Torticollis (Child)

Acute spasmodic torticollis is a condition of painful muscle spasm in the neck. It is also called wryneck. It usually occurs in children and causes the child to hold their head to one side because it hurts too much to move from that position. This usually is a result of sleeping with the neck in a strained position. Having a common cold may also lead to this problem. Torticollis usually goes away after a few days.

Home care

  • Put heat on your child's neck muscles with a moist towel heated in a microwave. Or have your child take a warm bath or shower. This will help relax the muscles. Use the heat for 15 to 20 minutes every 3 to 6 hours the first 24 to 48 hours. Gently massaging your child's muscles may also help.

  • For children 1 year and older: Support your child's head and neck with small pillows or rolled up towels when he or she is lying down. If a neck brace was given, your child should keep it on all the time until symptoms improve. You may remove it for bathing or applying heat or massage.

  • For babies younger than 12 months: Talk with your healthcare provider about how to support your baby's head and neck. Don't use pillows or other soft items with a baby younger than 12 months.  

  • You may give your child over-the-counter medicine as directed based on your child's age and weight for fever, fussiness or discomfort. Talk with your child's healthcare provider before using these medicines if your child has chronic liver or kidney disease or ever had a stomach ulcer or digestive bleeding. Never give aspirin to anyone under 18 years of age who is ill with a fever. It may cause severe disease or death.

  • Your child should stay home from school until symptoms are all better. They should also not play sports until symptoms are gone.

Follow-up care

Follow up with your healthcare provider, or as advised. 

When to seek medical advice

Call your healthcare provider right away if any of these occur: 

  • Increasing neck pain

  • No relief with the medicines prescribed

  • Fever (see Fever and children, below)

Call 911

Call 911 if any of the following occur:

  • Trouble swallowing or breathing

  • Skin or lips that look blue or gray

  • Increasing pain or severe pain that does not go away

  • Sudden weakness, numbness, or tingling in the arms or legs

  • Loss of control of bladder or bowels

Fever and children

Use a digital thermometer to check your child’s temperature. Don’t use a mercury thermometer. There are different kinds and uses of digital thermometers. They include:

  • Rectal. For children younger than 3 years, a rectal temperature is the most accurate.

  • Forehead (temporal). This works for children age 3 months and older. If a child under 3 months old has signs of illness, this can be used for a first pass. The provider may want to confirm with a rectal temperature.

  • Ear (tympanic). Ear temperatures are accurate after 6 months of age, but not before.

  • Armpit (axillary). This is the least reliable but may be used for a first pass to check a child of any age with signs of illness. The provider may want to confirm with a rectal temperature.

  • Mouth (oral). Don’t use a thermometer in your child’s mouth until he or she is at least 4 years old.

Use the rectal thermometer with care. Follow the product maker’s directions for correct use. Insert it gently. Label it and make sure it’s not used in the mouth. It may pass on germs from the stool. If you don’t feel OK using a rectal thermometer, ask the healthcare provider what type to use instead. When you talk with any healthcare provider about your child’s fever, tell him or her which type you used.

Below are guidelines to know if your young child has a fever. Your child’s healthcare provider may give you different numbers for your child. Follow your provider’s specific instructions.

Fever readings for a baby under 3 months old:

  • First, ask your child’s healthcare provider how you should take the temperature.

  • Rectal or forehead: 100.4°F (38°C) or higher

  • Armpit: 99°F (37.2°C) or higher

Fever readings for a child age 3 months to 36 months (3 years):

  • Rectal, forehead, or ear: 102°F (38.9°C) or higher

  • Armpit: 101°F (38.3°C) or higher

Call the healthcare provider in these cases:

  • Repeated temperature of 104°F (40°C) or higher in a child of any age

  • Fever of 100.4° F (38° C) or higher in baby younger than 3 months

  • Fever that lasts more than 24 hours in a child under age 2

  • Fever that lasts for 3 days in a child age 2 or older

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