Flattening of the skull in children
Baby's skull
The baby's skull is, like the adult skull, composed of different bones divided into two groups: the face and the vault.
The arch bones are the frontal, temporal, parietal, occiput and the wings of the sphenoid. However, even if these bones are separate at birth, they interact with each other. Thus, a structural modification of a bone will have repercussions on the surrounding bones, and they themselves will interact with their neighbors.
![anatomy of the bones frontal parietal occiput temporal skull](https://files.sbcdnsb.com/images/zu16kaf2cer5/content/1502463014/313959/100/anatomie-des-os-crne-chez-le-bb.png)
A baby's head is very malleable because at birth the brain has not finished growing. If the skull was completely fused (this is called craniostenosis), it would have to be surgically reopened to make room for the brain, otherwise the latter would be compressed against the bony walls of the cranial vault and would suffer.
![anatomy of the child's skull with its sutures and fontanelles](https://files.sbcdnsb.com/images/zu16kaf2cer5/content/1502463270/313960/100/anatomie-du-crne-de-bb-sutures-fontanelles.jpeg)
So, fortunately for us, the skull can still grow and adapt but its malleability has its disadvantages. Like a ball of play dough placed on a hard surface, baby's head will tend to flatten out where it comes into contact with the surface and if this is the case your baby will tend to stay in this position because a rolling ball stops on its flat side and so this will make the situation worse. To avoid this problem it is necessary to make sure that this does not happen:
Remove the causes that would prevent perfect mobility of the head
Torticollis or loss of cervical mobility
It is one of the most common. An acute torticollis does not usually go unnoticed at birth and at this time pediatricians advise consulting an osteopath as well as a physiotherapist. In some cases, torticollis may be less severe or even limited to a decrease in the range of motion of the head.
![plagiocephaly brachycephaly dolichocephaly explained by osteopath in Versailles](https://files.sbcdnsb.com/images/zu16kaf2cer5/content/1502464182/313970/100/aplatissement-du-crne-postural-prsent-par-ostopathe-versailles-78.jpeg)
A baby's head turns more than 90 degrees to each side and that's why many parents miss this problem. They don't notice that their baby turns his head very well on one side and less well on the other. And if it is the case, it is the flattening of the skull almost assured.
The osteopath will therefore improve the mobility of the neck, gently, by working on the cervical vertebrae but also on the muscles, fascias, etc. as well as on other structures of the body that he/she deems necessary. In case of flattening of the skull already present, your osteopath will work directly on the bones of the skull, i.e. on the sutures between the bones, on the face, on the surrounding membranes, but also directly on the bone to stimulate bone cell growth in the flattened area.
You, the light, everything that catches his eye
Your child loves you, so he wants to watch you. He will therefore fall asleep by turning his head towards you or towards the door because he knows that you are coming this way. If the door, or you, is on the right, your child will turn his head to the right and the back of the right skull will flatten out like a ball of modeling clay put on a desk always in the same place. It is therefore necessary to turn the baby's bed so that one time it turns to the left and the other time to the right.
It is the same for mobiles, they attract the child's gaze and he will tend to stay in the same position. Ideally, it is advised to install the mobile at the feet of the child in the middle of the bed.
At birth, the child sees very little but he distinguishes well the contrasts (black and white), so he is very attracted by the light. Turn your child's bed from time to time. Change the places where he is, he will discover another world and it will help him to develop.
![twins avoid flat heads with pediatric osteopathic advice in versailles](https://files.sbcdnsb.com/images/zu16kaf2cer5/content/1502464376/313971/100/jumeaux-viter-les-ttes-plates-avec-conseils-ostopathe-versailles-78.jpeg)
In the case of twins, even when separated by a partition, they look at each other or at least turn their heads towards each other. It is very common in the office to see one twin with a flattened skull on the left and the other on the right. Also, consider changing their beds...
Don't wait before going to the osteopath
I was not, at the beginning, for the systematic visit of the newborn to an osteopath, but with practice, I realize that the precision that a trained osteopath looks for is not the same as the parents who look at their little wonder. Thus, many parents bring their children to my office for colic, reflux or other problems and do not notice the flattening of their child's skull or the loss of cervical mobility. Now, I recommend a check-up precisely to prevent dysfunctions from setting in and affecting all the structures of the body.
![flattening of the skull by osteopath in Versailles Chantiers 78](https://files.sbcdnsb.com/images/zu16kaf2cer5/content/1502463492/313961/100/consulter-un-ostopathe-pour-lutter-contre-laplatissement-du-crne.jpeg)
The osteopath will first look at and test the different structures of your baby's body in order to understand what is disturbing your child or what could cause dysfunctions. Then, using specific soft techniques, your osteopath will work on the joints, muscles, ligaments, viscera and fascias to remove dysfunctions and restore the balance of the body necessary for its proper functioning.
