Understanding Torticollis and Plagiocephaly: A Physiotherapist's Guide

July 3, 2025

As a parent or caregiver, noticing any physical abnormalities or discomfort in your child can be a source of concern. Two common conditions that often affect infants are torticollis and plagiocephaly. In this comprehensive guide, we will delve into these conditions, exploring what they are, how they can be identified, and the effective physiotherapy approaches that can help manage them. At Versa Movement Collective, we are passionate about providing exceptional care and solutions to help your child thrive.


What Are Torticollis and Plagiocephaly?


Torticollis, also known as “wry neck,” is a condition where a child’s head tilts to one side while the chin points in the opposite direction. This condition is often caused by the shortening or tightening of the sternocleidomastoid muscle in the neck, which can occur either in utero or after birth. Torticollis can lead to discomfort and limited range of motion if not addressed.


Plagiocephaly, on the other hand, is characterized by an asymmetrical flattening of an infant’s skull. Often referred to as "flat head syndrome," plagiocephaly can occur when a baby spends too much time lying on their back, which can cause the soft skull to develop a flat spot. While this condition is more cosmetic, it can sometimes be associated with torticollis.


Recognizing the Signs of Torticollis and Plagiocephaly


Early recognition of torticollis and plagiocephaly is crucial in ensuring effective treatment. Some signs to look out for include:


- A visible tilt of the head to one side

- Preference to turn the head in one direction

- Difficulty turning the head or lifting it when on their tummy

- A flat spot on one side of the head or across the back of the skull

- Facial asymmetry or uneven ears


If you notice any of these signs in your child, it’s important to consult with a healthcare professional or a physiotherapist who specializes in pediatric care.


Physiotherapy Approaches for Torticollis


At Versa Movement Collective, our expert physiotherapists use a range of evidence-based techniques to manage torticollis. Here’s what our approach entails:


Assessment: We begin with a thorough assessment to understand the severity of the condition, the range of motion, and the specific needs of your child.


Manual Therapy: Gentle manual therapy is employed to help relax the sternocleidomastoid muscle and improve neck alignment. This may include massage and gentle stretching exercises.


Positional Strategies: We provide guidance on how to modify your baby’s positioning during sleep, play, and feeding to encourage the use of the less dominant side and promote balanced muscle development.


Exercise Therapy: Tailored exercises are designed to strengthen the muscles in the neck, allowing for improved range of motion and better posture.


Parent Education: Empowering parents is key to effective treatment. We educate you on the best practices for daily routines that encourage neck movement and alleviate symptoms.


Effective Management of Plagiocephaly


While plagiocephaly is often associated with torticollis, it requires specific attention due to its impact on skull shape. Our physiotherapy strategies include:


Repositioning Techniques: We teach parents techniques to minimize time spent on one side, such as tummy time and alternating head positions during sleep.


Parent Education: As with torticollis, we place a strong emphasis on educating parents about creating an environment that encourages movement and head turning to different sides.


Physiotherapy Exercises: Specific exercises can promote neck flexibility and strength, contributing to the overall improvement of skull shape.


Monitoring and Follow-up: Regular monitoring and follow-up sessions with our physiotherapists ensure that progress is tracked, and treatment strategies are adjusted as needed.


Why Choose Versa Movement Collective?


Versa Movement Collective is dedicated to providing personalized and compassionate care. With our team of experienced physiotherapists, we focus on empowering our young patients and their families throughout the treatment process. Our approach goes beyond merely treating symptoms; we aim to foster long-term health and wellness.


Reach Out for Expert Pediatric Physiotherapy


If you suspect that your child may have torticollis or plagiocephaly, don’t hesitate to reach out to our team at Versa Movement Collective. We are here to help you understand these conditions and provide the support needed to improve your child's quality of life. Our clinics in Calgary and Cremona are equipped with the expertise and resources to guide your child on the path to recovery.


Ready to Help Your Child Move Better and Live Better?


Contact us today to schedule a consultation and take the first step towards effective treatment. Let’s work together to give your child the best start in life. Visit our website at www.versamc.com or call us at (403) 727-0802 for more information.


Empower Your Child’s Future Today!


Invest in your child’s well-being with expert physiotherapy care at Versa Movement Collective. Together, we can ensure that your child moves with confidence and ease as they grow and develop. Your journey towards better health and mobility starts here.


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