The evaluation of torticollis begins with a history and physical exam.

Physical findings in someone with torticollis include:

• Neck tenderness
• Severe spasm and tightness of the neck muscles on one side
• Spasm in the muscles of the shoulder and upper back
• Decreased range of motion of the neck
• Head stays rotated and tilted to one side

Tests are not necessary to make the diagnosis of torticollis .

Tests that may be used to evaluate torticollis include:

• X-rays of the neck
• CT scan of the cervical spine
• MRI scan of neck