Plagiocephaly - Orthotic Band Treatment for 9 Month Old???

Updated on February 10, 2012
R.S. asks from Iowa City, IA
4 answers

Hi! My son is currently 8 months, 1 week old. I have an appointment scheduled for measurements and ordering of a cranial band at Cranial Technologies next Tuesday. By the time it is finished and he gets fitted and can start wearing the helmet he will be 3 days shy of 9 months old. He was 3 weeks early though and so his gestational age will be 8 months 1 week. I have read between 4-8 months is best and 4-6 is optimal.

Wondering if anyone out there had good results with starting this late??? I know people do start later but the PA at UofI neurosurgery dept, who handles all their plagio cases said that best results are between 4-6 months. I wish I'd read more before taking her word for it. I could have started have started a month ago. For that matter, I feel guilty because I could have started 3 months ago but my family doc told me not to treat it, just let it round out. Well it is mild to moderate and not very noticeable and I do not want to buy into our society's obsession with looks. but I do not want him to suffer lots of unnecessary teasing in school.

I do worry - people keep mentioning that Jenny McCarthy's son wore one. What if the autism was caused by that??? There is still NO valid evidence to support that it was the vaccines. And there are not very many kids above the age of 10 who have had helmets or bands so who knows what long term effects there could be. I worry that we could be doing some worse damage we don't know is possible. Like all of us took the doctors' advice to sleep them on their backs, most people did not know the flat spot could occur until it happened. What if the same is true of helmets? Think of all the pressure from even a head band and how it feels to take that or a ponytail out. Not to mention all of the nerves at the base of the skull!

But I keep having this nagging feeling like I will regret it if he ends up at school getting teased or wishes I had done differently. However, how many people would do it if their kid was going to develop deeper issues later on.

My family doctor feels early childhood acceptance is key and that with a helmet and all of the weird looks from strangers and people can negatively impact that.

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So What Happened?

First time on here - couldn't figure out if there's a way to reply or just update. My son was diagnosed with plagio and tort but the tort has been treated at home with great success! The best exercises are ones I got were from a massage therapist. I do leg and arm rotations, sort of like windmills. That and major efforts to redirect his attention to the other direction. He had a preference for looking right, the flat spot is on the right as is the slight bulging on his forehead. I carry him on my left hip so he to turn left to see ahead when being carried. I position his jumperoos so he has to turn left to play with his favoritepart of it, position it so that whatever he is looking at most is to the left. I make everyone hold him so he has to see left and make people sit to his left. It is a bit tedious but has gotten such great results. I took him to a traditional pt twice and she was great but I was lucky to not need to go regularly. I have heard that it can be very upsetting to the child.

I did have xrays done, synostosis was ruled out. We are lucky we live in a time and place where synostosis can be treated so effectively. Even 30 years ago it was not commonly recognized or surgically treated! Kids are so very mean sometimes and I agree it is often the parents. Very young kids usually do not discriminate. r

I went to UofI and they are a teaching hospital so the first resident was iffy on the plagio being a problem. The staff doc said I needed to do physical therapy and that helmets did not work and to do repostioning (hello if pressure affected growth in the first place why would subsequent pressure not do so, and if helmets do not work why would pressure from a hard flat mattress against a rounded part of the head work any better? I did repositioning only to achieve a second flat spot on the left, smaller but now the rounded part on left is not even!). Then I went back for 6 month check up and they referred me to neuro making comments about helmets and possibly surgery (he is diagnosed mild to moderate!!). My family doctor was the typical case. He said it would round out on it's own and that early acceptance from people was important and would be adversely affected by wearing the helmet. He also told me that kids now grow longer hairstyles as a result of the first round of plagio babies!

He also has a head size in the 95th percentile for his age! So I think that affects things.

Thanks for sharing!!!

More Answers

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E.B.

answers from Duluth on

My daughter wore the cranial band. She had it on for over 6 months. The band doesn't hurt. It is called directed growth. The band doesn't work like braces, which pull; the band simply applies the same presence that, say, the bed, or the bouncy seat, or the floor provided to get your son into this place to start with. Second, it sounds like you've seen a bunch of professionals, but I know with my daughter, they checked her eyes and such too--if the plagiocephaly is not resolved, and it's not symmetrical, they learn to rest in that spot, which exacerbates the problem. My daughter's eyes were not even, so we took her to an ophthalmologist to determine whether her plag. was caused by vision problems or was causing vision problems. Neither was the case, although her eyes were not at the same level, which for me was one of the biggest reasons for going with a cranial band.

