Early Signs of Torticollis

Kellyn was officially diagnosed with torticollis at seven months.  Unfortunately, she was showing signs of this condition well before that.  If I had known what to look for, I could have had her diagnosed way earlier and her condition would have been much easier to correct.  Torticollis treated before four months has the best prognosis.  That's why its so important for new parents to be mindful of the signs and symptoms of torticollis, so that they can catch it and correct it as fast as possible.

At the time, I never thought anything of her head tilt.

Stretches Possibly Worsening Torticollis

Kellyn's outpatient physical therapist made an astute perception about Kellyn's torticollis at her physical therapy session last week.  She noticed that Kellyn was resisting frequently during her neck stretches.  The physical therapist said I should not stretch Kellyn if she is resisting because I could indirectly be strengthening the right neck muscle that is overactive.

These were the good ol' days when Kellyn was much more compliant with her torticollis stretches.
Amazing, how much can change within a few weeks time.

 

Seven Weeks into Physical Therapy

So here are some pictures seven weeks into physical therapy. Although Kellyn has had some plateaus and regressions since her four week pictures, today happened to be a "good torticollis day." I knew I had to capture it on camera. Basically, Kellyn was holding her head at mid line a lot more frequently than usual. In addition, she was not raising her right shoulder as much as she normally does.

Since she's looking straight ahead, her head tilt is less noticeable here.
Although she still has a slight C-shaped curvature in her trunk,
it's improved dramatically since the beginning of PT.

 

Overwhelmed with the Treatment Process

The past couple weeks has been pretty hectic for our family.   Ryan's back has been really bothering him and he is pretty limited to how he can help with the kids or with housework.  Unfortunately, he is now unable to help me get Kellyn's in-home exercises done, so its solely up to me to make sure this gets done.  Also, we have been spending a lot of time researching and shopping around for a new car since our car got totaled from the car accident two weeks ago.  In addition, we have also had so many things like doctor's appointments and various commitments to go to.  

With so much going on, its been tricky to get in the recommended minimum of five sets of physical therapy in-home exercises for Kellyn.  I feel that Kellyn's head tilt has gotten worse recently because I haven't been working with her as frequently at home.  Regardless of what else is going on, I need to remind myself daily to make her in-home exercises a priority.  Most days, I find it unrealistic to get all five sets of her exercises done, while also attending to daily household responsibilities and taking care of my family's needs.  Each day, I feel like I can't win no matter how hard I try.  

Torticollis Diagnosis

On Friday, Kellyn had her two big appointments with her pediatrician and her physical therapist.  Her pediatrician officially diagnosed her with torticollis.  Later that day, Kellyn had an initial evaluation with an outpatient physical therapist.  She confirmed the diagnosis, did some initial physical therapy exercises with Kellyn, and gave us a helpful flyer to take home that outlined her exercises with detailed descriptions and pictures.  I was so nervous about her initial physical therapy appointment that I brought along two sources of moral support: my husband and my mother :)  I felt less anxious with them by my side.

Feeling Scared

So it seemed like an eternity between the three days of waiting for her pediatrician and physical therapy appointment to get an official diagnosis of torticollis (which at this point, I was almost 100% that she had).  In the meantime, I started researching torticollis on the internet.  I learned about the condition of torticollis and various treatment options.  I scoured torticollis forums on BabyCenter to see what other parents' experiences were.

The one thing that stood out to me was that many babies were diagnosed with this as infants and had started physical therapy early on.  Now my daughter was almost seven months and that almost seemed late to be officially diagnosed and treated in the "torticollis world".  The more I learned about this condition, the more fear and guilt crept into my mommy conscience.  My poor daughter likely started showing signs of this condition around one or two months of age.   That means that I could have spent the last four or five months working with her to correct this problem.