Pediatric myotonic squint, also known as crooked neck disease, refers to the occurrence of fiber spasm of the sternocleidomastoid muscle on one side of the child, which often results in asymmetric deformities of the head and face, and can also cause serious consequences such as secondary deformities of the cervical spine if left untreated. The treatment of pediatric myotonic neck includes both surgical and non-surgical (massage) treatment. Surgical treatment is applicable to children over 3 years old, and for those over 12 years old, although the facial deformity is difficult to correct, surgery can still improve the neck deformity and activities. The surgical method mostly uses the sternocleidomastoid muscle cut, and after surgery, the head is placed in the overcorrected position and fixed in a head, neck and chest cast for 3~4 weeks. Tui na treatment for pediatric myotonic squint is one of the characteristic therapies of Chinese medicine, which has good efficacy. The best time for treatment is between two months and one year of age in children, so the key to treatment of the disease is early detection. Early manifestations: two weeks after birth, the child’s head is often tilted to one side and a hard swelling can be felt on the affected side of the neck without obvious pressure pain. 3 to 6 months later, the swelling in the neck can become a striated mass at the sternocleidomastoid muscle and the child’s neck movement is limited. Associate Professor Xu Li is a member of the Professional Committee of Pediatric Tuina of the Chinese Academy of Traditional Chinese Medicine. She adopts the kneading and pulling method to treat pediatric myoclavicular neck, which is gentle and penetrating, with an efficiency of 95% and is easily accepted by the children. Treatment techniques: ①Kneading (pushing and kneading method): the child is in supine position without pillow, the operator sits in front of the child’s head, and talcum powder is used as the medium. Use the three fingers of the index, middle and ring fingers to knead and push the affected sternocleidomastoid muscle for 5 minutes to relax the tendons and activate the blood. Focus on the block or strip lock. ②Kneading (holding method):In the same position as above, the operator uses the thumb and index finger to pinch and flick the affected sternocleidomastoid muscle for 5 minutes round trip to loosen its adhesions. ③Pulling (pulling method): In the same position as above, the operator holds the affected shoulder with one hand and the top of the child’s head with the other hand, so that the child’s head is gradually pulled and tilted toward the healthy shoulder, gradually lengthening the affected sternocleidomastoid muscle with a small and gradually large amplitude, repeatedly within the physiological range for 10-20 times to improve the restoration of the neck movement function. ④Transfer (rotation method): In the same position as above, fix both shoulders of the child, and on the basis of the above method, the operator holds the child’s head and rotates the shoulder to the affected side 10-20 times. ⑤ Then repeat the first step. If there is facial asymmetry and scoliosis of the thoracic spine, local treatment can be combined. Each treatment time of the above method is about 15-20 minutes, and the treatment time is once a day at the beginning, and can be changed to once every other day after 20 times, and 2 months is a course of treatment, and 1-3 consecutive courses of treatment. The treatment time can be extended for larger masses or longer duration of disease. In order to improve the efficacy, parents are also advised to supplement the treatment with warm compresses, change the sleeping position of the head, and teach parents some simple massage and care methods to assist in the treatment at home. Prevention and care: Dr. Xu reminded parents that the cause of pediatric myelomeningocele is generally believed to be related to the maternity process, so if there is fetal malposition, birth injury or difficult birth during the maternity process, pay attention to the child’s neck after delivery to see if there is a lump or cord-shaped swelling for early detection and treatment. Actions in the opposite direction to the head and face deformity are used in daily life to correct, such as breastfeeding, pillow cushion for sleeping or using toys to attract the attention of the affected child. In the treatment process, a low pillow is usually available and padded on the affected side of the neck when the child is in the supine position to maintain the correct sleeping position of the head; when sleeping on the side, the affected side of the neck should be facing down and the pillow should be padded at the ear of the child’s head to elongate the neck. Family members can often press and stretch the sternocleidomastoid muscle on the affected side and make passive stretching exercises in the opposite direction.