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  • Circle Creek Therapy

Understanding infant torticollis

Updated: Jul 30

As new parents, it’s natural to notice every aspect of your baby’s health. One condition that might cause concern is infant torticollis. Also known as “wry neck,” infant torticollis is a relatively common condition where a baby’s head tilts to one side while the chin points to the opposite shoulder. Despite its worrying appearance, with the right knowledge and early intervention, it’s manageable and often resolves with appropriate treatment.

What is Infant Torticollis?

Infant torticollis occurs when the sternocleidomastoid muscle, a major muscle in the neck, is tight or shortened. This muscle runs along the side of the neck and controls the rotation and flexion of the head. The condition can be congenital (present at birth) or acquired after birth.


Signs and Symptoms

Parents might notice signs of torticollis within the first few weeks to months of their baby's life. Some common symptoms include:

  • Head Tilt: The baby’s head consistently tilts to one side.

  • Limited Neck Mobility: Difficulty turning the head to one side or tilting it in the opposite direction of the tilt.

  • Flat Spot: Plagiocephaly or a flat spot on one side of the head due to consistent pressure.

  • Preference for One Breast: Babies may prefer to nurse from one side due to discomfort on the other side.


Early intervention is key to treating infant torticollis effectively. Here are some common approaches:

  1. Physical Therapy: The cornerstone of treatment, physical therapy involves exercises designed to stretch and strengthen the neck muscles. Therapists will guide parents on how to perform these exercises at home.

  2. Positioning Techniques: Parents are encouraged to engage their baby in activities that promote turning the head in both directions. Placing toys or stimuli on the affected side can help encourage movement.

  3. Tummy Time: Ensuring adequate tummy time helps strengthen the neck, shoulder, and back muscles, promoting better neck control.

  4. Cranial Orthosis: In cases of significant plagiocephaly, a helmet may be recommended to help shape the baby’s skull as they grow.

If you suspect your baby has torticollis, or if you have any concerns about your baby’s neck mobility or head shape, don't hesitate to seek professional help. Early intervention is crucial, and a licensed physical therapist specializing in pediatric care can provide support and guidance.



If you have any questions or need assistance, reach out to us at 253.237.3405 or info@circlecreektherapy.com


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