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thank you so much for reaching out and asking about the long term consequences. unfortunately, by the time a baby is 20 months and walking, residual torticollis becomes very hard to resolve and may always be present when 1)looking up, 2)when they are sick, 3)when they go through a growth spurt, 4) when they are upset, or 5) when they are learning a new physical skill or new skill that requires concentration. that is great that you have ruled out vision issues as contributing to her torticollis. your PT is correct, muscle release surgery would be extreme, especially if her range of motion is not limited. a lot of times residual asymmetry could be a strength issue (where the weak side need to continue to be strengthened and the tight side continues to add compensations during daily activities). I have had some success with therapeutic taping, use of the TOT collar, or splinting using neoprene wraps (which is aggressive and some PTs do not attempt). hopefully your PT has access to these resources? best of luck and rest assured that scoliosis is not typically a long term consequence of torticollis.

It's just crazy it has stuck around so long when I have stretched and exercised her every single day since a newborn. She had small periods of remission but it always comes right back. She has other compounding digestive problems that made her tighten up for a while but I always stretched it out. It really appears that any time she grows she goes right back into the tilt and some tightness. I just hope that as an adult this finally leaves us alone but it feels quite bleak to know it needs to be treated that long. I was told when she started crawling it would go away. Nope. Walking. Nope. All the symmetrical movements. Nope. This is a horrible congenital problem.

@@ericagriffin5261 I know. That sounds super frustrating. It does sound like you've put in a lot of good work to make sure it doesn't contribute to too many problems as an adult. she might just experience more muscle strain and tension on one side than the other. it would be good to teach her best ways to pay attention to her posture in the future. digestive issues when young can contribute. hang in there! I highly recommend kinesiotaping at this point.

Yes. He was treated with this exercise. He is 6 years old now and perfect and healthy!

You could try but most kiddos older than 9mo would have a very hard time holding still and more active exercises would be more beneficial. Hope that helps!

Thanks for the question! The baby in this video was 4months old at the time.👍

Thanks for asking! 9mo is not too late at all. In fact, it is the perfect age to do these exercises! 9mo are at a stage of transition between sitting/crawling and crawling/standing. There are also tons of other active exercises that can be done for that age so be sure to contact a PT near you to get additional exercises and a full evaluation!

Thank you

hello. i'm so sorry for the late response. where are you located? i can help you find a PT in your area or offer some advice via telecommunications. please email me at judythePT@gmail.com and i am happy to help!

Hello and thank you for the great question! So torticollis is actually a cyclical diagnosis, meaning that it comes back every so often, usually when the baby learns a new gross motor skill and goes through a growth spurt. PTs usually work with babies until at least when the baby is walking (sometimes up until 18months old) to make sure the head stays midline and neck strength stays balanced even when upright. It is good to get updated exercises as your baby grows. Hope that helps!

Hello! If your baby tends to turn his head to the right then you should do the opposite exercises than what is shown here. However, because some babies turn to the right and also tilts to the right, a more in depth in person PT eval will be important to make sure all the exercises still apply. Thanks for the question!

Hello! I think it will definitely be beneficial to get him checked out in person by a pediatric PT. Sometimes torticollis does not present in the typical fashion so a baby may be tilted and turned the same way depending on which muscle is more impacted. Some babies also present with different side torticollis when in a gravity dependent position vs a gravity lessened one depending on their age so an in person evaluation would be more individualized. I'm sorry I couldn't be more helpful! Good luck!

@floral hirra I took my baby to a Pediatric PT and said that they have Atypical Left Sided Torticollis. Since my baby only looked to the left and also tilted their head to the left it was diagnosed as Atypical. Also, as my baby started to sit up, they would only look to the right and tilt their head to the left. So when he would lay down he would only look to the left and tilt his head to the left, and while sitting up he would only look to the right and tilt his head to the left. I think you should also take your baby to a Pediatric PT to check exactly what they have because I was so confused at first and while waiting for my doctor to refer us to a PT I was doing the wrong side stretches.

@floral hirra @floral hirra My child is now 1 year and 6 months, he can now look left and right. He still has a little bit of a left sided tilt (10 degree tilt), but his PT says some kids just have that little tilt that is stubborn and we just have to continue stretching their neck. But his tilt is way better compared to when he could not even lift his head at all. His PT has me do left sided stretches and right sided stretches at least 6-7 times a day. Since he would only look to his left while lying down, I would have to make him look to his right and since he would tilt to his head to the left I would have to stretch out the left side of his neck. When he would sit up or was on his tummy and only look to the right, I would have to get him to look to his left (looking at a toy or anything that interests him). Just being consistent with stretching and incorporating it to their daily activities helps a lot.

