, which is caused by contracture of one of the sternocleidomastoid muscles in the neck, which can be corrected by some functional exercises. For example, if you consciously tilt the baby's neck to the other side, and then cooperate with some physical therapy, you can do a local hot compress, and warm the neck for 20 minutes a day can help relax the muscles.

You can also do a massage, and it is best to find a professional massage therapist to do it.

3.Osteogenic torticollis is the least common and most severe type of torticollis in infants and is caused by skeletal deformity. One part is a deformity in skeletal development, and the other part is a deformation in the buried joints of Guan Yin Zen.

Basically, it is the problem of the first segment at the base of the skull and the second cervical vertebrae of the first cavity. If the baby is osteogenic torticollis, then it must be taken seriously, general physical therapy and other correction methods do not have much effect, most of them need drugs or surgery**.

Infant torticollis is divided into congenital and acquired, and the causes of the disease are mainly in the following five categories:

1. Causes of muscle slippage itself: such as muscle spasm and weakness caused by muscle torticollis;

2. Skeletal causes: caused by the lack of bone development and atlantoaxial joint subluxation;

3. Nerve damage: For example, the symptoms of cerebral palsy appear after the patient's brain nerve is damaged, causing muscle concealment and limb asymmetry, resulting in torticollis;

4. Secondary injury: such as poor hearing, strabismus, etc., can also lead to compensatory torticollis;

5. Habitual reasons: such as improper sleeping posture of the patient.

Baby torticollis, usually related to the contracture of the neck muscles, congenital deformities, vision, etc., first of all, we must judge the baby's specific **, different Zen brigades**its ** methods are also different, the specific situation is as follows:

1. Contracture of neck muscles: the main manifestation is fibrosis or contracture of sternocleidomastoid muscle, which is thought to be caused by muscle ischemia, hemorrhage or hematoma. In general, sternocleidomastoid muscle degeneration is associated with dystocia or compression of the neck muscles in the newborn, resulting in bleeding and contractures, mainly congenital muscular torticollis.

For spastic torticollis masks, neck muscle dysfunction is thought to be associated with long-term head bowing and psychological and psychiatric factors.

2. Congenital malformation: Congenital malformation is an abnormality in the bone structure of the cervical vertebrae, which can lead to changes in the shape of the neck. Its appearance can be seen as an torticollis, commonly known as a crooked neck.

3. Vision: If there is a problem with vision, for example, only a certain posture can see the stool clearly, then readjusting the posture when looking at things is to tilt to a certain position. For a long time, babies will have crooked necks when looking at things.

In the case of this disease, it is necessary to first judge the specific, and the methods are different for different people.

Pediatric torticollis suffers from the following causes:1It is associated with contractures of the head and neck muscles.

It is manifested by liver fibrosis or contracture of the sternocleidomastoid muscle, which is considered to be caused by systemic muscle ischemic or hemorrhage, or abscess. Generally, the sternocleidomastoid muscle is transsexed, usually associated with dystocia in pregnant women giving birth, or the stress on the shoulder muscles of newborn babies, which can lead to bleeding and contractures, mainly congenital muscular torticollis. For spastic torticollis, the shoulder muscles are perceptually disturbed, considering that they are related to long-term head lowering and psychological and spiritual factors.

2.Abnormal growth and development of the cervical vertebrae. For example, abnormal cone production or abnormal cone binding can easily lead to torticollis in children.

The pathogenesis of the disease is not well established in clinical medicine, but it is likely to be related to genetic inheritance and genetic variation.

The torticollis of a child is likely to be caused by the following factors:1A very common factor is sternocleidomastoid muscle contracture or loss of ductility of the abdominal muscles.

It is also a very common condition that the muscles of the whole body are not malleable, and it is very easy to cause one side of the head and neck to be crooked towards the affected limb. 2.It is a congenital malformation.

Developmental malformations are abnormalities in the structure of the cervical spine that can lead to changes in the appearance of the head and neck. As for external viewing, torticollis may occur. 3.

It is also commonly used because children and adolescents have eye vision problems. If there is a vision problem in the eye, for example, if the patient only maintains a certain posture and sees things very clearly, it will cause the position of the cervical vertebrae to move and adjust when looking at objects, and tilt to a certain direction.

