Flat Head
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Flat Head
June 2006
Hi,
Wondering if any parents can share advice on infants who have been diagnosed with
both Torticollis and Postitional Plagiocephaly? My son, who is 3 months old, seems
like he may have both (his Pediatrician has just referred me a Physical Therapist and
a Cranio-Facial Surgeon). He was born with a squished face and nose, and we were
told that he must have been compressed in the womb (he dropped quite early), but
they suspected all would normalize over time. His nose popped back into place
within the first few weeks, but his cheeks and eyes still seem a little asymmetrical.
He also tends to tilt his head to the left and look towards the right (same direction
that he was squished while in the womb), and has developed a flat spot on the back
of his head - off to one side. It's not dramatic, but noticable if you study his face -
and especially when you look at him in a mirror. If any other parents have info on
how treatment works (or doesn't) for PT and or DocBand (helmut) therapy, I'd be
most appreciative of the information. Thank You
gs
My twin son who is now almost 11 months old has had
plagiocephaly since birth (he was basically squished in the womb
by his twin sister!). Our pediatrician in Oakland insisted that
his head was fine and that in time it would round out. At their
7 month old well-baby visit I pleaded to the doctor to please
refer us to a specialist since I did not notice any change in
his head shape.
We moved relocated back to the east coast 3 months ago and
luckily found a pediatrician who 100% agreed that my son had a
severe case of ''flathead'' and needed to start treatment with a
DOC band ASAP. He is now wearing his DOC band and after only 3
weeks of treatment his head is noticeably in a much better
shape, basically a ''normal'' head shape.
I urge you as a parent to advocate for your child and see a
pediatric neurologist very soon. From all the research I have
done, the best time to start treatment for plagiocephaly is
between 3-5 months for the best results. In addition, the
younger a baby starts treatment, the shorter amount of time they
need to wear a DOC band.
You can visit the Cranial Technologies website at
www.cranialtech.com. They do not have a clinic in the Bay Area,
but they do have one in San Diego.
Please feel free to contact me with any questions. Good luck!
Dana
My baby was also diagnosed with mild positional plagiocephaly
when he was around 4 months old, last year. He wore a helmet
until he was almost 11 months old and the changes were
noticeable. I know that his head is not 100% symmetrical, but
nobody notices that.
His cranio-facial specialist was Dr. Elio Gizzi, a very
knowledgeable and kind person, who is director at the
Craniofacial Center in Children's Hospital Oakland.
http://www.chocraniofacial.org/webpages/abouttheclinic.htm
We were advised that a helmet would not be necessary, because
the asymmetries would correct by themselves. However, we did
not want to wait and see if they would correct or not and we
opted for the helmet.
The orthotist who made his helmet was Peter Villalpando, from
Walnut Creek. He is very sweet with the babies, and he
explained everything to us.
The helmet must be wore a couple of hours during the first day,
increasing until the 5th day when the baby will be wearing the
helmet almost 24 hours.
The big problem was that our baby was in helmet therapy during
summer, and he sweated a lot. At the beginning he was
uncomfortable, but then he got used to it. Other inconvenience
was to teach caregivers at child care to put/take off the
helmet when necessary, but we managed to do that.
You will have to visit the orthotist every two or four weeks,
depending on the stage of treatment your baby is, and you need
to be aware that the treatment should begin before the 6th
month in order to have better results.
Feel free to email me if you have further questions
Cristina
H there - just wanted to let you know that my son had a little
of what you are describing. I noticed he had a ''flat head'' at
around 3 months; caused from always sleeping on one side. His
head was flat at the back on one side, very noticeable to me
and my husband, and plus my baby had no hair back then. The
doctor noted my concerns but reassured me that it was no big
deal, quite common and there would be no neurological damage.
Good news: my son is now 2 years old, has hair (not a whole
lot!), and you'd never know that he has a flat spot.
I also have a friend whose son had a flat head, they tried the
helmet treatment, said it was awful and gave up, now her son
too has hair and the flat spot is nowhere to be found.
I know this is only part of what you are experiencing but I
hope it gives you a little reassurance
Cathy
my son had torticollis and cranial sacrial therpy cured it . maybe we were
just lucky but
we went twice and his head straightened out and it was all good. good luck
:)
June 2004
I have a 2-year-old with moderate flattened head syndrome
(positional plagiocephaly), which was not treated during
infancy following our pediatrician's advice. Everyone told me
her head would round out on its own, but it is still rather
noticeable at 2 years of age, especially since her hair is
naturally thin. Her head is oblique, and her ears are
assymetrical. Does anyone have an older child (2+ years
old) whose flattened head did round out on its own
eventually without treatment, or can share experiences
similar to ours? I know it's a totally cosmetic problem in our
case, but I'm still concerned as cosmetic problems can
have social consequences in one's life.
