May 2015 Moms

Torticollis and Plagiocephaly

Anyone else have a LO diagnosed with this? We started seeing a PT yesterday and she said my LO has an advanced case for her age. I feel like an emotional wreck. I don't know what to do. I feel like I was so overwhelmed during the appointment yesterday that I don't even remember how to properly do the exercises with her. I am so afraid she is going to end up with a helmet. I feel like this is something I did in the last 10 weeks she has been here. I would love any advice or to hear from anyone else also going through this.

Re: Torticollis and Plagiocephaly

  • When do you see the PT again? Becoming overwhelmed is totally normal in any new medical situation! Try to take a deep breath, understand that you are going to help your little one to be okay, and let the PT know that you need some further instruction. The PT is there to help you through all of this-utilize him or her with all of your concerns!
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  • We go again next wednesday. I am trying to do the best I can but it is so overwhelming to know that if I don't do them enough/correctly, she may end up in a helmet :((
  • Therapy is tough and overwhelming no matter what it is. Realize 10 weeks is really not that long and you have awhile to correct it. Also, I have had 2 friends whose kids had helmets abs the parents were more upset by it than the kids.
    Be patient. Ask for clarification next week. Do the best you can. That's all you can do.

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  • @ftm0413 Thank you so much. You don't know how much your respons means to me. I am literally in tears reading it! I have a question regarding which side the issue actually is. She always lets her head fall to the left with the top of her head left and her chin pointing right. So that means the left side needs to be stretched out right? That is what I was thinking but then when I try to stretch it out by layng that side down for tummy time I am putting the pressure on the flat side... Or am I mixed up?
  • ftm0413ftm0413 member
    edited July 2015
    You're correct! Since her head to leaning to the left with the chin rotated to the right, it's the left sternoclydomastoid (SCM) muscle that's tight. So, when positioning in side lying you want to lay her on the right. If you're using a blanker roll when she's lying on her back you want it on the left to tilt her to the right. When you're doing tummy time, is she pushing up on her arms yet? If she's flat on the floor you want to try and turn her head to the left. You can also try using a prone (tummy) positioner. I attached a photo of my little boy using one. If you don't already have one, just roll a bath towel and position it in a arc under his chest/armpits. Same thing. That will give her some additional support to work on the shoulder and arm strength while you can control her head. Use your hand to gently guide her head into midline (like my kiddo's picture below) or even turn it a little to the right. You may been to have one hand on her back to steady her with the opposite hand on the side of her head to get a gentle stretch. 

    Let me know how it goes :)
  • The bump won't let me upload a pdf, so I saved this handout as a jpeg. Hopefully this works.
  • My nephew has this same diagnosis. He is almost a year old now and his neck muscle are completely normal now. He is scheduled for his helmet to be removed on his bday. He has therapy once a month. The therapist thought having the poor neck muscle and helmet would affect his ability to walk but he has been mobile since 10 months. Actually took first steps at therapy. The most difficult thing is explaining to people why he wears the helmet. Hope everything goes smoothly with your LO. T&P are with you :)
  • @ftm0413 thank you again!! She does not try to push herself up.. She is 10 weeks. That seems slightly alarming to me but I think part of it may be related to her neck muscles + she was almost 5 weeks premature. So maybe that is why??

    Those handouts look great and I will definitely keep working on them. The PT said to try to do the stretches with every diaper change, which seems extremely overwhelming. If I shoot for maybe 4-5x per day to start, does that seem okay? You seriously are heaven sent and I am so thankful to have your responses!!!
  • I'm not an active member but I read a lot of posts. I felt like I should respond this time. My daughter was diagnosed with Torticollis at 4 months. By that time she had a significant flat spot on the left. I never noticed it. I was heartbroken when the doctor told me this was wrong. I wanted to know what I did to cause it. I felt horrible that I didn't notice it till then.

    Anyway... My daughter was in PT for about 5 months. Hers was pretty severe. I worked really hard at home making sure I did the exercises that the PT gave me and I made sure that she was turning the other direction. Good news is she never needed a helmet. She also finished PT and has absolutely no problems now. Her head fixed itself. Something that I thought would be a problem for years was taken care of in a matter of months.

    Getting your child in PT is the best thing you can do. They are awesome. And don't be afraid to talk to them about how you feel. I had a great relationship with my daughters. They are there for you.

    Good luck. : )
  • @amctubagirl thank you soooooo much for your response!! That is so wonderful to hear!
  • My nephew was diagnosed pretty late (my mom noticed but felt bad mentioning it for awhile and their dr is a quack.) He needed a helmet, it never bothered him and he's an adorable, strong rambunctious 6 year old with a perfect head.

    You're getting him help, worried about doing the exercises correctly, which means you will and even if he needs a helmet it's super short term event and he won't have lasting health issues from it.

    Guilt is tough and pretty much a given in motherhood. But don't let this stress you. PTs and OTs rock and will make sure your LO is back on track in no time!
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  • 4-5x a day would be great. Just do them when you can. She probably recommended at every diaper change just to help you remember. If that doesn't work for you try something else. No biggie as long as your watching her position and stretching often. Also, your muscles are more elastic when warm, so bath or right after bath would be a great opportunity to stretch a little longer.

    I wouldn't be too worried about her pushing on her arms. We look a the child's corrected gestational age instead of chronological age. Yes she's chronologically 10 weeks, but when you subtract for prematurity she's only 5 weeks old. At that age she should only be able to lift her head and turn to clear her airway. However, she won't be able to do this on her own yet because of the torticillis. Keep trying with a towel under her chest so she gets some upper body strengthening, but it's not until about 3 months old that you really want to see pushing and propping on forearms.

    I hope the other responses have helped to calm your nerves a little! Don't stress, your doing everything you can right now! Your little girl is lucky to have such a wonderful, dedicated, and caring mom.
  • @ftm0413 yes, yes, yes! I feel so much better! Thank you!!
  • How are things going? Did you get to see the PT again today?
  • Yes, I went to the PT. She said the torticollis already seems a ton better, which made me feel better. Now we just have to get her head shape corrected! She answered all my questions but I am still not sure I am 100% in love with her. I met with the PA today who agreed to give me a referral to another (pediatric) PT if I wanted.. I haven't decided yet. Thank you SO much for checking in!!
  • I'm happy it's already looking better. : )
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