Wednesday, December 28, 2011

Plagiocephaly Treatment Using Osteopathy

By Cecilia Mercedes Evans


Plagiocephaly is an abnormal or deformed shape of the skull. It can happen while a infant is in the womb because of compression of the cranium (head) by lying in one placement for a length of time, being engaged for a long time, a lengthy labour with a difficult birth, or when the infant gets stuck although contractions are still occurring. Untreated the effect of abnormal forces because of dural strain may lead to torticollis (shortening and spasm from the sterno-cleido-mastiod muscle) or scoliosis (lateral deviation from the spine), both important considerations for growth and development.

If of intra-uterine cause it is going to be obvious at birth. Nevertheless sometimes it is not observed until 4-6 weeks and is then much more likely post-natal in origin. Typically with the back to sleep programme some babies are lying on their backs in 1 position for a lengthy time. The sustained pressure on malleable bones of the skull can result inside a flattening in the back from the head or on one side. It might also be because of a tightening of muscles on one side of the neck or spinal tension restricting neck mobility, leading a baby to favour liking with it head to 1 side all of the time, resulting in the flattening from the skull.

Osteopathic examination would think about how the flattening has occurred. If it's due to the forces of labour, the effects tend to be mechanical; the cause will lie in a bony and membranous strain. The condyles, joints in the base from the skull onto the neck, are often affected, as may be the top from the neck. This is definitely an essential junctional area which resolves the forces from the head and the cervical spine and is the weakest area in the spine when the force of labour contractions doesn't produce movement through the birth canal.

The priority of treatment is the resolution of any mechanical strains or abnormal tensions maintaining the distortion from the cranial bones. Cranial osteopathy has great outcomes for function and look, achieved by releasing strains in the neck and head, and giving balance towards the membranes. Guidance will be given to parents with ideas on how to help at house.

Usually plagiocephaly won't have severe long-term outcomes other than cosmetic appearance, as long as the membranes feel comfortable and you will find no obvious stresses remaining. However in a couple of untreated instances there may be bony distortion, developmental delay, palpable bony prominence and an abnormal pattern of hair growth.

We have practitioners at the clinic who are experienced in treating plagiocephaly, and are happy to provide you with an honest opinion and great advice. Expect it to take 2-3 treatments before change is observed in head shape, although associated symptoms might alter much more quickly.




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