Torticollis Exercises on an Older Baby

I understand why most people say its ideal to catch torticollis before baby reaches four months old.  Torticollis treatment is often easier and faster, the earlier you catch it. My daughter is now eleven months and it is so much more difficult doing her torticollis stretches and exercises. She is very mobile and strong now and can easily wiggle out of many positions I attempt to put her in. The stretches are especially challenging, while the strengthening exercises are slightly easier to accomplish compared to the stretches.

Just realized one of her socks is missing. Whoops :)

PT Re-Evaluation #2 Update

Kellyn had another outpatient physical therapy re-evaluation for her torticollis and it went really well!  She's nine months old and has been in physical therapy now for three months.  So basically 1/3 of her little life here in this world has been in physical therapy.  Considering the various things she's been through since birth (esophagus surgery, NICU stay, X-rays, numerous doctor's appointments, and physical therapy), she is one tough little cookie.  Anyways, check out my video update on the outcome of this re-evaluation.

Torticollis Regression Due to Illness

So Kellyn has a head tilt regression due to sickness. Poor girl has a runny nose, cough, chest congestion, and wheezing. Her torticollis was really looking better up until recently. However, once the onset of her illness occurred, her head tilt has increased. She's having trouble eating, sleeping, and especially doing her physical therapy exercises. She cries and resists her stretches and strengthening exercises much more than usual.

Still managed to get a smile out of this little sick one.

Side-Lying Torticollis Stretch using Boppy Pillow

This is a great right torticollis stretch we learned at physical therapy for our daughter.  A Boppy Pillow, which seems to be a staple in most parents' homes, is needed for this stretch.  In this post, both a video tutorial AND step-by-step instructions with a picture will be provided to explain this torticollis stretch.

Video Tutorial:

Torticollis Progress: Video Update

To change it up, I decided to do a video update on Kellyn's progress versus a regular blog post update.  In this video, she's almost ten months old and has been in physical therapy for approximately twelve weeks.  Watch the video below to see how she's progressing in physical therapy:

Sitting to Crawling Position

As I mentioned before, babies' torticollis may improve once crawling becomes established.  That's why I spend time doing physical therapy exercises that encourage crawling.  This specific exercise will help my daughter become more comfortable moving from the sitting position to crawling position.  When babies first start crawling, they will often get into crawling position from the seated position.  So this exercise encourages that natural transition that babies will often make into crawling position.  I am including a video  and written directions (with pictures) below to demonstrate how I do this exercise with my daughter.

Video Tutorial:

Torticollis Pictures: 11 Weeks of PT

So it's about that time again when I post Kellyn's progress pictures from physical therapy for her torticollis.  Comparing to her six week pictures, I would say she has improved tremendously.  Now keep in mind though that her six week pictures were taken on a day that she was having a "bad torticollis day".  Even still, I notice a great improvement overall as compared to when she first started physical therapy.

Her right head tilt is negligible in this picture,
and her right neck depression looks much less noticeable.

Last Chiropractic Appointment for Torticollis

So today was Kellyn's third and final chiropractic adjustment.  I don't necessarily think its what the chiropractor would have recommended, but that's what my husband wanted.  He was never super comfortable with the idea of Kellyn going in the first place.  And Kellyn's torticollis is doing pretty well lately, so he figured it was not worth the small risk of something potentially bad happening from the adjustment.  And I'm fine with this decision.  I plan to watch her over the next few weeks to make sure she doesn't experience any big regressions.  I also want to make sure that her improvement continues on in an upward trend.  If we notice Kellyn's torticollis worsening, Ryan and I will discuss whether or not we want to start back up with chiropractic.

My beautiful baby girl bundled up and ready to go to the chiropractor.

Shoulder Stretch for Elevated Shoulder

Along with her right torticollis, my daughter often elevated her right shoulder.  This caused her torticollis to look a lot worse than it actually was.  Once I started doing this stretch with her regularly, I noticed that she did not raise her shoulder up as much or as frequently.  If your baby doesn't elevate her shoulder, then disregard this stretch. As you'll see below, I included a video tutorial and written instructions to show you how I do this stretch with my daughter.

