Torticollis Treatment in Singapore: Symptoms, Types & Management
By Dr Lau LL | drlauspineclinc@gmail.com | Singapore | Published on 25 August 2025
The Scoliosis & Spine Clinic (SG) offers specialized care for torticollis in Singapore, combining clinical expertise with evidence-based therapies to help patients of all ages regain neck mobility and comfort. Whether congenital or acquired, torticollis requires timely diagnosis and targeted management to prevent long-term complications. This article explores the key symptoms, types, and treatment options available for torticollis in Singapore.
Symptoms
- Head tilted to one side with chin rotated to the opposite direction
- Limited range of motion in the neck
- Neck stiffness or discomfort
- Facial asymmetry or flattening of one side of the head (plagiocephaly)
- Palpable lump or tight band in the sternocleidomastoid muscle (especially in infants)
- Delayed motor milestones or feeding difficulties in infants
Types of Torticollis
Congenital Torticollis
Typically present at birth, congenital torticollis is most often caused by fibrosis or shortening of the sternocleidomastoid muscle. Risk factors include birth trauma, breech presentation, and intrauterine constraint.
Acquired Torticollis
Develops later in life due to various causes such as:
- Atlantoaxial rotatory subluxation
- Neurological conditions like dystonia or cerebral palsy
- Upper respiratory infections or inflammation
- Skeletal abnormalities in the cervical spine
- Infection or Tumour
- Muscle spasm
- Visual or auditory impairments leading to compensatory head posture
Management of Torticollis
Physiotherapy
Early physiotherapy is the first-line treatment, especially for infants. It includes gentle stretching, positioning strategies, and motor development exercises. Most cases respond well within the first year of life.
Manual Therapy
For older children and adults, manual therapy may help relieve muscle tension and improve cervical alignment.
Traction
Skin traction or even skeletal traction can be used to restore the neck alignment
Botulinum Toxin Injections
Used in cases of spasmodic torticollis to relax overactive neck muscles and improve posture.
Surgical Intervention
Reserved for severe or persistent cases where conservative therapy fails. Procedures may include SCM muscle release or lengthening, followed by rehabilitation.
Supportive Devices
- Soft neck collars for acquired cases with instability
- Helmet therapy for infants with associated plagiocephaly
Conclusion
Torticollis is a treatable condition when addressed early with the right expertise. At The Scoliosis & Spine Clinic (SG), we provide comprehensive evaluation and personalized management plans for both congenital and acquired torticollis. Whether you're a concerned parent or an adult experiencing neck discomfort, our team is here to guide you toward recovery and long-term spinal health.