Torticollis: What you need to know

What is torticollis?

Torticollis is a condition where a child’s head tilts to one side while their chin points to the opposite direction. It can happen for various reasons, such as muscle strain, a reaction to medication, or an issue with the spine. While it might look uncomfortable, the good news is that most children recover within a week with some rest and simple care. 

What causes torticollis?

Torticollis can develop for a few reasons. Sleeping in a new or awkward position—like on the sofa or at a sleepover—can strain the neck muscles or ligaments, causing discomfort. It’s also common during colds or throat infections when swollen glands make the neck muscles tighten. Anything that irritates or affects the neck can cause muscles to tense, leading to this condition. 

What are the symptoms of torticollis?

Symptoms can include: 

• Pain 

• Trouble moving the head, neck, or both 

If your child develops any of the following symptoms, it’s important to take them to hospital: 

• Fever, drooling or vomiting  

• Increasing or severe pain  

• Discloses any recent injury  

• Becomes unsteady on their feet  

• Develops a headache or their behaviour changes  

If your child is being sick, looking pale, being irritable or sleepy, and being less coordinated than normal, seek urgent medical attention. 

How is torticollis treated?

The good news is that torticollis usually improves on its own. Most children start to feel better after a day of rest, though it might take up to 7–10 days for the neck pain and tilt to completely go away. 

To support your child’s recovery, try these tips: 

• Limit activities that require turning the head or straining the neck. 

• Offer pain relief with child-safe medicines like paracetamol or ibuprofen, which can ease both pain and muscle tension. 

• Use a warm compress on the sore part of the neck for 20 minutes at a time every 3–4 hours. Be sure to place a towel or cloth between the heat and their skin. 

• Check the sleep setup if your child first noticed neck pain after waking up. A lumpy pillow or toys in bed might have caused the discomfort, so ensuring their sleep space is comfortable and safe can help prevent torticollis in the future. 

If the neck pain or twisting hasn’t improved after 7–10 days, it’s best to follow up with a GP. In some cases, additional tests may be needed to determine why the symptoms are continuing.