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Plagiocephaly

Flattening of the back or side of an infant's head. Also called 'flat head syndrome'

A baby's head is malleable at birth meaning it is susceptible to changing shape depending on the forces placed upon it. 

 

Babies can be born with flattening due to their positioning in utero, or it can occur when their head is in a particular position for an extended period of time. â€‹

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Causes:

  • Torticollis (see information here)

  • Fetal position in utero/intrauterine constraint

  • Prematurity (their skulls are softer, and respirators often cause the head to be in the same position)

  • Sleeping position

  • Forceps or vacuum can predispose babies to flattening

Types of Cranial Deformities

Plagiocephaly
  • Asymmetrical flattening  

  • One ear may be more forward

  • Asymmetry in forehead

  • One cheek may appear fuller

  • One eye may appear smaller

  • Wide head; flat back of the head

  • Back of head is tall

  • Sloping of the forehead

Brachycephaly
Scaphocephaly
  • Long and narrow; rectangular shaped head

  • Flat on both sides of the head

Treatment

Although head shapes are treatable, research ​has shown that best results are achieved with early intervention.  When treating head shapes conservatively with chiropractic care, it is ideal to get started before 4 months of age.  The longer you wait, the harder it is to treat because the cranial sutures start to fuse.  Still doable, but more of a challenge.

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Tips:

  • Watch for asymmetries & catch it early

  • Increase tummy time

  • Alternate positions (in crib, feeding, holding, etc.)

  • Limit time in containers (loungers, carseat, bouncy seats/swings)

© 2025 by Kaitlyn Trainor, DC

 

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Although I am a chiropractor by trade, I am not YOUR chiropractor. All content and information on this website is for informational and educational purposes only, does not constitute medical advice and does not establish any kind of doctor-patient relationship by your use of this website.

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