Early Diagnosis for Plagiocephaly

One of our specialisms at London Orthotics Consultancy is the treatment of plagiocephaly – or flat head syndrome – a condition characterised by flattening, or sometimes bulging, of a baby’s head. At the current time, the NHS does not recognise plagiocephaly as a condition that requires any specific medical treatment. But there is a growing body of research from other countries suggesting that flat head syndrome is on the increase. And, anecdotally, we receive a considerable number or enquiries from adults asking us to help them with plagiocephaly related issues.

One of the most important messages for us to spread about flat head syndrome is the importance of early treatment to improve the likelihood of a positive outlook. As babies grow, the plates of the skull become less malleable, meaning that a plagiocephaly treatment such as our LOCBand helmet will only be effective if it is pursued well before the age of two years, when the skull will harden completely.

It’s also important for parents to understand the role that techniques such as repositioning and tummy time can play in avoiding flat head syndrome – and for us, it’s important to spread that message as widely as we possibly can.

So we’re delighted to have teamed up with the online parenting community Small Steps Online, who recently asked our plagiocephaly specialist Saeed Hamid to advise their followers on the causes, trends, preventative techniques and likely treatment of plagiocephaly.

You can read LOC’s article for Small Steps on flat head syndrome here.

If you are involved with a parenting forum, group or publication and you’d like us to provide an informative article to raise awareness around the facts about plagiocephaly, please by all means contact LOC and we’ll be happy to help.

Are you worried about your baby’s head shape? You can seek an immediate clinical opinion from one of our orthotists using our free online flat head diagnosis form. Simply use the form to upload your photos, and an orthotist will get back to you within 24 hours to confirm whether flat head is a possibility, and what options you might consider next.

Our thanks to Small Steps for helping us to advise their followers about an issue that is a concern for many parents. If you’re interested in joining the Small Steps community, visit www.smallstepsonline.co.uk.

sity Hospital in Germany has endorsed the treatment for babies with moderate or severe plagiocephaly.

A larger, retrospective study has just been published that found complete correction was achieved in 94.4% of babies treated with helmet therapy.

The results were conclusive: repositioning achieved acceptable correction in 77.1% of cases, but 15.8% were moved onto helmet therapy because re-positioning was not working. Meanwhile, 94.4% of the infants who started in the helmet-treated group achieved full correction, as did 96.1% of those who were transferred from the repositioning group into the helmet-treated group.

Further information can be found on our Plagiocephaly Research page.

What should I do if my baby is ill or has a temperature?

If your baby has a temperature or a fever due to illness you must remove the band. The band can be put back on once the temperature has returned to normal.

What is the best age to start treatment?

The optimum age for treatment is between four and seven months.

This is because the skull is most malleable at this age and improvements to head shape tend to take less time and are more dramatic. That is not to say that helmet therapy should be ruled out if the baby is older than seven months. Routinely, babies up to the age of 16 months can be treated very successfully.

The cut off age is around 18 months when the fontanelles (soft spots on the head) are no longer malleable. As babies grow and develop at different rates, it is always worth checking if you are not sure. There have been cases where a baby’s fontanelles have not fused yet by the age of 18 months, who have achieved successful, but less-marked results with cranial remoulding therapy.