What causes torticollis? What are the causes of torticollis?

You can go to the hospital to do it**.

1.After birth, the mother may notice that the baby's head is tilted toward the affected side, the face is rotated to the unaffected side, and the chin is directed toward the unaffected shoulder. 2 Torticollis deformity is more pronounced after 3 weeks.

Turning the head to the unaffected side is clearly limited and should be detected by careful observation in milder symptoms. This symptom worsens as the child grows and develops. 2.

A palpable neck mass is usually palpable within 2 weeks after birth and is located in the middle and lower sternocleidomastoid muscles, and is more common on the right side. The lump is fusiformal, nontender, and generally reaches its maximum after 1 to 2 months, and then gradually shrinks to complete disappearance, and some of these children may have a lump that does not disappear and produces muscle fibrosis and contractures causing torticollis deformity. 3.

Congenital muscular torticollis is not effective in the early stages**, and facial deformities appear after 2 years of age. The main manifestations are facial asymmetry, the distance from the outer corner of the eye to the mouth corner of the mouth is asymmetrical, the distance between the affected side is shortened, and the unaffected side is increased. The position of the eye on the affected side is lowered, and because the eyes are not on the same level, it is easy to cause visual fatigue and vision loss.

The face on the unaffected side is round and full, while the affected side is narrow and flat. Compensatory scoliosis deformities can occur in the cervical spine. In addition, the entire face, including the nose and ears, may also have asymmetrical changes.

Diagnosis basis] clinical symptoms mainly appear torticollis deformity, neck mass, facial deformity, combined with X-ray examination and ultrasonography, can assist in diagnosis, CT examination can provide clearer images, conducive to diagnosis, exclude organic lesions.

There are two causes of torticollis: the first is bony torticollis, and the second is muscular torticollis. The so-called bony oblique diameter is formed due to abnormal bone development, or abnormal curves of the neck due to fractures, dislocations, etc.

Muscular torticollis refers to torticollis caused by pathological changes in the muscles, and is common in infants and young children, especially those with birth trauma to the neck. When the sternocleidomastoid muscle is stretched during childbirth, it causes injury, and after birth, the sternocleidomastoid muscle gradually becomes congested, contractures, and hardens, and finally forms muscular torticollis.

Clause. 1. Stanceal extrusion.

Posture extrusion mostly occurs three months after the birth of the child, and about 20% is temporary postural torticollis, the fetus in the last two or three months of the mother's body, due to the continuous increase in volume, the environment in the womb is limited, so it is easy to cause temporary neck tilt because of the posture extrusion, usually there will be no obvious neck movement restriction or fixed deformation, and the child will be born with the development of voluntary muscles, Especially after three months, when you are able to control your head muscles autonomously, the situation will improve.

Clause. 2. Myogenic torticollis.

This is the most common type of torticollis, and most children have this type of torticollis, which is caused by a contracture of one of the muscles in the neck, and if it is a right-sided contracture, then the child will deviate to the right and the chin will tilt to the left. This type of torticollis is usually easier to correct.

Clause. 3. Osteogenic torticollis.

This condition is relatively rare, generally accounts for a very small proportion, is caused by bone deformity, the base of the skull and the first and second cervical vertebrae have problems, some bone development deformities, some are combined with the primary deformation or instability of the joints, there are torticollis or neck inactivity, etc., often there will be brain stem or neck, spinal nerve damage, etc.

The causes of torticollis are mainly the three aspects introduced above, parents should also pay attention to observe the child's condition in the process of taking care of the child, if there is a suspicion that there is an assistant police should take the baby to the hospital as soon as possible, ask a professional doctor to see if there is a scene, and then further find out the cause of the cause, early positive and regular**.

There is no clear cause, but it is certain that the onset of torticollis is related to contractures of the neck muscles and abnormal development of the cervical spine.

Abnormal intrauterine pressure and the position of the fetus are the main causes of torticollis. The fetus is in the uterus in an abnormal position or is subjected to abnormal uterine wall pressure, which compresses one side of the neck, and the blood circulation inside the sternocleidomastoid muscle is impaired, causing ischemic muscle spasm of the muscle, causing torticollis.

There are many causes of torticollis, the more common is spasm of one side of the muscle caused by spasm of the sternocleidomastoid muscle, and the other muscle is normal, which causes torticollis.

It can also be caused by atlantoaxial subluxation, which can be caused by trauma, as well as in small children who often have upper respiratory tract infections.

Most of the causes of torticollis are related to family genetics, and some of them are due to the lack of timely correction of the baby's crooked neck in early childhood, which will cause torticollis, and may also be related to the dysfunction of the basal nucleus, thalamus, vestibular nerve and other parts, which will be the main cause of torticollis.

There are many causes of torticollis, the most common is muscular torticollis, which is related to the sternocleidomastoid muscle, and some children are bony torticollis, which is the cervical spine development deformity, which is more typical, if the child's head is crooked, can not be straight, or even the neck is short, and the head turning activity is affected, there may be congenital deformities of the cervical spine.

Some children, if they are not crooked since childhood, but have a crooked neck in recent times, which is more commonly called cervical subluxation, and the child may have a respiratory infection, cough, cold or stiff neck recently, etc., and may have a crooked neck and neck pain.

