Torticollis...Say that 3 times fast! A quick FAQ
What's the Deal with Torticollis?
For such a strange medical term, this is one that is recognized pretty often in the parent/Mom/baby world. Here, I want to give you:
- a simple definition of the condition
- reasons why a physical therapist would treat this
- key signs that a parent can look for associated with torticollis in infants
- tips on prevention.
What exactly is Torticollis?:
Torticollis is a medical diagnosis involving the shortening of the sternocladomastoid (or SCM) muscle in the neck.
This muscle starts at the skull behind the ear and inserts into the clavicle (or collarbone) close to the center part of the neck
When this muscle contracts, it causes the head to tilt TOWARDS the side of the muscle and rotate or turn AWAY from the muscle in the opposite direction.
Right ear tilts close to the right shoulder, and the head turns to the left. Note: There are 2 movements in the neck that are caused by the tightening of 1 muscle.
Why do physical therapists treat this?
When a child is unable to change his/her head-neck position, one side of the neck may become tight. This can lead to a bunch of movement problems. For example, by looking to one side more frequently than the other, the child’s vision contributes to nerve growth for moving. The child will move the side of the body it is looking toward more, lay down more movement nerves in that single direction, and develop asymmetry in muscles and bones. Pediatric physical therapists are experts in observing these abnormal movement patterns and teaching parents techniques to promote optimal growth and prevent disease.
What are common signs of Torticollis that can I look For In my Baby?
A flat spot on one side of the head in the back, bulging of the skull over the eyelid
A head tilt to one side in positions such as supported sitting or standing
One hand or side dominating movement like reaching for toys/food
Only lifting his/her head to one side during tummy time
Only rolling to one side
Unable to turn his/head to follow a toy to both sides evenly
What can I do as a parent to help prevent Torticollis:
Increase amount of time spent awake on tummy. Check out this Tummy Time blog post for more info!
Help child change positions frequently throughout the day (get them out of the car seat/bucket)
Facilitate symmetrical head rotation and reaching when playing for toys in multiple positions
Get involved in baby wellness classes.
What's the good news?
If your child appears to be moving his head/neck in both directions evenly, able to sustain Tummy time for 20 min/day (this does not have to be consecutive), lifts his head against gravity evenly to both sides, and is reaching with both hands equally, that is excellent!
If you feel like you are unsure about any of the above information, contact me and I can give you a hand. We can decide if a physical therapy evaluation is necessary or if you can learn through our wellness classes.
By learning techniques to improve tummy time, arm/shoulder/neck strength and carry techniques through wellness classes, you can give your child the advantage during this crucial period of growth and development. Prevention is the key to your baby's health over the lifespan!!!
What Should I remember?
The key to preventing and treating torticollis is:
Early identification and management with your healthcare professional. A physical therapist is able to target specific muscles that need to be strengthened and stretched. Physical therapy will also provide the parent with an exercise program so the family can continue to help your child throughout the daily routine.