Torticollis in Infants
Torticollis in Infants: Early Detection and Natural Treatment

If you've noticed your baby consistently tilts their head to one side, prefers turning their neck in only one direction, or seems to have one side flatter or more developed than the other, you may be dealing with torticollis. It's a common, treatable condition — but early attention matters.
What Torticollis Is
One of the causes of torticollis could be congenital muscular torticollis which happens when the sternocleidomastoid muscle (running from behind the ear to the collarbone) is tight or shortened on one side, causing the head to tilt toward the tight side and the chin to turn toward the opposite shoulder. It could also be due to subluxations in the neck or even cranium. It's often related to positioning in the womb, birth trauma, or limited space during a multiples pregnancy.
Why Early Detection Matters
Torticollis tends to respond best to intervention in the first few months of life, while the muscle and surrounding tissue are still highly adaptable. Left unaddressed, it can contribute to plagiocephaly (flat spots on the skull), asymmetrical facial development, and delayed motor milestones like rolling and reaching evenly with both arms.
The earlier the tightness is identified, the more options there are for addressing it gently and gradually. Babies evaluated and treated within the first few months typically see faster, more complete resolution than those whose torticollis isn't caught until closer to their first birthday, when the muscle has had more time to shorten and compensatory patterns have had more time to set in.
Common early signs parents notice include:
● Head consistently tilted to one side, chin turned to the other
● Resistance or difficulty turning the head fully in one direction
● A flat spot developing on one side of the back of the head
● Feeding difficulty or preference for one breast/bottle position
What the Research Says
Physical therapy stretching protocols are the most studied and widely recommended first-line approach for congenital muscular torticollis, with strong evidence supporting early, consistent stretching. Chiropractic care is less extensively studied on its own, but case reports and smaller studies suggest that gentle spinal and soft-tissue work also may help improve range of motion, particularly when used alongside stretching and positioning strategies.
What We Actually Do
A pediatric evaluation for torticollis includes assessing the neck's range of motion in all directions, checking for muscle tightness or a palpable band in the sternocleidomastoid, and screening for any accompanying skull asymmetry or hip positioning concerns, since the two sometimes occur together. Care typically involves gentle, infant-appropriate soft-tissue and spinal work, paired with specific positioning and stretching guidance for home use between visits.
We also spend time coaching parents through simple daily habits — which side to offer the bottle or breast from, how to position toys and mobiles to encourage the baby to turn toward their tighter side, and safe ways to build in tummy time — because consistent small efforts between visits often matter as much as the in-office care itself.
When to Bring Your Baby In
If you notice a head tilt or turning preference in the first few weeks of life, it's worth having it evaluated rather than waiting to see if it resolves on its own. Earlier evaluation gives more treatment options and generally shorter resolution timelines. We're glad to assess your baby and coordinate with your pediatrician or a pediatric physical therapist if a combined approach makes sense.
Most cases of congenital muscular torticollis respond well to a combination of gentle chiropractic care, stretching, and positioning changes, especially when started early — but every baby's timeline is different, and we'll be upfront with you about what we're seeing and how it's progressing at each visit, rather than promising a fixed number of sessions to resolution.
Disclaimer
The information in this article is provided for general educational purposes only and is not intended to diagnose, treat, cure, or prevent any disease or medical condition, and should not be interpreted as personalized medical advice. Reading this article does not create a doctor-patient relationship between you, your child, and West University Wellness or any of its practitioners.
Before beginning chiropractic care or any complementary therapy for your child, please consult your child's pediatrician or primary care provider, particularly to rule out or properly diagnose underlying medical causes of your child's symptoms. Chiropractic care for infants and children should only be performed by a practitioner with specific pediatric training and certification, using techniques appropriate for a developing spine and nervous system.
If your child shows signs of sudden severe head tilt following a fall or injury, fever, or any signs of neurological distress, seek immediate medical attention rather than scheduling a chiropractic visit.
Individual results vary, and no specific outcome is guaranteed. The research on chiropractic care for this condition is still developing, and chiropractic care should not be relied upon as a sole or first-line treatment where medical evaluation and management are indicated.
West University Wellness and its practitioners make no representations or warranties regarding the completeness, accuracy, or applicability of this information to any individual case, and disclaim liability for decisions made based on this content without direct consultation with a qualified healthcare provider.






