What Does It Mean if My Baby's Fetal Neck Is Hyperextended

Infant Torticollis

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Parents may outset to worry if your baby'due south head starts tilting to ane side or if they prefer to expect one direction — and your doctor may have fifty-fifty noticed it at your baby'south final check-upward. Baby torticollis (tor-ti-col-lis) is easily diagnosable by tightened muscles on one side of the cervix, which leaves your baby's head at a tilt or rotation.

Torticollis in infants is common —some studies written report that it affects 3 in every 100 babies. Fortunately, in most cases infant torticollis is easily treatable.

Symptoms of Infant Torticollis

When your baby has torticollis, they were probably born with it (congenital torticollis). If that's the case, it's usually due to the way your baby was positioned in utero. In some cases, infants develop torticollis after nascence (caused torticollis, which is normally acquired by some kind of trauma or infection), but most cases can be traced back to birth. Agreement the symptoms of torticollis, congenital or caused, volition help you understand how to help your baby.

Built torticollis

Although your infant may have been born with torticollis, you may not notice whatsoever signs or symptoms until your baby'southward betwixt 6-eight weeks sometime. Around this age most infants begin to gain more than control over their head and neck. At this signal you may begin to notice the following symptoms:

  • Head tilts or rotates to i side
  • Limited range of motion in head and neck
  • Asymmetry in your baby's head and confront (flattening on i side of the head)
  • Breastfed babies may prefer one side over the other
  • Musculoskeletal problems may be present (hip dysplasia)
  • A modest, soft lump in your infant'south neck
  • The most commonly noticed symptom is plagiocephaly, or a flat spot actualization behind one ear and on the side the child likes to look toward

Acquired torticollis

Symptoms of acquired torticollis are:

  • Head tilts to i side
  • Express range of move in the head and neck
  • Recurrent episodes of caput tilting. During these episodes, your child may also experience drowsiness, irritability, or vomiting

Causes of Torticollis

Infant torticollis happens when the muscles that connect the breastbone and collarbone to the skull (sternocleidomastoid muscle) are shortened. Because your baby'southward neck musculus is shortened on one side of the neck, information technology pulls their caput into a tilt or rotation, and often both. Oft this muscle is shortened or tightened past abnormal fetal positions, injury during nativity, abnormalities or bone problems in the neck portion of the spine, and in rare cases by inherited diseases that can cause impairment to the nervous organization or muscles.

Handling for Baby Torticollis

The best way to treat torticollis is to encourage your baby to plow his or her head in both directions. This helps loosen tense neck muscles and tighten the loose ones. Balance assured that babies won't probable hurt themselves by turning their heads on their own.

Torticollis exercises

Laying your baby on the stomach for brief periods while awake (known every bit "tum time") is an important practice because it helps strengthen cervix and shoulder muscles and prepares your baby for crawling.

This practice is peculiarly useful for a baby with torticollis and a flat head — and tin really assist treat both problems at once. Here'due south how to do it:

  1. Lay your baby on your lap or chest for tummy time
  2. Position your baby so his or her head is turned away from you
  3. Then talk or sing to your babe and encourage him or her to turn and face up y'all
  4. Practice this exercise for 10 to fifteen minutes several times a day
  5. Once your baby lays their head downwardly for 10-15 seconds, they're tired and demand a residual.

Stretching exercises to treat torticollis are most likely to work well if they first when a babe is between two to half dozen months of historic period. If you observe your infant's torticollis isn't improving with stretching, talk to your doctor or physical therapist.

In addition to tummy time, do what you can to encourage your infant to motility to their affected side. For case, if your infant normally turns his head to the left, stand to his right when you're irresolute him. Exercise the aforementioned when you identify him in his crib. For breastfeeding mothers, encourage your baby to feed from the side he doesn't unremarkably enjoy. All of these movements can strengthen your infant'southward neck.

Here are some other exercises to try:

  • When your babe wants to eat, offer the bottle or your chest in a way that encourages your baby to turn away from the favored side. (Use your child's want to consume to encourage him or her along!)
  • When putting your baby down to sleep, position him or her to face the wall while facing the direction they like to look. Since babies prefer to expect out into the room, your baby volition actively plough abroad from the wall, which will stretch the tightened muscles of the neck. Call back to always put your babe to sleep on his or her back, which reduces the risk of SIDS
  • During play, draw your infant's attending with toys and sounds to make him or her turn in both directions

Physical therapy for infant torticollis

In sure cases, the doctor may suggest taking a baby to a physical therapist for more than intensive treatment. After treatment has started, the therapist may examine your infant every ii to 4 weeks to see how treatment is going. At these follow-upward visits, the physical therapist will measure how many degrees the infant tin can plough their caput, then help strengthen the muscles in their neck and so they tin increment range of motility. They will besides rails any caput shape problems and make recommendations nearly how to decrease any flatness that may exist present. Some children will require a helmet, but most will not.

Surgical options

When physical therapy and home exercises don't correct your child's head tilt, surgery may be required. Thankfully, this happens but rarely with babies who accept persistent torticollis that doesn't respond to bourgeois treatment. Very few children with built torticollis will require surgery. The surgery lengthens the sternocleidomastoid muscle and corrects the torticollis. Typically, your doc will wait until your child reaches preschool years before recommending surgery.

When to encounter your physician

Make an appointment with your medico if your baby's treatment for torticollis doesn't seem to exist helping, or if they develop new symptoms. Additionally, if your child'south torticollis develops later on an injury or illness, run into you doctor right away.

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Source: https://intermountainhealthcare.org/blogs/topics/intermountain-moms/2017/11/infant-torticollis/

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