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🧠 Why Torticollis Matters (OT Lens)

Torticollis happens when a baby’s sternocleidomastoid muscle (the long muscle running from the ear to the collarbone) gets tight on one side. While it might sound small, it has ripple effects across development.

• Head shape: A baby who always rests on one side is more likely to develop flat spots (plagiocephaly). Over time, this can change not only the back of the head but also the jaw and facial symmetry.

• Vision: Babies learn to track by moving their eyes and head together. If they only look one way, they may miss chances to practice visual scanning to the other side, which is a key building block for reading later on.

• Gross motor milestones: Rolling, crawling, and sitting all rely on babies being able to shift weight evenly and turn their heads both ways. A stiff neck can delay or complicate those transitions.

• Comfort and regulation: Imagine not being able to turn your head fully; it’s frustrating! Babies with torticollis may seem fussier because they can’t comfortably explore their environment.

In other words, this isn’t just about a tight muscle, it’s about how your baby experiences the world. Supporting full range of motion early on gives your child the foundation for symmetrical, strong, and confident movement.

When my kid was little (0-6 months), I noticed he’d always turn his head to the right when lying in his bassinet. At first, I thought it was just a coincidence, but as an OT, I knew that wasn’t something to ignore. I started switching the direction I laid him down, holding him differently for feeds, and sneaking in lots of tummy time. 

It was a great reminder: prevention is so much easier (and gentler) than correction.

🛠️ Prevention & Play Routine

Here are some OT-approved ways to build strong, balanced neck muscles:

1. Switch Sides During Feeding
   

   • Whether breast or bottle, change arms each feed. This encourages baby to rotate their head both directions.
     

2. Alternate Sleeping Positions
   

   • Place your baby in the crib so they face different directions each night (babies naturally look toward the room/light).
     

3. Tummy Time, Early & Often
   

   • Start with a few minutes multiple times a day.
     

   • Use a rolled towel, pillow, or your chest for support if they resist.
     

   • Aim for gradual increases until baby can comfortably lift and turn their head.
     

4. Play the “Head-Turn Game”
   

   • Place a toy or mirror to the side opposite their preference.
     

   • Encourage reaching, rolling, and looking both ways.
     

5. Carry Differently
   

   • Try “football hold” (baby facing outward, supported under the arm) or “side carry” to gently stretch the neck muscles while keeping them engaged.

🔬 Why It Works

By encouraging your baby to look, reach, and turn in both directions, you’re stretching tight muscles, strengthening weak ones, and preventing head flattening. These little adjustments don’t just help with torticollis, they build the foundation for rolling, crawling, and sitting later on.

_{Disclaimer: The content in Mom on the Clock is for educational purposes only and is not a substitute for professional medical, developmental, or therapeutic advice. Every child is unique—always seek the advice of your pediatrician, occupational therapist, or other qualified health provider with any questions you may have regarding a medical or developmental concern. When in doubt, trust your instincts and seek personalized guidance}