Cranial Remolding Program

Cranial Remolding Program UT Health's Cranial Remolding Program specializes in the comprehensive evaluation and treatment of head shape abnormalities in infants.

The Cranial Remolding Program at the University of Texas Health Science Center at San Antonio specializes in the evaluation and treatment of head shape abnormalities. These deformities are relatively common and highly treatable with early intervention. Roughly one out of five children develops some kind of head shape abnormality during infancy. Cranial molding therapy is often recommended to corre

ct these abnormalities and ensure proper head growth. Head shape abnormalities are frequently attributed to conditions like plagiocephaly and craniosynostosis. Plagiocephaly (sometimes called deformational plagiocephaly, positional plagiocephaly, or “flat head syndrome”) is a condition in which a flat spot develops on an infant’s head. This distortion can be caused by several factors, including restrictive positioning in the uterus, muscular torticollis (tight neck muscles that limit head movement), or extended periods of time spent in the same position (such as an infant lying on their back while sleeping). In order to understand craniosynostosis, one must become familiar with the anatomy and development of an infant’s brain. In newborns, the plates of bone that make up the skull are separated by flexible, fibrous hinges called sutures. These sutures respond to brain growth by “stretching” and producing new bone, which allows the developing skull to grow along with the brain. Over time, the sutures fuse together with the plates to form a single piece of bone. In children with craniosynostosis, some sutures fuse too early. Because their brains continue to expand within that restrictive space, the growth and appearance of their heads can become distorted. The fused sutures must be released surgically in order for the brain to resume its normal growth pattern.

Darren J. Poidevin, CLPO, Clinical Director, recently returned from the inaugural Latin American Heads Summit in Brazil,...
04/27/2026

Darren J. Poidevin, CLPO, Clinical Director, recently returned from the inaugural Latin American Heads Summit in Brazil, where he represented the UT Health Cranial Remolding Program.

The summit brought together more than 200 providers, including neurosurgeons, craniofacial surgeons, pediatricians, dentists, and physical therapists. As a core part of this multidisciplinary group, our presentations highlighted cranial remolding treatment, design considerations for deformational head shapes, and post-operative care for craniosynostosis.

Our program’s participation in this international event, specifically as a leader in post operative cranial remolding orthotic treatment, is a huge honor that reflects the depth of our experience in this area and our longstanding commitment to advancing care and education in this field. We are so thankful we had an opportunity to share our expertise on this global stage.

You can learn more about the Latin American Heads Summit at the following link:

https://www.headssummit2026.com.br/

Big congrats to Rachel Matthew, Veronica Lopez, and Jennifer Rossi! They’ve officially earned their Infant Cranial Defor...
03/31/2026

Big congrats to Rachel Matthew, Veronica Lopez, and Jennifer Rossi! They’ve officially earned their Infant Cranial Deformity Evaluation and Referral Certification, making them the first group in the School of Nursing Pediatric Nurse Practitioner/DNP Program to receive this specialized training.

This achievement was made possible through a unique partnership between Dr. Kathryn A. Parke (Associate Professor/Clinical) and Jim P. Brookshier (Clinical Director, Cranial Remolding - Dept. of Neurosurgery). By bridging nursing education and cranial remolding expertise, students gained hands-on clinical experience and specialized knowledge in evaluating infant head deformities. This collaboration, which included clinical rotations with Jim, ensures our PNP graduates enter the field with a distinct and valuable skillset

This will be an ongoing collaboration between the School of Nursing and the Department of Neurosurgery.

03/25/2026

Watch Darren Poidevin, CLPO, Clinic Director speak about plagiocephaly

Jim Brookshier, MPO, CLPO, FAAOP, recently presented on cranial remolding treatment adherence at the American Academy of...
02/24/2026

Jim Brookshier, MPO, CLPO, FAAOP, recently presented on cranial remolding treatment adherence at the American Academy of Orthotists and Prosthetists (AAOP) 2026 annual meeting in Nashville. His collaboration with the craniofacial society featured leading specialists from Children’s Healthcare of Atlanta, Baylor College of Medicine, and The University of Texas at San Antonio. Jim was also a key contributor in round table meetings dedicated to the future of cranial remolding education, evolving clinical protocols, emerging technologies, and patient care integration with cutting-edge surgical techniques.

Happy holidays from the Cranial Remolding Team!Wishing you every happiness this holiday season and throughout the coming...
12/23/2025

Happy holidays from the Cranial Remolding Team!

Wishing you every happiness this holiday season and throughout the coming year.

Our Cranial Remolding team had a fantastic time attending the South Texas National Association of Pediatric Nurse Practi...
04/17/2025

Our Cranial Remolding team had a fantastic time attending the South Texas National Association of Pediatric Nurse Practitioners (NAPNAP) Alamo Chapter Symposium!

We were proud to join forces with UT Health Department of Neurosurgery faculty member Joanna Gernsback, MD, who delivered an insightful talk on diagnosing and managing scoliosis in pediatric patients. Grateful to be part of such a meaningful event focused on advancing pediatric care!

Darren J. Poidevin, CLPO, recently coauthored an article that was published in the Journal of Prosthetics and Orthotics ...
04/15/2025

Darren J. Poidevin, CLPO, recently coauthored an article that was published in the Journal of Prosthetics and Orthotics (JPO), the official journal of the American Academy of Orthotists & Prosthetists.

The JPO is a peer-reviewed, quarterly scholarly journal. It provides readers with clinically relevant evidence suited to promoting professional education, advancing high-quality research, and ultimately improving care for people who require prosthetic and orthotic services.

You can read Darren’s article, entitled “An Updated Prediction Model for the Maximum Expected Treatment Time with a Cranial Remolding Orthosis” by visiting the link below.

trospective study assesses the accuracy of V2 and proposes a third version (V3) of the model. Methods Subjects with deformational head shapes who were treated with a CRO between 3 and 18 months postpartum were included based on initial cranial measurements. Infants were excluded if they had a signif...

Yesterday we participated in the Brighton Center Resource Fair to connect with early intervention specialists, case mana...
03/25/2025

Yesterday we participated in the Brighton Center Resource Fair to connect with early intervention specialists, case managers and teachers who assist over 4,000 children with special needs annually.

We always appreciate the opportunity to be in the community!

After 15 incredible years helping to serve cranial remolding patients – nine of them dedicated to UT Health – we say goo...
02/28/2025

After 15 incredible years helping to serve cranial remolding patients – nine of them dedicated to UT Health – we say goodbye to our amazing Benefits Coordinator, Monica Garcia. Her dedication, expertise and compassion have made a lasting impact on our team and the many families she has helped along the way.

Monica, your hard work and kindness will be deeply missed, but we are excited for your next chapter! Thank you for your years of service and commitment. Wishing you all the best in your future endeavors.

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8300 Floyd Curl Drive, 7th Floor
San Antonio, TX
78229

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