What is torticollis in babies?

Congenital muscular torticollis is a condition where the muscles on one side of the baby’s neck may be tighter than the other, particularly the sternocleidomastoid muscle (SCM), which helps control head movement.

A baby with torticollis may:

• Prefer looking in one direction
• Have difficulty turning their head both ways
• Tilt their head to one side
• Become unsettled when placed in certain positions
• Prefer feeding from one side
• Find tummy time challenging

Some babies may have a noticeable head tilt, while others simply develop a strong preference for looking one way.

Why does my baby always look to one side?

There are several reasons a baby may develop a preference for one side.

Position before birth

The position of the baby in the womb can influence early muscle tension and movement patterns. Babies who had limited space towards the end of pregnancy, including those in breech or fixed positions, may develop preferences in how they hold their head and body.

Birth factors

The birth process can place different stresses through a baby’s body. This does not mean something has been damaged, but some babies may develop areas of increased tension or reduced movement afterwards.

Positioning after birth

Young babies spend a lot of time lying on their backs. If they consistently rest with their head turned the same way, this can reinforce a preference and contribute to pressure on one area of the skull.

Normal development

Some babies naturally prefer one side initially and gradually improve as they gain strength and control. However, if the preference persists, it is worth seeking advice.

What is flat head syndrome (plagiocephaly)?

Flat head syndrome, medically known as positional plagiocephaly, refers to flattening of part of a baby’s skull.

A baby’s skull is naturally soft and continues to grow rapidly during the first year of life. Regular pressure on one area of the head can sometimes contribute to flattening.

You may notice:

• Flattening at the back or side of the head
• One ear appearing slightly further forward
• Uneven forehead shape
• Your baby consistently resting on the same side

It is important to remember that head shape varies significantly between babies, and mild asymmetries are very common.

When should I seek advice?

It may be helpful to seek assessment if your baby:

• Always looks to the same side
• Does not comfortably turn their head both ways
• Has difficulty with tummy time
• Appears to have a head tilt
• Has a noticeable change in head shape
• Becomes distressed when positioned differently
• Seems to favour one side during feeding

Early assessment can be helpful because babies develop rapidly in the first months of life.

How can parents encourage balanced movement?

There are simple things parents can try at home to encourage comfortable movement:

• Encourage tummy time
• Tummy time helps babies develop strength through their neck, shoulders and upper body.
• Start with short periods and build gradually. Many babies dislike tummy time initially — this is very common.
• Alternate positions

Alternate positions

Small changes throughout the day can help encourage your baby to look and move in both directions.

Try changing:

• Which end of the cot your baby lies at
• Which arm you use for carrying
• Which side you offer toys, faces and interaction from

Babies are naturally drawn towards faces, voices and interesting objects, so positioning can gently encourage them to turn their head both ways.

Limit prolonged time in one position

Car seats, bouncers and swings are useful when needed, but babies benefit from plenty of opportunities to move freely.

Giving your baby time on the floor, supervised tummy time, and opportunities to explore different positions can help support normal movement and development.

What happens during a paediatric osteopathy appointment?

A paediatric osteopathy appointment involves a detailed assessment of your baby’s:

• Movement patterns
• Neck mobility
• Posture
• Muscle tone
• Symmetry
• Overall comfort

Treatment is gentle and adapted specifically for babies. Techniques are not the same as adult osteopathy and do not involve forceful manipulation.

Your osteopath will also discuss practical advice around positioning, movement and supporting your baby’s development.

Can osteopathy help babies with torticollis?

Research into manual therapy approaches for infant torticollis continues to develop, and management often includes a combination of approaches, including advice from healthcare professionals, positioning strategies and exercises where appropriate.

A paediatric osteopath can assess your baby’s movement and provide guidance tailored to their individual presentation.

Paediatric Osteopathy in Ealing, West London

At Osteopathy West London, we offer gentle, child-centred osteopathic care for babies, children and teenagers.

If you have concerns about your baby’s head position, movement, posture or development, we can provide an assessment and advice tailored to your child.

Book a paediatric osteopathy consultation in Ealing today.

FAQ

Is cranial osteopathy suitable for babies?

Cranial osteopathy uses very gentle techniques and is commonly used by osteopaths working with infants. Your osteopath will always assess whether treatment is appropriate for your baby.

What age can a baby see an osteopath?

Babies can be assessed from birth onwards. If you have concerns about your baby’s movement or comfort, it is best to discuss this with a suitably qualified practitioner.

Does my baby need a GP referral?

You do not usually need a GP referral to see an osteopath privately. However, if there are any concerns outside the scope of osteopathic care, your practitioner may recommend further medical assessment.

If you would like to learn more about our paediatric osteopathy appointments for babies and children, you can read our dedicated info page here.