You may have been told that your baby will probably outgrow her lopsided head shape, and it’s very likely that she will – but an early, complete evaluation is a smart parent’s best course of action. Watchful waiting during the early months is the key to successful treatment of stubborn cases of plagiocephaly, or head shape asymmetry.
Head shape problems are completely correctable if caught and treated by 18 months of age. Although some insurance companies consider the problem a cosmetic one, uncorrected plagiocephaly could contribute to complications such as developmental delays, visual impairment and misaligned ears, eyes and jaw. Treatment consists of wearing a special “helmet” for three to six months to help guide the skull to a more balanced shape.
Catching and correcting problems early is the key to successful treatment, says Nancy Stinson, a certified orthotist who works with several local locations of the STAR Cranial Centers of Excellence. As babies grow, their skulls become harder and less malleable. “We try to get pediatricians to refer babies to us at 3 to 4 months if they think there’s a possible problem, so that we can document the head shape and process paperwork,” she notes. “It also provides us with a 30-day period to evaluate and tell if it will get better on its own.” Insurance companies require parents to try conservative therapies, such as tummy time and positioning techniques before they’ll approve further treatment.