Thanks for asking! The answer can be found in this video...ruclips.net/video/nDG3tWJlse0/видео.html... about sitting babies and babies with head control. Good luck and let me know if I can help!

Thanks for asking! Torticollis can be a cyclical condition so whenever the baby gains a new gross motor skill (such as sitting, crawling, and walking), muscle imbalances may come back as those muscles are put on stretch and in challenging positions again. Babies need updated exercises from physical therapists as they grow. Usually torticollis is not fully resolved until the baby is 12-18 months, or until after he starts walking independently.

Thankyou for responding...I have a doubt that as per video baby with torticollis will not at all be able to turn his head and cannot sleep on side lying position...say for example if baby has left torticollis baby will not at all be able turn head to left is it so???theres lot of info in online but nothing is as precise as your video

It is hard to make generalizing sweeping statements about a particular side of torticollis and how those muscles will respond over time to certain positions. It really depends on which muscle is more affected and how it is affected. If treated, babies can tolerate sidelying positions just fine. What you may find is that range of motion may be corrected before muscle weakness is fully resolved. both ROM and muscle weakness can affect the performance of that muscle to the specific side. Hope that helps!

Thank you for asking! Yes today he is a happy healthy 4yo. You might notice that a grown child who used to have torticollis as a baby may occasionally tilt to his tighter side when tired or sick or going through a growth spurt. This is very normal.

I am sorry you are having to deal with the stress of this. It definitely sounds like you should bring up your concerns with your pediatrician to get referred to the appropriate specialist. Special tests and imaging may need to be done to rule out other reasons for clicking in the neck. It is definitely not a typical presentation of neck muscle tightness or spasms. good luck!

@@judywangptdptpcs3941 thnx for replying

I am so sorry I am just now seeing this comment. Right sided torticollis means the tightness is on the right side and the head is usually rotated to look over the left shoulder. Please let me know if I can help more in any way.

Thank you! Hopefully it was still helpful despite the interruptions! 🤦‍♀️

Welcome and thank you for subscribing! Please let me know if you have other developmental questions you would like me to address. Congrats on your baby girl!

P.S. Your little assistant is so endearing!

Thanks for the kind words! They grow up so fast don't they.💕

@@judywangptdptpcs3941 Way too fast!!! :(

We usually recommend every diaper change, or at least 5 times a day. Good luck!

Definitely! Try to get her attention using some of the toys I talked about in my other videos.

Hi! Great idea! I will get right to it. :)

Torticollis almost always need some sort of intervention, even if it is just repositioning/redirecting as opposed to aggressive stretching/exercises. It very much depends on the severity and involvement of the muscles as well as the age of onset.

Absolutely! Thank you so much for sharing! Please let me know if you want me to make any others! 👍

What happened to your sweet baby? I need to know the answer of your question also?

So sorry about the late response! Yes. Usually when a baby prefers to look left it is the right sternocleidomastoid muscle that is tight so this is the exercise to do with her. But it is definitely best to have a physical therapist to evaluate her range and strength in a variety of positions to make sure it is in fact just a right sided tightness. Sometimes a left turn preference could be due to an unintergrated reflex or a vision issue depending on the baby. Good luck and let me know if you have any other questions!

I am sorry your 2 year old still cannot control her neck. Please see a pediatric physical therapist in your local area who can do a full evaluation in person and help with exercises. I have limited ability to provide hands-on guidance from afar. If you want to let me know what city you live in, I can definitely try to find a colleague to help you out. Best of luck and please let me know if you have any other questions!

I live in india.

@@mastermind9119 is your baby ok now...did the problem cleared??

Great question! This is a baby with right sided torticollis, so the right side of the neck is tight and the left side is overstretched. We are trying to stretch out the right side of the neck in the video.

For me looks like is a baby witth left sided torticollis? I am wrong?

Hi! Just look up "baby push top ball toys" and you should be able to find something similar. Good luck!

Hi Laila. When holding babies with torticollis, their tight side is supposed to be stretched. So their tight side needs to go on your arm. Hope that helps!

You are right. The doc got it wrong in this video

@@lloydhealy True. Need confirmation from the doc please.

absolutely! babies are probably the most cooperative when they are asleep. :)

Why disturb a sleeping baby? Babies need their sleep. I wouldn't recommend it.