Torticollis, a condition in which an infant’s head is tilted to one side and turned to the opposite side, is typically caused by a shortening of the neck muscles.  This shortness limits the infant’s ability to turn their head in one direction, decreasing their ability to interact with their environment.  Commonly, flattening of the back of the head is seen in combination with torticollis. 

Most often torticollis is recognized within the first couple weeks to months of life.  A parent may notice their infant’s head is always tilted to one side and they have a difficult time bringing their head to midline and/or they only look in one direction.  When positioned on their tummy, it may be challenging to lift their head.

If you suspect your infant has torticollis, your pediatrician will help determine the cause and whether treatment is required.  Treatment generally requires working with a physical therapist to learn stretching and positioning techniques, and activities for the infant. Torticollis generally responds well to early treatment.  However, if left untreated the muscles can become very short and resistant to conservative treatment.

An infant with torticollis should be positioned with their head in midline or with their face turned toward their non-preferred side.  Also, include plenty of supervised tummy time and approach the infant from their non-preferred side during play or feeding.  When carrying the infant frequently alternate positions.  They can be held against your chest, so they face out or hold them under their tummy like a football.  By doing a variety of these techniques the infant’s head motion will increase resulting in improved interaction in their environment and normal development.