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M.K.

answers from Appleton on

here's the thing...it is NOT just cosmetic (which would be correcting the appearance of a "normal" structure, ie "nose job"). It is considered reconstructive (correcting an abnormal alignment). Ear aligment affects your vestibular system and the "evenness" of how sound reaches your ears/brain. Eye aligment (also potentially affected by plagio) affects your visual processing. Both together affect how glasses will fit (if needed in the future). Not to mention jaw aligment (also affected--it's all connected!) affects orthodontic alignment. And neck alighment at the base of the skull. Do it! Bettter to at least try now. And torticollis is NOT just the shortening of the "sterno" muscle (that is "old school" diagnosis/terminology). I'm a pediatric PT. It is far more complicated than that.

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M.S.

answers from Portland on

I talked to my Physical Therapist about this for my son because he has torticullis and a flat face as well. Luckily, his is getting better with physcial therapy. You are lucky, we have been going for 8 months, he's 9 months old, and we just got approved for another 24 visits. She said that if you don't get it when you need to they will always be malformed, or lopsided, and it will not get better. They will coordination problems, head growth problems, they will tend not to use the side they don't see so it will affect even eye sight and brain development. I dont' know your case, but you should be able to get a second opinion from someone else before you go head. I did some reading online and one woman went to a plastic surgeon. Here is the link if you want it to her blog: our-experience-with-plagiocephaly-torticollis-and-a-helmet. Good luck! I know its hard to make a decision, but it seems like it might be for the best to get it.

M.P.

answers from Minneapolis on

your son was only diagnosed with Plagio correct? Did they check and do MRI for Craniosynostosis? They ruled out that he has no fusion correct? If it is just Plagio (which is indented skull) Then it WILL round out, even at that age, unless is is SIGNIFICANTLY indented. The skull plates do not fully fuse till about 15 months. He has plenty of time. What your doctor or the neuro is saying is that it might not fully round out cause you started later. It may have just a slightly odd shape. Unless you child has a complete cone head, or a lopsided skull. NO one will know the difference as he gets older. His hair will cover most of it.
Your not in Physical Therapy correct? cause as far as my knowledge goes dont need PT for Plagio only. Torticollis is a shortening of the stenoid muscles in the neck and shoulder. This has NOTHING to do with the skull. This is caused by position in womb. If PT fails, or parents do not do it or correctly. They can do a laser procedure that can release the muscle. Though many people that had this, have severe problems with there necks later on. I opt NOT to have it done. Yes Torticollis causes head tilting, and Strabismus of the eyes.

Marla, have you also been ruled out for Craniosynostosis? cause that is another cause for flat face.

My 2 year old daughter, was born with Craniosynostosis. It was apparent 2 hours after birth. She had a Corneal Plate Fusion above the eye. Causing one side of her face to not match the other, it also enlarged one eye orbit more than the other, she also had severe Torticollis and Strabismus of the eyes. She had an MRI done at 4 months. They caught it early, She had full open skull and plastic cosmetic surgery at 6 months, helmets for a year, and PT for 2 years for the Torticollis. She had a 45 degree tilt, which is pretty bad. She still has slight Tort from the Strabismus of the eyes (lazy eye or wandering eye). Though they can not fix that muscle issue right now. She is at a 2 degree tilt now. Looks sort of like she is cocking her head to listen. She is 2, now and had major surgery. She still looks off. She has a slight dent in her fore-head, and a flat spot in the back. They assure me as time goes on this gets better. They have never assured me that she will look 100%. I have come to terms with that she might not look like every other kid. However, almost no one, but her close relatives that know of her condition, say they see anything wrong with her. Except her eye. That likes to go all over on its own. So they notice that most. On the play ground in a public park,once or twice kids have said something to her. I notice that only the older kids, with less than desirable parents in the background, tend to say anything. I mark that up to poor parenting, and bad role model behavior. I dont try to let it get under my skin. There is nothing wrong with my baby mentally, or developmentally. Just a little character :) DO I want her to fit in with all kids? sure, but in this day and age of supposed higher intelligence, and civilization, you would think it was time people stopped teasing others for disabilities. I guess animalistic nature is just inherent. IT will never go away. If he doesn't get teased for his head, it will be something else.

By the way, my daughter was in FULL helmet for 2 years and does NOT have any form or sort of Autism.

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