Torticollis can be divided into congenital muscular torticollis and congenital bony torticollis. The former is a congenital neck deformity caused by a contracture of the sternocleidomastoid muscle on one side of the head and neck that is skewed, and is quite common; The latter is torticollis due to deformity of cervical spine bone development and is less common. It is recommended that you go to the hospital for examination**, which can be surgical, non-surgical and conservative**.

Pediatric torticollis, medically called congenital muscle torticollis is a fibrous contracture of the sternocleidomastoid muscle on one side, and the neck is braided to one side.

**Mainly due to birth trauma, breech presentation, etc., in addition to intrauterine and intrauterine infections, heredity and muscle necrosis caused by arteriovenous embolism. The sooner the disease**, the better the effect. External treatment is used in infancy, and most of the results are satisfactory.

With increasing age, surgery may be used if non-surgical ** is ineffective**. However, if you are over 12 years old, surgery can correct the deformity, but it is difficult for the facial deformity to return to normal completely.

The main major ** of torticollis is unclear and may be related to contractures of the neck muscles and dysplasia of the cervical spine. Torticollis is more common in people with family history, children, etc., and can also be induced by lifestyle habits, brain diseases, trauma, etc.

First, the main **.

1. Neck muscle contracture: mainly fibrosis and contracture of one side of the sternocleidomastoid muscle, causing sternocleidomastoid muscle degeneration, birth injury or dystocia during childbirth may be the cause of sternocleidomastoid muscle ischemia, hemorrhage, hematoma organization, and muscle fibrosis.

2. Abnormal development of cervical spine: torticollis caused by abnormal development of vertebral body during cervical spine development, such as vertebral body formation disorders (hemivertebral body, wedge-shaped vertebrae), abnormal fusion of vertebral body (block vertebrae, vertebral body segmentation insufficiency), odontoid process deformity, etc.

3. Genetic factors: Since the child was born with torticollis, it may be related to the genetics of the parents.

4. Abnormal fetal position: the position of the fetus in the uterus is not correct or the uterine wall pressure is abnormal, which will compress one side of the baby's neck, and the local blood circulation in the sternocleidomastoid muscle will be blocked, resulting in ischemic fibrous contracture of the sternocleidomastoid muscle, resulting in the baby's torticollis.

2. Predisposing factors.

1. Lifestyle habits: It is more common in people who work at the desk for a long time and play with their heads bowed to their mobile phones, and the abnormal neck structure induces torticollis.

2. Brain diseases: common in encephalitis, multiple sclerosis, cerebral hemorrhage and other diseases, compression of nerves and blood vessels induces torticollis.

3. Trauma: especially in the head, neck and shoulder trauma, causing permanent damage to muscles and bones to induce torticollis.

With the unremitting efforts of our doctors for more than 40 years, large and small clinical experiments have summarized the "correction homing soup", and achieved a breakthrough in spasmodic torticollis. The correction of the homing soup fully reflects the individualization of traditional Chinese medicine due to illness, syndrome, time, place and person. Correction of homing soup** selected more than 30 kinds of pure Chinese medicinal materials such as saffron, centipede, whole worm (the above is the correction of some components of the soup** specific medication needs to be dialectically adjusted), correction of homing soup** pure Chinese medicine decoction** spasmodic torticollis, by starting from the root cause of the disease, based on dredging wind and circulation, dissipating cold and dampness, dissolving phlegm and removing stasis, nourishing qi and blood, nourishing jin and soft tendons, and flattening the liver and relieving spasmodics, to achieve the purpose of treating both the symptoms and the root causes.

The first type of congenital "muscular torticollis" is the most common cause of "crooked neck".

Due to the traction of the sternocleidomastoid muscle, the neck is skewed, the head is tilted to the affected side, and the jaw is turned to the unaffected side, forming a special "crooked neck" posture deformity. If the infancy and early childhood are not reasonable**, the deformity will gradually worsen with age, and its efficacy will also decrease, which will have adverse effects on the child's body and mind. Therefore, early detection and early detection are crucial.

The second common cause of "crooked neck" is "ocular torticollis".

In other words, a "crooked neck" caused by eye disease. Many causes of eye diseases in the period can lead to "crooked neck", such as severe amblyopia, myopia, farsightedness, "strabismus" caused by congenital hypoplasia of the upper palpebrae muscle, and so on. Most of the eye diseases that must be highly valued, such as amblyopia, myopia, and farsightedness, can be achieved through glasses and corrected "crooked neck".

And some diseases, such as congenital epiphasis of the upper palpebral muscle, must be surgically able to "strabismus", and fundamentally cure the "ophthalmopathic torticollis".

The third type is "bony torticollis" due to cervical spine dysplasia

Congenital cervical spine development disorders, such as hemivertebral deformities, can lead to curvature of the cervical spine, resulting in a "crooked neck" deformity. This deformity is rare and progressively worsens with age. Surgery is the only method, and generally speaking, the earlier the surgery, the better the results.

The fourth cause of "crooked neck" is "auricular torticollis".

That is, due to the cause of ear disease. There are some causes of the period that can cause hearing loss in one ear, which can lead to the "crooked neck" symptom. Such as unilateral congenital deafness, hearing loss due to medication, etc.

These are the four causes of crooked neck, and there are also some conditions that can cause the above symptoms, such as benign paroxysmal torticollis in infants, for unknown causes, but the prognosis is good.