If you find that your baby’s neck is tilted to one side for a long time after birth and returns to the original tilted position soon after correction, you should be highly suspicious of pediatric myotonic squint. The typical manifestation of pediatric myelopia is a head tilted to one side and a chin turned to the other side. Doctors and parents can feel a hard lump on the neck muscle on the same side where the baby’s head is tilted, which is medically called the sternocleidomastoid muscle. The incidence of pediatric sternocleidomastoid is 0.9%-2%, with an increasing trend year by year. It is mostly associated with birth injuries during delivery or muscle ischemia due to malposition in the uterus, and is associated with frequent left-sided lying of the pregnant woman. The sternocleidomastoid muscle is abnormally spastic and stiff to palpation, like pulling the reins of a horse tightly, pulling the head to tilt, which makes parents or some doctors easily take it lightly, thinking that it can recover by itself without masses. In more than 10 years of clinical practice, our department has encountered many cases of untreated children with myelomeningocele, whose crooked necks became more and more serious at the age of 2 years or more, and eventually received surgery and left sequelae such as cervicothoracic scoliosis. Therefore, parents must remember that myelomeningocele must be treated promptly once it is detected, regardless of whether there is a mass or not. In pediatric myelomeningocele, surgery can be used above the age of 2. Among the conservative treatment methods within the age of 1 year, massage is the preferred, safe and efficient treatment method that plays an absolutely dominant role. Studies have confirmed that children with myelomeningocele within 1 month of age only need 1-2 months of treatment time, and the cure rate is as high as 95%. for children within 2 months of age, the treatment time is mostly extended to about 3 months, and it is basically difficult to cure children within 6 months of age, which shows that the key to this disease is early detection and early adherence to massage treatment. Tui-na techniques have a high level of operating skills, and their effect is mainly to relax the tendons and activate blood, soften and disperse the knots. At present, there are two main points in the consensus of Tui-na treatment strategy for pediatric myotonic squint, one is to use the compound flexible technique of kneading and twisting to quickly dissipate the hard knots and assist in pulling the neck. The second is to pay full attention to the developmental pattern of the affected child’s neck muscles, focusing on the sternocleidomastoid muscle, while combing the ipsilateral trapezius muscle, as well as the contralateral eponymous muscle. At the same time of the tui na treatment, parents under the guidance of the doctor give the child frequent neck pulling in the opposite direction, 2-3 minutes each time, 3 times a day. You can also use toys and other means to attract the child to rotate to the opposite side of the skewed head and neck to exercise its active pulling ability to better promote the recovery of the disease. Pediatric myelomeningocele is an important disease in the initial stage of a baby’s life, and it is crucial for parents to find it early and use massage treatment early, so that the baby’s oblique neck can definitely be corrected and recovered.