Torticollis
Muscular torticollis is present when a muscle on the side of the neck, called the sternocleidomastoid, is shortened or tightened on one side. The tightening of the muscle pulls the head toward the affected side and limits the baby’s ability to turn toward the affected shoulder. This prolonged, one-sided positioning can result in deformational plagiocephaly, or flattening of the side of the head.
Torticollis becomes evident at approximately four months of age. Infants with the condition may have noticeable “tilt” of the head to the affected side, and may compensate by learning back to view the object.
Treatment
We treat mild torticollis with physical therapy to stretch the tightened muscles of the affected side, while strengthening the muscles of the opposite side. If therapy isn’t effective after several months, additional treatment may be needed.
Because moderate to severe forms of torticollis can significantly impact head shape, we may recommend children be fitted with our craniofacial orthosis, called a CranioCap®. The CranioCap® gradually reshapes a baby’s skull, rounding the head over a period of three to four months. Click here for CranioCap® FAQs and information on scheduling an appointment.