The root cause of torticollis in children is the contracture of the sternocleidomastoid muscle at the disease, which causes the child's head to be stretched and focused on the side of the muscle contracture of the whole body, which causes facial deformation in the long run. At this stage, the cause of the disease is not completely undoubted, and there are many opinions in the academic community about pediatric torticollis. The vast majority of authoritative experts feel that it is related to the damage in the delivery process, during childbirth, the abscess deteriorates and produces contractures due to the injury and bleeding due to the pressure of the delivery gate or forceps; It is also thought that when a pregnant woman gives birth, the fetal head position is crooked, which blocks the supply of blood to the sternocleidomastoid muscle on one side, and then causes the change of cerebral ischemia in the muscles of the whole body on that side.

In addition, there is also an authoritative expert who thinks that it is because the fetus is in the cervix, and the top of the head is tilted on one side, which has nothing to do with the production process.

There are many factors that cause neonatal torticollis, and at this stage, it is considered that it may be caused by a variety of comprehensive factors. The key is as follows: first of all, due to the elements of mechanical equipment in the uterine cavity, the fetal baby is very prone to work pressure in the cervix because of the transverse position of the fetus, especially in the case of abnormal fetal position, and the head and neck structure changes; It may be caused by an abscess of the sternocleidomastoid muscle, mainly the hematoma digestion and absorption obstruction will lead to a hard lump in the sternocleidomastoid muscle, resulting in torticollis; There may be obstruction of venous blood vessel flow, especially in the case of abnormal birth, the fetus cannot enter the pelvis, resulting in venous vascular blockage, resulting in ischemic swelling of the sternocleidomastoid muscle, edema and liver fibrosis.

In the process of growth and development, the child does not supplement the calcium needed by the body in time, so that the child develops bad living habits, sitting habits, the child is easy to cross his legs when sitting, the child is easy to bend his back when sleeping, and the child uses an incorrect pillow to make the child deviate to one side for a long time.

Pediatric torticollis may be caused by the improper development of one side of the sternocleidom, or it may be born like this, and the natural deformity must be recovered by certain means the day after tomorrow.

It may be caused by the child's poor sitting posture, the child's slow bone development, the child's trapezius muscle development is not good, the child's muscle strength is relatively small, or the child's sleeping position or the child's eating habits are not good.

This is due to incorrect sleeping and walking posture, and it can also be due to genetics.

Pediatric torticollis is caused by neck muscle spasm or cervical spine development deformity, the specific ** of this disease is not clear, it may be related to muscle ischemia, hemorrhage, hematoma, or it may be related to heredity and gene mutations, and patients will also induce torticollis when they maintain poor posture for a long time or suffer from cerebral hemorrhage, intracranial infection and other diseases. Patients with torticollis will have symptoms such as abnormal head and neck posture, neck lump and neck pain, and pediatric torticollis is mainly corrected by surgery, including sternocleidomastoid muscle tomy, sternocleidomastoid muscle lengthening, etc.

The most common causes of torticollis are as follows:

1. The most common torticollis is called muscular torticollis, after the baby is born, due to the possibility of normal delivery, the birth and traction cause sternocleidomastoid muscle edema, local organization, resulting in poor elasticity and contracture, and then stretching the head, forming the symptoms of crooked neck;

2. Common problems in the cervical spine, such as hemivertebral deformity can also cause torticollis;

3. Strabismus can also cause torticollis;

4. Habitual head deviation.

Torticollis in children is common for the following reasons:

1. Congenital torticollis, after birth, olive-sized induration can be palpable on the front side of the neck, no tenderness, most of them can be corrected by massage before the age of 3 months, if there is no improvement after the age of 6 months, surgery is required.

2. Abnormal vision or eye position, when the baby has upper or lower strabismus, it is easy to see things and double vision, in order to avoid double vision, you need to tilt your head, you can take the baby to the ophthalmology department for investigation, if necessary, surgery**.

3. The early manifestations of brain injury, in addition to the crooked head, the baby has asymmetry in the body at the same time, easy to tilt to one side, twist, and there are many high-risk factors before, during or after birth, such as hypoxic-ischemic encephalopathy, meconium aspiration syndrome, premature infants, etc., if there are the above manifestations and medical history, it is necessary to go to the pediatric department for diagnosis and treatment in time. The common causes are congenital muscular torticollis is due to the contracture of one sternocleidomastoid muscle that causes the head and neck to deviate to the affected side, and the lower jaw turns to the healthy side.

Bony torticollis is a deviation of the head and neck due to congenital bone dysplasia, and the cause of the bone abnormality can be understood through the photograph, and surgery is required if necessary**. Strabismus is caused by an abnormality in the oblique muscles inside and outside the eye, which causes the eyeball to deviate, and when looking at objects, it causes the head and neck to deviate, which is actually corrected depending on the situation.