How to Treat Plagiocephaly in a Baby

Parents often wonder when to worry about their baby’s head shape. When babies are born, their head shapes aren’t always perfect. But if you begin to notice a persistent flattening of the head, you may want to talk with an expert. Positional Plagiocephaly can occur when a baby sleeps in the same position often or because of a muscle issue. Here’s how to treat plagiocephaly in babies.

Instructions

    • 1

      Bring your concern to the pediatrician. And if your pediatrician doesn’t think it’s a big deal, get a second option. Parents have a limited amount of time to reshape their baby’s head, so getting several opinions on the matter is warranted.

    • 2

      Get a physical therapist to evaluate for muscle issues. Sometimes positional plagiocephaly will occur because of a muscle issue called torticollis. If your baby has this muscle issue, don’t worry, it can be corrected with physical therapy. The therapist will teach you exercises to do at home and prescribe weekly visits as necessary.

    • 3

      Ask about a helmet. Moderate to severe flattening may require the use of a helmet. This is a device designed specially for your child’s head that will correct the flattening. The helmet feels normal to most babies after they become accustom to wearing it. Typically children will wear it for 4 to 6 months depending on their unique situation.

    • 4

      Start early and get recommendations. Because your child’s head is growing rapidly in the first several months, it’s important to start the process early. If you need a helmet, ask your pediatrician for a recommendation. You may also want to consider calling your local children’s hospital for a recommendation. Most orthopedic doctors who design helmets can fit your child 4 to 6 months.

    • 5

      Don’t feel guilty. Many parents feel guilty about their child’s positional plagiocephaly. There has been a dramatic increase in this condition since the “back to sleep” campaign. Although you can minimize risk by increasing tummy time, unfortunately in many cases it can’t be prevented. This condition is correctable if treated early, so don’t feel guilty.

Tips & Warnings

  • Don’t be afraid to get a second opinion. Many pediatricians will tell parents not to worry, the flat spot will self-correct. Since this is your child’s head, you have a right to get several opinions. The key to correcting the head shape is early intervention.

  • Some insurance companies consider the helmet cosmetic. Call your insurance ahead of time to clarify coverage. They may require your child to go through physical therapy and try positioning techniques before allowing coverage. Everyone’s financial situation is different, but remember how important early intervention is with positional plagiocephaly.

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