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Midsouth Therapy Group

physical therapy · Awareness

Torticollis in Babies: Why Baby's Head Tilts & How PT Helps

MTG Physical Therapy Team, Licensed Pediatric Physical Therapists

Written by MTG Physical Therapy Team, Licensed Pediatric Physical Therapists

Physical Therapy

Updated 2026-06-20

If you've noticed your baby almost always turns their head to one side, tilts it, or struggles to look the other way, you may be seeing torticollis. It's one of the most common reasons babies are referred to physical therapy — and the reassuring news is that, caught early, it responds very well.

What is torticollis?

Torticollis (sometimes called “wry neck”) is tightness or shortening of one of the muscles along the side of the neck, which makes a baby tilt their head toward one shoulder and turn it toward the other. It's often present from the early weeks, frequently linked to positioning in the womb or after birth.

Signs of torticollis

  • Baby consistently tilts the head to one side, or turns it mostly one way.
  • Difficulty or fussiness turning the head to the other side.
  • A strong preference to feed or look in one direction.
  • A flat spot developing on one side of the head (see plagiocephaly).
  • Sometimes a small soft lump in the neck muscle.

Why early treatment matters

The earlier torticollis is addressed, the faster and more completely it tends to resolve, because babies' muscles are so adaptable. Left unaddressed, it can affect head shape, feeding, and the development of motor skills like rolling and sitting. That's why pediatricians refer to physical therapy promptly.

Always have a pediatrician examine your baby's neck and head shape — they'll rule out other causes and refer to physical therapy. This guide is a starting point, not a diagnosis.

Noticing a head-turn preference? Early physical therapy makes a real difference.

How physical therapy helps

A pediatric physical therapist uses gentle stretching, strengthening, positioning, and play-based exercises to restore full, even neck movement — and coaches you on simple things to do at home (tummy time, repositioning, how to encourage looking both ways). Physical therapy is a new service at Midsouth Therapy Group, and we're accepting new referrals. A referral from your child's primary care provider is required (faxed to 901-589-9001).

Frequently asked

Will my baby grow out of torticollis on their own?
Some mild cases improve with diligent repositioning and tummy time, but torticollis responds best — and fastest — to early physical therapy. Because it can affect head shape and motor development, most pediatricians recommend treating rather than waiting.
Is torticollis related to a flat head?
Often, yes. A constant head-turn preference can lead to flattening on one side of the head (plagiocephaly). The two are frequently treated together, with PT addressing the neck and positioning.
Do I need a referral for physical therapy?
Yes — physical therapy requires a referral from your child's primary care provider, faxed to 901-589-9001.

Sources

These links point to external organizations for general education and are not a substitute for an evaluation by a qualified professional.

MTG Physical Therapy Team, Licensed Pediatric Physical Therapists

About the author

MTG Physical Therapy Team, Licensed Pediatric Physical Therapists

Our licensed pediatric physical therapists help children build strength, balance, coordination, and the gross-motor milestones that let them move with confidence. Physical therapy is a newer service at Midsouth Therapy Group, and we're accepting new referrals.

Meet the full team →

Concerned about your baby's head tilt?

Our pediatric physical therapy team treats torticollis, and early care works best. Reach out and we'll guide you.