Introduction: Acquired torticollis in children may present a diagnostic challenge as many different underlying causes are possible, ranging from benign mechanical concerns to serious and potentially life-threatening conditions.
Presenting concerns: A 31-month old boy presented to a chiropractic clinic with acquired torticollis of possibly traumatic origin. Although it appeared to be a typical muscular torticollis, certain elements of the history and examination findings could point to more serious diagnoses. Thorough intake, physical examination, and interdisciplinary collaboration are paramount for practitioners to help rule out potentially serious conditions before initiating conservative care.
Interventions: The initial chiropractic evaluation was performed over the course of one week, and included intraprofessional consultation with a pediatric chiropractor. Previous examinations had been performed at a pediatric hospital. Gentle soft tissue and cervical and pelvic joint mobilization, adapted to the patient’s age and size, were performed for a total of six visits over a three-week period.
Outcomes: Upon re-evaluation, complete resolution of the aforementioned symptoms was noted. The results were maintained at follow-up five weeks later.
Conclusion: Pediatric chiropractic care proved beneficial for this young boy with acquired torticollis. Intraprofessional consultation and collaboration was helpful in the case and should be encouraged.
Keywords: torticollis, diagnosis, mobilization, child, conservative, chiropractic
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