09/29/2026
What I wish every parent knew about head flat spots
✨The best time to get a referral for PT is at the first sign of a flat spot. Starting therapy after 4 months of age increases length of treatment, and likelihood of needing other interventions such as helmet therapy.
✨Majority of flat head spots are present by the 2 months well check. They might be minor but still worth getting them checked out early.
✨Babies’ skulls are soft to assist with birthing. They harden gradually over the first year. During that first year they are susceptible to flattening from positional pressures. Whatever head shape your baby has at 1 year of age will remain their entire life.
✨An early referral, at first sign of a flat spot or preference to look one direction consistently can help your baby avoid needing a helmet. That possibility gets smaller and smaller with time.
✨Treatment of plagio and torticollis is much more than increasing tummy time. It should include exercises and stretches specific to your baby’s presentation, lifestyle modifications, feeding support, educating all caregivers on a thorough home exercise program.
✨Asymmetries of the head and neck rarely just stay there. Facial asymmetries, strong hand preference, one sided movements such as rolling only to one direction commonly accompany plagio and torticollis when left untreated. These conditions can affect global development leading to delay in higher level skills such as crawling, walking, climbing stairs.
✨The best way to check for flat spots is by taking a picture of their head from a bird’s eye view during bath time. Picture images are processed differently by your brain than live view, which might help you evaluate the severity of the flat spots better!
The goal isn’t to wait until a flat spot becomes severe enough to need treatment. The best time to check head shape is when you FIRST start wondering if something looks uneven.
See a flat spot? Notice your baby always looking one way? Don’t wait and see—let’s check it early. 💜