Pediatric myotonic oblique neck is a disease characterized by the child’s head tilting to the affected side and face rotating to the healthy side, also known as congenital sternocleidomastoid contracture oblique neck, referred to as myotonic oblique neck, more common in the right side. Modern medicine believes that this disease is mostly caused by the poor position of the fetus in the uterus, so that one side of the sternocleidomastoid muscle is pressed and blood circulation is obstructed, causing ischemic muscle fiber degeneration; or due to the fetal malposition during delivery, the fetal sternocleidomastoid muscle is squeezed by the birth canal or forceps, injured and bleeding, and the hematoma is mechanized to form a contracture, which leads to the occurrence of the sternocleidomastoid. According to traditional Chinese medicine, the pathogenesis of myotonic diagonal neck is the disorder of qi and blood, the obstruction of meridians and blood stagnation. Clinical manifestations: After birth, or within 1 to 2 weeks after birth, oval or strip-like masses can be found on one side of the neck (some masses will disappear on their own after half a year or so), the child’s head is skewed and tilted forward to the affected side, and the face is rotated to the healthy side. When the child’s neck is turned to the healthy side, the mass protrudes significantly. Later, the mass gradually becomes contracted and tense, hardens and becomes hard rubber or cartilage-like, and the skewing of the head becomes more and more obvious, with restricted movement. In larger children, there is even asymmetry on both sides of the head and face, with the healthy side of the face being larger and the affected side smaller. If left untreated for a long time, the cervical vertebrae may be convex to the healthy side, and even the thoracic vertebrae may have compensatory scoliosis, and in children with mild disease, no contracture occurs. Treatment method: 1, the child lying on his back at the edge of the bed, pushing the person sitting on the chair in front of the bed, one hand to hold the child’s neck and occiput, the other hand with the thumb or index, middle and ring fingers to press the neck lump, about 5 minutes, the press can be used talcum powder in the affected area as a medium to prevent damage to the skin. 2.Gently lift the affected lump with the thumb and the index and middle fingers 3 to 5 times, and then use the thumb and index fingers to wipe and flick the affected tendon 10 to 15 times to facilitate elongation and relaxation. 3.Press the affected shoulder with one hand, hold the hand of the head and neck to pull the child’s head to the healthy side, and increase the distance between the affected ear and shoulder with relative force. This can be done about 20 times in a row each time. 4. Hold the child’s head and neck with one hand, hold the jaw body with the other hand, and turn the child’s jaw to the affected side with a slight upward traction, and deviate the head to the healthy side. This can be done about 10 times in a row each time. 5. Finally, use the thumb to gently rub at the lump for 3 to 5 minutes. When using the neck trigger method, it is appropriate to start from light to heavy, the amplitude from small to large, do not suddenly violent and exceed the normal physiological limits. Note: 1, parents can usually hot towel hot compress the child’s neck, hot compress 1 to 2 times a day. 2, the child can sleep with sand pillow fixed, usually pay attention to make their head to the affected side of the rotation, in order to help correct the deformity.