Flat Heads in Babies: Why Early Pediatric Physical Therapy Matters
Did you know that nearly half of all babies develop flat head (plagiocephaly) by 4 months, according to the American Academy of Pediatrics? The good news is that early pediatric physical therapy can make a meaningful difference.
At Movevery, we support infants in Denver, CO through holistic, hands-on bodywork and purposeful movement strategies—often preventing the need for a helmet. Our tear-free approach helps restore natural head shape, build strength and mobility, and support balanced development and milestone acquisition.
Common Types of Flat Head Syndrome
Plagiocephaly: Flattening on one side of the back of the head, often linked to head preference or torticollis. May include facial asymmetry, difficulty feeding on one side, or favoring one hand.
Brachycephaly: Symmetrical flattening of the central back of the head, making the head appear wide and short.
Scaphocephaly: A long, narrow head shape often seen in premature infants or those with prolonged NICU stays or side-lying positioning.
What Causes Flat Spots in Babies?
Head pressure during birth or in the womb
Global tension and fascial tightness throughout the body
Torticollis (a head tilt and neck tightness), limiting range of motion
Sleeping in one position consistently
Lack of tummy time or movement variety
Overuse of containers (car seats, bouncers, swings)
What Else You Might Notice
Uneven facial features, like ears, cheeks, or eyes
Favoring one side during play, reaching, or feeding
Missing or delayed milestones such as rolling, sitting, or crawling
Subtle cosmetic differences in head or facial shape
Challenges with nursing or bottle-feeding on one side
Why Early PT Makes a Difference
The earlier therapy begins, the better the outcomes:
Before 1 month: 99% chance of full resolution in ~6 sessions
After 1 month: Treatment can take up to 6 months
After 6 months: Therapy may take up to 9 months, with fewer babies achieving full resolution
How Movevery Can Help
At Movevery, we take a whole-body approach to treating flat head. We begin by addressing global body tension and fascial restrictions through specialized pediatric physical therapy bodywork, including the Gillespie Approach Craniosacral Fascial Therapy (CFT) and Total Motion Release (TMR) TOTs. These techniques support better alignment, head shape, and nervous system regulation.
We also coach caregivers on practical positioning strategies and simple environmental changes to reduce pressure on flatter spots—helping babies spend more time in optimal movement positions. Through purposeful play activities such as rolling, tummy time, and transitions, we help babies build strength, improve mobility, and support symmetrical development—all while aiming to prevent the need for a helmet.
If needed, we can provide referrals and guidance for helmet therapy—but early care often makes it unnecessary.
Take the First Step
If you notice flattening or a head preference, trust your instincts. Early physical therapy not only improves head shape but supports overall development, movement quality, and parent peace of mind.
Contact us or book a quick phone consultation to learn more or schedule your complimentary phone consultation today.
