Background: The purpose of this case report was to discuss the care of a pediatric patient with congenital torticollis who was treated by a chiropractor who initiated a multidisciplinary approach.
Methods: Databases searched were PubMed, Cochrane, Index to Chiropractic Literature, CINAHL and google scholar. Keywords were torticollis, congenital torticollis, pseudotumor, plagiocephaly, spinal manipulation, chiropractic.
Case summary: A mother brought her three-week-old infant to the chiropractor because she felt a nodule in the upper neck. After a thorough investigation of her history and an age appropriate physical exam, the diagnosis was congenital torticollis with a pseudo-tumor of the left sternocleidomastoid muscle (SCM). The intervention consisted of gentle spinal manipulation of the occipito-atlantal area, soft tissue therapy performed on the SCM, cranial manipulation along with home exercise instruction given to the parents. There was also a referral made to a physiotherapist for a consultation on the case with subsequent recommendations. The observed outcome was the resolution of congenital torticollis.
Conclusion: This case report records the progress and positive outcome of a chiropractic multidisciplinary approach on pediatric congenital torticollis.
Author keywords: Torticollis, congenital torticollis, pseudotumor, sternocleidomastoid muscle, plagiocephaly, spinal manipulation, chiropractic, pediatric, multidisciplinary
Author affiliation: Trois-Rivières, Quebec, Canada
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