Torticollis

Torticollis, or “twisted neck”, describes an abnormal neck posture. Typically one side of the neck is tighter than the other side, thus causing the baby to turn one way (rotation preference) and tilt the opposite way (head tilt). There are variations to this rule. It is always best to be evaluated by an experienced pediatric occupational or physical therapist to determine exactly where the tightness is and what interventions should be put in place.

Torticollis affects many things, including tummy time, posture, rolling, muscle development, sitting balance, visual tracking and development of using both sides of the body equally. Think of a tight volleyball net. If there is a pull on one part of that net - the whole thing is distorted. Nothing is in a straight line anymore. This is similar to the big muscle in the neck. There is a pull on it and it affects the head, neck, shoulders, trunk and hips. Because of this, early intervention if the absolute best thing you can do for your baby.

Therapy for torticollis typically consists of various stretching exercises and manipulation techniques by a therapist. These are incorporated into play activities and shouldn’t be too uncomfortable for your baby. The therapist will also give you some activities to do at home. Do these on a consistent basis! It will pay off in the end.

One word of encouragement. Torticollis is difficult to treat and takes awhile to resolve. You will see some improvement, then most likely, there will be some regression. THIS IS NORMAL. It is normal for your baby to tighten back up during growth spurts, teething, illness or simply being tired. Keep up with your therapy and hang in there.