Pediatrics
Your baby keeps their head tilted to one side, or always looks the same way. Maybe feeding is easier on one side, or you have noticed a flat spot. This is often torticollis, and gentle physical therapy, with you as part of the team, can help.
Yes, physical therapy is a main treatment for torticollis in babies. Congenital muscular torticollis means a muscle on one side of the neck is tight or short. The head tilts toward that side and the chin turns the other way. It is often linked to how the baby was positioned in the womb or during birth. Most babies improve with gentle stretching, positioning and play, and care tends to work best when it starts early. At ARI Physical Therapy in Bakersfield, every visit is one-on-one with a licensed physical therapist, and parents are part of every visit.
The muscle involved runs from behind the ear down to the collarbone. When it is tight on one side, it pulls the head into a tilt and makes turning the other way hard. It is often noticed in the first weeks or months of life. Some babies are born with it, and others develop it from spending a lot of time in one position.
Torticollis and a flat spot on the head often go together. When a baby always rests on the same part of the head, that spot can flatten, and a flat spot can make it even more comfortable to keep turning that way. See our guide to flat head (plagiocephaly) in babies.
Treatment is gentle and built around play. The Academy of Pediatric Physical Therapy's practice guideline for torticollis recommends physical therapy that includes neck stretching, strengthening, help with even movement on both sides, changes at home, and teaching parents. Your therapist will show you how to:
A stiff neck can also slow milestones like rolling and sitting, so we watch those too. See our page on gross motor delays.
A tight muscle is often easier to stretch in the first few months, and treatment that starts early tends to take less time. So it is worth having a head tilt checked soon, rather than waiting to see if it goes away. We keep your child's pediatrician updated on how your baby is doing.
The first visit takes about 45 to 60 minutes. We talk with you about pregnancy, birth, feeding and sleep, then gently check how far your baby's head turns and tilts, their head shape, and how they move and play.
Hands-on stretching and play-based exercises at each visit, with you right there learning them. You get a simple home program with stretches, positioning ideas and tummy time tips.
We track your baby's neck movement, head position and milestones over time, adjust the home program as they grow, and share progress with your pediatrician.
Call your baby's doctor promptly, or get emergency care, if your baby has:
Care at ARI is always one-on-one and in person with a licensed physical therapist at our Bakersfield clinic: 8200 Stockdale Hwy, Suite B2, in the Town & Country Village center next to Trader Joe's. Our clinic director, Deepa Konnur, PT, MPT, OCS, is a board-certified Orthopedic Certified Specialist. We accept most private insurance plans and Medicare, and we have staff who speak Spanish and Hindi.
Ready to feel better?
Talk to a licensed physical therapist at ARI, one-on-one. Request an evaluation and we'll get back to you, usually within one business day.
This page is general information, not a diagnosis. If you have symptoms, a licensed clinician should evaluate you.
Clinically reviewed by Deepa Konnur, PT, MPT, OCS, board-certified Orthopedic Certified Specialist · Reviewed October 2026