(maybe he just wasn't into this book?)
Ruth Ann and I watch this kid like a hawk and had noticed that all that lookin' was starting to do a number on the back of his head. We even called the nurse a month or so ago to ask what we should/could be doing to keep from flattening out his noggin and the answer we got was to just try to get him interested in looking the other way. So, put things on his left side, prop his head, etc. For not having a hard head yet, this dude is stubborn and always seems to find his way back to his favorite side.
Fast forward to last week and his 2 month checkup, and the doc mentioned two not-so-feely-good things. Torticollis (maybe very slight) and....a helmet. I'll preface this with the good parent in me by saying if the professionals say Avett absolutely has to sport a helmet for his well-being, then I'll be commissioning someone to make it look like App State's finest. And of course there could be MUCH worse things than some headgear, I get that. But....who really wants that for their kid? I mean, I want to snuggle baby head, not hard plastic. And it sure can't be all that comfortable for him, can it? And is the thing even washable? Anything that doesn't get washed for nine months is going to have some stank, right?
We go back in a month for another head check-up to see what we may need to do. In the meantime, we are being extra vigilant on getting this small fry looking the other way and off that one side of the melon. Lots of tummy time, stretches (thanks for the tips, Charlotte), belly naps (easy now, only if we are with him and watching closely), and various ways to prop/turn that head to keep him from always being on the same side (he is very crafty in still turning the other way). We let him sleep his own way at night since we're not able to watch as closely, but wonder if there are safe things to do during that long stretch of night sleep too.
So, parents out there...What are your thoughts/experience with new baby heads and helmets? From what I can tell in my research and talking to others, there seems to be some different approaches in different places (ie, there are helmets galore around here, but not so much in other places where our friends and family have kids). Couple that with some articles that say unless the case is severe, repositioning is just as effective as helmet therapy, and the conspiracy theorist in me starts to get a little suspicious about all these helmet recommendations. Those things are expensive and someone is getting PAID. I'll update the world after our next appointment, but would love to see some comment feedback from you knowledgeable folks in the meantime....
Hi Brian. So I see this occasionally in my practice. Just sent a 6 month old to the craniofacial specialists this week. He is a freakin adorable kid and is otherwise perfectly normal, but his head is flat on the right and somewhat on the back which is pretty noticible and of course has his parents concerned. It's not a super big deal to have some mild mis-shaping of the head (plagiocephaly or brachycephaly)...as long as it is not due to early fusion of the skull sutures that does not allow for the brain to grow properly and as long as other developmental and neurological milestones are normal. Helmets or bands are more for 4-6 month old kiddos anyway - and they work. They work great! And the kids don't know the difference, promise ;) Now torticollis is just some tightening of the muscles of one side of the neck. It is also very common and very treatable. You are doing great by introducing exercises and stretching, and if he doesn't seem to make as much progress as you think he should, then your peds provider will refer him to baby physical therapy. They will get him fixed up in a matter of months and you won't ever know it was there ;) I have several kiddos/patients who have completed the therapy successfully and they look and act like perfectly adorable and normal kids. No worse for the wear. Physical therapists are amazing folks.
ReplyDeleteHere is a website you may find helpful: http://www.healthylittleheads.org/ and let me know if you have other questions I can help with. So far, I feel like your situation is fairly common and certainly very treatable which should be reassuring on all fronts. Best of luck, and great job on being good, caring, loving, concerned parents. I see way too many who aren't.
Hey we went through both of these with E! She had some flattening on one side and I was very diligent about making her turn to the other side after the doctor recommended it in order to prevent wearing a hekmet and we and the doctor were very pleased that positioning really made a big difference. She didn't end up having to wear a helmet because of positioning and holding her differently. We did; however, have physical therapy at comp rehab for 5 months for the torticollis. We LOVED our therapist and would highly recommend her!! E also loved going and checking the place out. We did stretches at home and we saw a major difference quickly! I would be happy to talk to you more if you have questions about how therapy was and our therapist.
ReplyDeleteThanks for the insight folks! We're being extra "on it" with positioning for now and will see what the doc has to say at the end of the month.
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