20/02/2025
Torticollis Baby Exercises: What Helps and When to Start
Torticollis baby exercises are gentle, guided movements that stretch a shortened neck muscle and help a baby turn their head evenly, and when started in the first months of life they are usually very effective.
What torticollis is in simple terms
Torticollis happens when one sternocleidomastoid muscle in the neck becomes tight, causing the head to tilt to one side and rotate to the opposite side. Pediatric sources such as the Cleveland Clinic and NHS describe infant torticollis as a common muscular condition, especially in early infancy.
Why starting early improves outcomes
The first 2 to 6 months are a key window because babies grow quickly and muscles respond well to stretching.
Early exercises reduce the risk of secondary issues such as plagiocephaly, where uneven pressure creates a flat spot.
What this does not automatically mean
A head tilt does not automatically mean a neurological disorder. In most infants, torticollis is muscular and responds well to positioning and structured exercises.
The basic passive stretch
A common exercise involves gently turning the baby’s head toward the tighter side and holding briefly. The movement should be slow, calm, and never forced, and it should stop if the baby becomes distressed.
Active strengthening through play
Active exercises encourage the baby to turn their head independently toward the non-preferred side. Placing toys, voices, or faces on that side builds strength and coordination through natural movement.
Tummy time as a therapeutic tool
Tummy time strengthens neck and shoulder muscles and improves head control. The American Academy of Pediatrics supports supervised tummy time while awake as part of healthy motor development.
If you are unsure whether head tilt is improving, a structured head shape scan can provide objective clarity alongside exercises.
Integrating exercises into daily routines
Tummy time strengthens neck and shoulder muscles and improves head control. The American Academy of Pediatrics supports supervised tummy time while awake as part of healthy motor development.
If you are unsure whether head tilt is improving, a structured head shape scan can provide objective clarity alongside exercises.
When professional assessment is recommended
If head movement remains limited after several weeks, or if flattening becomes noticeable, a pediatric physiotherapist may assess range of motion and measure head shape using tools such as the Cranial Vault Asymmetry Index or Cephalic Index.
If you would like to track measurable progress over time, a scan can show whether exercises are making a difference.
Common questions parents ask
How often should torticollis exercises be done?
Most programs recommend multiple short sessions daily, guided by a pediatric professional.
Can torticollis go away without exercises?
Some mild cases improve, but guided exercises usually shorten recovery time.
At what age should exercises start?
As soon as torticollis is identified, ideally within the first few months.
Are the stretches painful?
When done gently and correctly, stretches should not cause pain.
What if flattening develops?
A professional evaluation can measure head shape and guide next steps.
Writen by Elly van der Grift
Elly van der Grift is the co-founder of Skully Care and a pediatric physiotherapist with over 30 years of experience. Her mission is to provide top care for babies with skull deformities. With her infectious enthusiasm, she shares simple, effective tips that can make a big difference for your baby. Working with Elly, you'll feel confident and supported in your baby’s journey to better health.