In practice, what should you do?
Put your baby on his stomach as much as possible during the period of development
![baby on his stomach plagiocephaly osteopath in Versailles 78](https://files.sbcdnsb.com/images/zu16kaf2cer5/content/1674464437/313962/100/mettre-bb-sur-le-ventre-pour-lutter-contre-laplatissement-du-crane.jpeg)
When your child is awake, remember to put him or her on his or her stomach as much as possible. This prevents the head from resting and flattening on the contact area. On his tummy, your child will try to lift his head and look at the world around him. This is not only good for his psychomotor development but also allows the contraction of the suboccipital muscles. These muscles are located at the back of the skull and end at the cervical spine. Thus, as soon as your baby lifts his head, he will use his muscles to pull the back of the skull and thus generate the curved effect. You can also stimulate him with toys, so that on his stomach, head up, he turns his head to the left and then to the right.
Carry your child in a sling, in a baby carrier or in your arms
Worn in a sling or in a baby carrier or in your arms, baby's head is not in contact with anything and therefore cannot flatten.
Contrary to popular belief, a baby does not get used to arms. Carrying him, having him against you has only positive effects, not only for a nice round head but also for his self-confidence and to encourage the parent-child attachment.
![a baby doesn't get used to the arms](https://files.sbcdnsb.com/images/zu16kaf2cer5/content/1674464665/2900168/100/porter-son-bebe.jpeg)
![baby carrying flattening cranium Osteopath versailles](https://files.sbcdnsb.com/images/zu16kaf2cer5/content/1674464527/2900142/100/portage-bebe-aplatissement-crane-osteopathe-versailles.jpeg)
Be careful with baby carriers, some do not respect your child's physiology and can cause other problems.
Don't hesitate to ask for advice from trained professionals such as your osteopath, psychometrist, babywearing trainer, etc.
Put baby's head on the curved side, not the flat side
![turning baby's head advice from marie messager pediatric osteopath in versailles](https://files.sbcdnsb.com/images/zu16kaf2cer5/content/1502464068/313966/100/tourner-la-tte-de-bb-contre-laplatissement-du-crne-expliqu-par-ostopathe-78.jpeg)
Putting baby on his back during sleep reduces the risk of sudden death of the newborn, so it is necessary to continue to lay him on his back. Try to position his head, so it is necessary to continue to make him sleep on his back. However, try as much as possible to put his head on the side of the curvature and not on the side of the flattening to allow the correction of the asymmetry.
Turn your head to the right and to the left
When breastfeeding, bottle-feeding or carrying, remember to alternate sides to prevent baby's skull from molding more to one side than the other.
Use toys during the waking period to lure him to one side or the other.
Place your baby on his or her side with a side positioning cushion
This cushion allows you to cradle your baby on his side. The goal is to avoid the support of the head on the flattened side so that the skull can develop and to slow down the growth of the skull on the other side.
From what age to what age
It is recommended to use it until your child is 3-4 months old.
When your child turns over or no longer stays on his side, this cushion is useless!
Note: for children born premature or at least early, the cushion can be used later. We rely on the corrected age. For example, if a child is born one month early, he/she can be one month older in it.
How to place your baby in the lateral positioning cushion?
- If your baby has a flattened skull on the right side (right plagiocephaly), place him on his left side, with the longest flange on his back and the smallest on his stomach
- If your baby has a flattened skull on the left side (left plagiocephaly), place him on his right side, with the longest flange on his back and the smallest on his stomach
At what times of the day should I use this cushion?
Your baby should be placed in this cushion when sleeping: at night for mild to moderate plagiocephalus and also for naptime for more severe plagiocephalus.
When your baby is awake: do not put him in this baby wedge but take advantage of it to put him on his stomach, work on his motor skills, stimulate him with toys placed on the opposite side of the flattened side.
Attention: you must stimulate your baby at the same time!
![baby belly plagiocephaly brachycephaly osteopath](https://files.sbcdnsb.com/images/zu16kaf2cer5/content/1674464133/2900141/100/bebe-ventre-plagiocephalie-brachycephalie-osteopathe.jpeg)
This lateral positioning cushion allows the recovery of the flattening of the skull more quickly, but it has an impact on the psychomotricity of the child, which is why it is essential to stimulate the baby outside of the sleep periods.
- Put him on the ground, on his stomach under supervision
- Put him on the floor on his back, but place toys, or big brother on the opposite side of the flattening of the skull
- Carry your baby: whether in a sling or in your arms, carry your child. Don't leave your baby in a bed or bassinet all day! A baby doesn't get used to being held. All the time he is in arms is all the time that the skull does not flatten more.
Do not hesitate to ask your osteopath for advice.
Marie Messager
Osteopath specialized in pediatrics
in Versailles - 78 - Yvelines