Torticollis is tightening of a baby’s neck muscles associated with the baby having a preference for turning or tilting the head one way more than the other. Plagiocephaly is when the baby’s head is misshapen, most commonly with a flat spot on one side of the back of the head.
Positioning within the womb is the most common cause, but the muscle tightening and head shape often worsen in the first few months of life. Torticollis can be treated with physical therapy, through manual techniques, stretching, and strengthening.
Newborns are at a higher risk for torticollis if their birth history includes:
- Firstborn
- Breech baby
- Decreased movement of baby in womb
- Large size of baby
- Twin / multiple births
- Difficult or prolonged labor
- Back labor
- C-section
- Premature birth
- Asymmetry of head / face at birth
These babies also commonly have acid reflux, colic, recurrent ear infections, difficulty feeding, or developmental delays.
If your infant shows signs of torticollis or plagiocephaly, talk to your physician right away. Early treatment is essential for quick, positive outcomes. A physician’s order is recommended for a physical therapy evaluation.