A deformation coordination method is proposed in this study to account for the distortion effects on a box girder. The differential equation for distortion in vertical web box girders is derived based on the deformation coordination condition of the distortion angle, considering both external loads and internal forces. Subsequently, a comparative analysis is conducted to explore the similarities and differences between the differential equations derived from the proposed deformation coordination method, the plate element analysis method and the total potential energy variation method. The accuracy of the proposed approach is verified through bench-scale tests and numerical simulations. The findings indicate that the derived governing distortion differential equation and distortion attenuation coefficients in the proposed method align with those obtained from the plate element analysis method and the total potential energy variational method, which enhances the applicability to allow for the distortion equations to be obtained simply by calculating the distortion displacements. The analytical findings regarding the distortion warping normal stresses on the cross-sections of the box girders demonstrate favorable correspondence with the experimental results, displaying an acceptable error ranging from − 0.3% to 5.4%. Moreover, the peak of distortion warping normal stresses on the mid-span cross-section increases with higher span-to-depth ratios and height-to-thickness ratios of the web. Consequently, augmenting the thickness of the box wall proves to be an effective means of reducing the distortion effect in box girders.