I wrote in awhile ago about this (see the archive link), and my
son is now 4.75 yrs. old and his head did round out slightly but
is still flatter on one side (but his facial features/ear line-
up, etc. are still more or less symmetrical). So, I think you
might see a specialist then try to decide if you need to do
anything about it.
Tracy
My son had the same problem. We took him to a cranial sacral
therapist and it worked wonders. Over the course of several
treatments there was visable change. I highly recommend it. If
you don't know anything about this very gentle treatment, do a
web search and you'll find a lot of it. There is also info in
the Network archives. It is very, very gentle and relaxing
treatment - no weird twists, pulling or poking.! Just gentle
pressure w/ the fingers (equivalent to the weight of a nickle.)
We go to Nancy Burke in Richmond, tel. 236-1007 - there are
recommendations for her in the archives as well. She sees a lot
of kids and has tons of toys & books on hand to keep them
distracted while she does the treatment.
Another person I highly recommend that I've gone to is Michelle
Reddel at 510-649-9169, 2560 Ninth Street #313 in Berkeley. She
does a combination of chiropractic cranial sacral work.
I know many people are sceptical of alternative treatments like
this, but what do you have to loose. It's not invasive or
painful, there's no medication nor needles. I have seen it work
wonders with children that have colic as well as other issues
too.
anon
April 2001
My 9 1/2 month old baby boy has a flat head from sleeping on his back and side. I
understand that flathead is a result of preventive measures we must take against SIDs. I
have pointed out the problem to my son's pediatrician. He agreed that the boy is getting
flat head, but did not appear concerned and said there isn't much we can do about it. I'm
not sure if that means there is nothing we can do about it or if that means our insurance
won't pay for whatever needs to be done to correct the problem. Any ideas, suggestions,
solutions or feedback on flathead? I've read articles about how to prevent it, but it's a
little late now.
Thanks,
Jo Ann
My friend had this issue with one of her twins. Her Dr. initially
dismissed her concerns. But when my friend pointed out that if you looked
at the top of her daughter's head, her ears didn't line up, the Dr. agreed
to send her to a Stanford specialist. The specialist immediately saw the
problem (I can't remember the name for it). So the baby had to wear a
helmut from age 6 months to about 14 months and the problem has been fixed
(or appears to be, child is 15 months now). So my point is, if you feel
like there is really something wrong with the shape of your child's head,
talk to your Dr. again and possibly get a second opinion from a specialist.
Having said all that, I know it is common for this to happen and I
understand that the head rounds out as kids grow and sleep in other
positions. Also, I have no direct experience with this issue. My kids
would only sleep on their stomachs, so I weighed the risks and let them
sleep on their tummies.
Kris
I am an adult male with "flat head" -- I was born in 1949, before most
people were ever concerned with SIDS, but i think my parents just
worried a lot about me suffocating on my stomach, they were major
worry-worts or, maybe they liked to look at me in the face without
taking off their shoes. At any rate the back of my head is flatter
than, well not a pancake, but pretty flat. At least my profile, as
seen in certain photo or mirror situations always embarrassed me, but
i really never was bothered by it at other times because 3 reasons: 1)
I could never it see straight on in mirror 2) nobody ever said
anything (or probably noticed, unless that person were similarly
afflicted), and 3) i have a IQ of 144.
In short, eh, do your best, but don't worry about it. It happens to a
lot of bright kids. Maybe keep the environment interesting around the
crib, you now, mobiles and friendly talk?
I was beginning to think my son was the only one with a flat head
despite hearing that "it is becoming more common". His is flat on the
left side; his head was always turned to the side since he sucked his
left thumb. The doctors kept saying he'd outgrow it, but he didn't,
and now at least his hair is finally getting a bit thicker at 19 mos.
Anyhow, CHO has a cranial/facial dept. if you really want to pursue
it, but our neurologist said it wasn't anything to worry about unless
the entire head/facial area is asymmetrical (distorted). I've heard of
helmets being used to reshape the head, but our neurologist also that
it's better not to put any pressure on the head.
Tracy
You can give your child "tummy time" everyday to reduce the amount of
time spent lying on the back.
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