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Berkeley Parents Network > Advice > Babies > Flat Head



3-month-old with Torticollis and Postitional Plagiocephaly

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 :)

Two-year-old with moderate flattened head syndrome

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


Worried about 9 1/2 month old's flat head

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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