Video Tutorial: 

Torticollis Physical Therapy Re-evaluation

Kellyn had her eight week re-evaluation with her outpatient physical therapist today. Kellyn must have known she had to perform because she was having "a good torticollis day." Anyways, the physical therapist noticed continued improvement in her muscle strength and flexibility. She was also happy to see that Kellyn's head tilt was negligible while lying on her back.

As you can see, Kellyn's head looks nice and straight while lying down.
Maybe she's showing off for her big brother.

1st Chiropractic Adjustment for Torticollis

As I mentioned before, Ryan and I have been considering supplementing Kellyn's physical therapy with chiropractic treatment. Before Kellyn got diagnosed with torticollis, I would have never imagined I would be taking my baby to a chiropractor. However, torticollis is a stubborn little condition that improves very gradually. So, after two months straight of daily physical therapy exercises, I was ready to take it up a notch. After hearing such awesome reviews about chiropractic from other "tort parents", I started wondering if perhaps it could work for Kellyn. After praying, researching, watching YouTube videos of pediatric adjustments, and having a consultation with the chiropractor, we finally felt comfortable scheduling the chiropractic appointment for Kellyn.

Kellyn's torticollis presentation one day after her first chiropractic adjustment.

Supported Crawling Position

You may be wondering, 'Why are you concerned about crawling? Shouldn't you be working on torticollis-specific exercises?'. By encouraging Kellyn to learn to crawl, I am indirectly treating her torticollis. Once she starts to crawl, she will hopefully be less likely to tilt her head. Before a baby crawls, she obviously needs to first be comfortable on all four's. This exercise focuses on becoming comfortable on hands and knees, which is a precursor to crawling. Below I have a video tutorial and written step-by-step instructions to show you this simple exercise.

Video Tutorial:

Consultation with Chiropractor

We recently had a consultation with a chiropractor who has experience working with babies and children.  She came highly recommended to us by our daughter's outpatient physical therapist.  My husband and I have been considering supplementing Kellyn's PT with chiropractic since we have heard a lot of positive feedback from other parents of babies with torticollis.

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Range of Motion Stretch for Right Torticollis

In addition to a head tilt, many babies with torticollis also have limited range of motion in the neck to one side.  Kellyn's limited range of motion is to her right side.  Therefore, I stretch her head in the right direction.  In this post, I will provide both a video demonstration AND a written explanation of the exercise (with pictures).

Video Tutorial:

 

Range of Motion Exercise #2

Here's another simple range of motion exercise we learned at physical therapy that helps increase Kellyn's range of motion towards her right side.  Its very common to have limited range of motion to one side with torticollis.  Please note that these exercises are for her limited range of motion of head towards the right side.  Both a video tutorial and written step-by-step instructions are included for your convenience.

Video Tutorial:

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.

 

Torticollis Clinic Appointment

Today was our appointment at the Torticollis Clinic at Children's National Medical Center in Washington D.C.  We were excited to see medical professionals who specialize in the treatment of torticollis specifically. Of course, Kellyn's head tilt was super minimal today. I almost wished that she was having a "bad torticollis day" on the day of this appointment, so they could see her at her worst.

At the appointment, Kellyn was evaluated by a nurse practitioner and a physical therapist. The women put Kellyn in various positions and they had her demonstrate various motor skills.  After they were done working with Kellyn, they took the time to explain their observations and provide recommendations.

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Football Hold Strengthening for Right Torticollis

This is a great exercise for Kellyn to work against gravity and strengthen her weak side of her neck muscles.  She also stretches the tight side of her trunk muscles during this exercise.  This is a great two-for-one exercise as it simultaneously works her neck and trunk muscles in different ways.  In this post, I'll include both a YouTube video demonstration AND step-by-step written instructions with a picture.  Please note that this exercise is for babies with right torticollis.

Video Tutorial:

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.

 

Stability Ball Strengthening for Right Torticollis

Since Kellyn's left neck and trunk muscles are both weak, this is a great two-for-one strengthening exercise for her.  This exercise looks so fun that my son Luke gets jealous when I do this with her.  The only way I can complete this exercise with Kellyn is if I promise that he gets a turn doing the ball exercise after her.  Just what I need...even more physical therapy exercises to do :) Anyways, here's a video tutorial AND step-by-step written instructions (with pictures) below.  This exercise is for babies with right torticollis.

Video Tutorial: