Plagiocephaly is when a baby develops a flat spot on one side or the back of the head. It happens when a baby sleeps in the same position most of the time or because of problems with the neck muscles that result in a head-turning preference.
In babies, torticollis happens when the muscles that connect the breastbone and collarbone to the skull (sternocleidomastoid muscle) are shortened.
There are many reasons that babies can develop these conditions and none of them are your fault! In fact, plagiocephaly and torticollis are becoming increasingly common.
Here are some reasons your baby may have one or both of these conditions:
Being malpositioned in the uterus. A smaller parent may not have as much room for a larger baby which can put baby in the same position for days or even weeks before birth. This can occur with pelvic floor issues or with parents that have differing anatomy
Babies who sleep on their back for long stretches. While sleeping on the back is safest overall, if baby doesn’t move around a lot and sleeps looooong stretches it can increase flattening of the back of the head. These babies need lots of tummy time when awake!
Babies with reflux or torticollis may develop plagiocephaly on the side of the head. When we turn our head, it helps close off the esophagus during refluxing.
A baby who is best soothed in a swing or other baby-holding device. If your baby spends a lot of time in a swing, bouncy chair, or car seat it’s much more likely they will develop plagiocephaly.
The good news is that you can treat both of these conditions! Working with a pediatric PT is very helpful!
At home you can do fun activities with your baby to help them develop and improve.
Tummy time and the Guppy
Encourage baby to turn their head both directions by offering stimulation on the non-preferred side. Talk to them and sing songs to get baby to turn their head. Position baby for sleeping so they will turn to the non-preferred side toward you.
Babywearing is a great way to soothe baby and keep your hands free!
Cranial sacral therapy, OMT, and chiropractic can all be great options. Look for a provider that specializes in infants and ask your Pediatrician for recommendations.
With help and time, it will get better and you are likely to see big improvements in your baby’s feeding, too!