Torticollis in Babies: Early Signs/Importance of Physiotherapy

Does your baby have a strong preference for looking to one side? Or maybe they hate feeding on one side. A potential reason for this might be torticollis!

Babies that are the first born, have a difficult delivery or are stuck in a difficult position (such as breech) in the womb can be more likely to have torticollis. Torticollis or “wry neck” in babies is a condition characterised by tightening of the neck muscles, leading to the tilting or rotation of the head to one side. This condition can be concerning for parents, but it’s essential to know that with early intervention, such as physiotherapy, many babies experience significant improvement. 

Common signs of torticollis

Early intervention with physiotherapy is key for torticollis, specifically within the first 3 months. If your baby has any of the following signs, we recommend getting in contact with a physio or paediatrician.

– Preference for tilting or turning the head to one side

– Limited range of motion in the neck

– Difficulty breastfeeding on one side

– Development of a flat spot on the baby’s head (plagiocephaly)

How Physiotherapy Helps with Torticollis

The earlier torticollis is treated, the better the outcome for your baby. Physiotherapy is often recommended as the first line of treatment, especially within the first three months of life. The goal of therapy is to stretch and strengthen the neck muscles, allowing the baby to regain normal movement and head control. Here’s what you can expect from physiotherapy for torticollis:

1. Education and Awareness: Physiotherapists will educate parents about the condition and provide advice on small but significant adjustments to daily routines. For instance, altering the way you hold, feed, or play with your baby can encourage them to use both sides of their neck more equally.
2. Gentle Stretches: Your physiotherapist will guide you through gentle neck stretches that can be performed at home multiple times a day. These stretches help release tension in the tight neck muscles, allowing for better movement.
3. Positioning Techniques: Changes in positioning during tummy time or sleep can help alleviate the strain on your baby’s neck. Ensuring your baby spends time on their tummy while awake can also promote overall neck strength and reduce the risk of flat spots.
4. Strengthening Exercises: For babies older than six months, the treatment plan may include exercises to build strength in the neck muscles, enabling them to hold their head up more efficiently. These exercises are crucial for preventing any developmental delays that could arise from a lack of head control.

Torticollis in babies can be challenging for parents to navigate, but with the right intervention and guidance from a physiotherapist, your baby can make a full recovery. Some small changes in yours and your baby’s routine can make the world of difference in improving their neck and head symmetry.

If you notice that your baby has a preference for looking one way, they might need a little help with their torticollis! Make sure to reach out if you have any concerns and book in, we would be happy to help you along your journey.

(Published Oct 30, 2024)

Written by: Jasmyn Windsor (Physiotherapist)