How to Treat Flat Head Syndrome in Babies

Flat Head Syndrome, medically known as positional plagiocephaly, is a condition where a baby develops a flat spot on their head. This typically occurs due to prolonged pressure on one part of the skull. Since a baby's skull is soft and still developing, repeated pressure in the same area can cause it to become misshapen. Fortunately, Flat Head Syndrome is treatable, especially when addressed early. Here’s how you can help correct and prevent the condition.

1. Encourage Tummy Time

Tummy time is one of the most effective ways to prevent and treat Flat Head Syndrome. Placing your baby on their stomach while they are awake and supervised helps reduce pressure on the back of their head and strengthens their neck, shoulders, and upper body muscles.

How to Implement Tummy Time:

• Start with short sessions of 3–5 minutes, several times a day.

• Gradually increase the duration as your baby grows stronger.

• Use toys, mirrors, or your voice to keep them engaged.

• Place your baby on a soft play mat or blanket for comfort.

2. Change Your Baby’s Sleeping Position

Since babies spend a lot of time sleeping, varying their head position can help prevent flat spots.

Ways to Adjust Sleep Positioning:

• Alternate the direction your baby’s head faces while they sleep.

• Gently reposition their head to different angles if they tend to favor one side.

• Use a firm mattress with no soft pillows or positioners, as these can pose a suffocation risk.

3. Use Different Holding and Carrying Techniques

Frequent changes in how you hold and carry your baby can reduce constant pressure on one area of the head.

Holding Techniques:

• Alternate arms when feeding your baby.

• Hold your baby upright more often instead of keeping them in carriers or swings for prolonged periods.

• Use babywearing carriers to keep them in an upright position and reduce pressure on their head.

Read More: What Happens If You Don't Treat Flat Head Syndrome

4. Use Repositioning Techniques

Babies often have a preference for turning their heads in a certain direction. Gently encouraging them to turn their head to the less-preferred side can help even out pressure on the skull.

Repositioning Tips:

• Place toys, mobiles, or other visual stimuli on the non-preferred side to encourage head turning.

• When placing your baby in a crib, change their position so they naturally turn their head in different directions.

• During playtime, engage with them from different angles.

5. Consider a Helmet or Cranial Orthosis (If Recommended)

In some moderate to severe cases, a pediatrician or specialist may recommend a custom-fitted helmet to help reshape the skull.

Helmet Therapy Considerations:

• Helmets are typically worn for 23 hours a day for several months.

• They are most effective when started between 4–12 months of age.

• This treatment is generally recommended only if repositioning techniques are ineffective.

6. Seek Physical Therapy if Needed

If your baby has difficulty turning their head due to tight neck muscles (torticollis), a pediatric physical therapist can provide exercises and techniques to improve neck mobility.

Signs Your Baby May Need Therapy:

• Consistently prefers turning their head to one side.

• Difficulty moving their neck freely.

• A noticeable flat spot that does not improve with repositioning.

7. Monitor and Consult a Pediatrician

Regular check-ups with your pediatrician are essential to monitor your baby’s head shape and development. If you notice persistent flat spots despite efforts to reposition, consult a healthcare professional for guidance.

When to See a Doctor:

• The flat spot is severe or worsening.

• There is no improvement by 6 months.

• Your baby has difficulty turning their head.

• You notice facial asymmetry or ear misalignment.

Final Thoughts

Flat Head Syndrome is a common and treatable condition that can be addressed with early intervention. To promote healthy skull development, incorporating tummy time, repositioning techniques, and varying carrying positions can significantly help your baby achieve a well-rounded head shape. If your baby has a flat head, these treatments can be effective in preventing further flattening. Early treatment is essential, so being proactive with these strategies is crucial for your baby’s head development. If you notice any concerns or the condition persists, always consult with a pediatrician to determine the best course of action for your baby's flat head treatment.