Contraindications may apply. A professional consultation is required.
Dr Pervushkin · Nizhny Novgorod
Torticollis
Persistent head tilt or rotation is not always a muscle problem. Neurological, ocular, bony and inflammatory causes should be considered first.
Understanding the concern
What to know before booking
In infants, torticollis may relate to the sternocleidomastoid muscle, positioning, the cervical spine, vision or the nervous system. In adults, acute tilt may follow load but can also occur with infection, medication reaction and neurological disease.
Early paediatric assessment helps distinguish side preference from a condition requiring ultrasound, orthopaedics, neurology or ophthalmology. Forceful turning or home manipulation of the neck is unsafe.
With an established diagnosis and no contraindications, gentle techniques and positioning guidance may be considered. For older children or adults, movement work is gradual and coordinated with primary care.
FROM A CONSULTATION TO EVERYDAY SKILLS
Knowledge that stays with you after a session
You spend almost all your time outside the consulting room — at work, on the move and caring for loved ones. Alongside consultations, we focus on education: understanding your body and using the skills you learn in everyday life.
Learn skills for yourself and your loved ones
At Doctor Pervushkin’s seminars, you explore self-care techniques with a teacher and learn skills for looking after yourself and your loved ones. Choose a topic and ask a qualified practitioner which practices are appropriate for your condition.
Seek urgent medical care or call emergency services for:
!head tilt after trauma, especially with severe pain or weakness
!fever, drooling or difficulty swallowing or breathing
!sudden torticollis with visual, speech or coordination disturbance or seizure
Patient questions
Key questions
Can we stretch at home?+
Only after assessment and demonstration of a safe technique. Forceful head turning may cause harm.
Who should assess an infant?+
Start with a paediatrician. Depending on findings, orthopaedics, neurology, ophthalmology and an osteopathic physician as an adjunct may be appropriate.
How long does improvement take?+
This depends on diagnosis, age and progress. Timing and outcome cannot be guaranteed; lack of progress requires reassessment.
Have a question?
We will help you choose the right practitioner
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