Children's Physiotherapy

Plagiocephaly and head preference in babies

A flat spot on the head, or a strong preference to look one way, is common in babies — and often improves with early, gentle physiotherapy and positioning.

No GP referral required. Families, case managers and solicitors are welcome to contact us directly.

Paediatric physiotherapist assessing a baby for head preference and flat head shape

Trusted by families and case managers

Real feedback from the families we support with paediatric physiotherapy across Yorkshire, Lincolnshire, Nottinghamshire and Derbyshire.

How physiotherapy helps head shape

We assess neck movement, head shape and motor development, then build a simple daily plan around your baby. Treatment focuses on supervised tummy time, repositioning through the day and play that encourages looking both ways — without rushing to helmet therapy unless it is clearly indicated.

We look at

Neck movement and torticollis

Range of movement and muscle length, including any tightness or a strongly preferred head turn.

Head shape and symmetry

Where the flattening sits, ear position and facial symmetry — tracked over time, not guessed at.

Tummy time and positioning

Supervised tummy time, carrying, feeding and play positions that take pressure off the flat spot.

Motor milestones

Head control, rolling and sitting, so movement variety develops alongside head shape.

Parent coaching

A realistic home plan built into your day, with honest advice on whether a helmet is needed.

Why Do Babies Need Physiotherapy

Specialist assessment and treatment for babies, from clinicians who work with head preference and torticollis every week.

What an appointment involves

Most babies need only a small number of appointments. We start with a full assessment, agree a positioning and treatment plan, then review progress and advise on onward referral only if it is genuinely needed.

1

Assessment

We check neck movement, head shape, feeding and sleep positions and motor development — and talk through what you have been noticing at home.

2

Positioning and treatment plan

Hands-on treatment where it is needed, plus tummy time, repositioning and play strategies tailored to your baby and your daily routine.

3

Review and onward referral

We review head shape and movement over time, and refer on for helmet assessment or paediatric review only when it is clearly indicated.

Frequently asked questions

Straight answers about flat spots, helmets and when to seek help. If your question is not here, just ask — we would rather reassure you than have you worry.

Parent and baby with a paediatric physiotherapist at PT Kids

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.

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.

Yes — a tight or preferred neck turn often sits alongside plagiocephaly. Treating the neck preference supports head-shape improvement.

As soon as you notice a strong preference or flat spot — early months are ideal.

Yes. Contact PT Kids directly; no GP letter is required to book an assessment.

When to get help early

The earlier head preference is addressed — ideally in the first few months — the easier it usually is to improve movement variety and let head shape round out on its own. Safe back-sleeping stays essential; it is the daytime positions that we work on.

If you are unsure, an assessment gives you either a clear plan or genuine reassurance.

Not sure if it is a problem?

Tell us what you are seeing and we will let you know whether an assessment is worthwhile.

Concerned about your baby’s head shape?

No GP letter required. Families, case managers and solicitors all welcome — we respond within 48 hours.