Plagiocephaly and head preference in babies
A flat spot on the head or a strong preference to look one way is common — and often improves with early, gentle physiotherapy and positioning.
What parents notice
You might see a flat area at the back or side of the head, uneven ears or face shape, or a baby who always turns to the same side. This can relate to time spent on the back (safe sleep), a tight neck (torticollis), or both.
How physiotherapy helps
We assess neck movement, head shape concerns, and motor development. Treatment focuses on supervised tummy time strategies, repositioning through the day, play that encourages looking both ways, and parent coaching — without rushing to helmet therapy unless it is clearly indicated.
When to get help early
The earlier head preference is addressed — ideally in the first months — the easier it usually is to improve movement variety. If you are unsure, an assessment gives either a plan or reassurance.
Frequently asked questions
What causes a flat head in babies?
Often prolonged pressure on one part of the skull, sometimes with a preferred head turn. Safe back-sleeping is still essential; daytime positioning and tummy time help.
Does my baby need a helmet?
Not always. Many mild to moderate cases improve with physiotherapy and repositioning. We give honest advice based on assessment rather than a one-size approach.
Is torticollis related?
Yes — a tight or preferred neck turn often sits alongside plagiocephaly. Treating the neck preference supports head-shape improvement.
How soon should we seek physio?
As soon as you notice a strong preference or flat spot — early months are ideal.
Can I self-refer?
Yes. Contact PT Kids directly; no GP letter is required to book an assessment.
Next steps
Ready to talk about your child? Call 07557 537203 or email hello@ptkids.co.uk. No GP referral required.