The child brought hope and joy to the whole family, but by chance, the child was found to have a lump in the shoulder and neck, and his head was always tilted to one side. The parents were worried and took the child to the hospital for examination, only to find out that the child had congenital myelomeningocele. What made the parents doubtful is that the child is still so young, is there any treatment method without surgery? Can pediatric myelomeningocele be cured by conservative treatment? Under what circumstances is conservative treatment suitable? Pediatric myotonic levator can be treated conservatively, and the cure rate of this method can reach 50% to 60%. Conservative treatment is suitable for children with myotonic neck up to 1 year old, especially for newborns and infants less than half a year old, in order to promote early absorption of hematoma and prevent muscle fiber contracture and sclerosis. If the child is older than 1 year old, it is difficult to achieve the effect by massage and other treatments, and it is necessary to take the child to a specialized orthopedic department for surgical treatment. What are the conservative treatment methods for pediatric myelomeningocele? The conservative treatment is mainly local massage, neck pulling and fixing. Specific methods are as follows: ① Massage: parents can first take the child in a professional hospital massage, while parents can also learn the skills of massage, master the corresponding massage site, strength and frequency, then you can carry out standardized massage treatment for children at home, both convenient operation and easy to adhere to the treatment. The specific method is to knead the contracted sternocleidomastoid muscle with the fingers, gently twist and smooth, while kneading, twisting, 15 minutes each time, 2 to 3 times a day, gentle movements. After a period of time, the mildly contracted sternocleidomastoid muscle can be gradually stretched, and the head and neck posture will return to normal. ②Sandbag fixation: lay the child flat on the bed with the face to the affected side and the occiput to the healthy side, fix it with a sandbag (or rice bag) and keep the head in the above position. ③Local massage: Apply talcum powder on hands and massage repeatedly with thumb or index finger on the lump, which can activate blood, reduce swelling, disperse knots, relieve spasm, promote absorption of the lump and achieve treatment purpose. ④Pulling: continuously pull the head toward the healthy side about 30 to 50 times a day, which can be done in several times. The parent should gently hold the child’s head with both hands and turn the child’s jaw toward the affected shoulder (i.e., at the neck mass), pausing for about 1 minute after turning, so that the muscles are in an elongated and stretched state; the technique should be gentle and prevent the use of violence. ⑤ Postural therapy: Parents should adjust their position in relation to the child when feeding or sleeping, for example, if the child has a right-sided neck, the child should be placed on the left side of the parent when feeding or sleeping, and vice versa. Third, will massage and other methods have a negative impact on the child’s growth and development? Some parents may worry about secondary damage to the child during massage, but in fact, as long as you follow the standard method, grasp the appropriate strength and frequency, do not be too hasty, almost no secondary damage will occur. Fourth, simply wearing a neck brace can correct the oblique neck? The orthopedic brace is usually used for correction after surgical treatment. Without conservative treatment or surgical treatment, wearing a neck brace alone will not achieve a cure. V. Will myotonic neck recur after conservative treatment? After conservative treatment, myotonic levator ani will not recur as long as it is cured. Often, myotonic levator recurrence is only because the child’s levator is not really cured, for example, parents just think that the child’s neck lump disappears, so they do not continue treatment, then after some time myotonic levator will still recur. Therefore, in the process of conservative treatment, it is important to insist on complete cure. When the shoulder and neck lump disappears, pushing should also be continued until the neck movement is normal; otherwise the myotonic neck will easily recur.