Pediatric TorticollisTherapy in Durham & Chapel Hill
What is Torticollis (also called "Wry Neck")?

Torticollis, often called “wry neck,” is a condition where a baby or child holds their head tilted to one side and may prefer looking in only one direction. This can happen because the neck muscles become tight or shortened, making it difficult for the child to fully turn or position their head evenly.
Pediatric Torticollis Signs & Symptoms
Torticollis is commonly seen in infants and can sometimes lead to:
- Head tilting to one side
- Difficulty turning the head equally both directions
- Flat spots on the head (plagiocephaly)
- Delays in tummy time tolerance
- Delays in gross motor milestones such as rolling, sitting, or crawling
- Tightness in the neck and shoulder muscles
The good news? Early intervention and pediatric physical therapy can make a huge difference.
How Therapy Smarts Supports Children with Torticollis
While a diagnosis of Torticollis comes with unique challenges, it also comes with incredible potential. At Therapy Smarts, our multidisciplinary team in Durham and Chapel Hill works together to create a customized “roadmap” that helps your child hit their milestones and gain independence.
Building Strength and Mobility (Physical Therapy)
Many children with Torticollis experience hypotonia (low muscle tone) and ligament laxity. Our Pediatric Physical Therapists focus on:
Our team creates individualized treatment plans designed to help your child:
- Improve neck range of motion
- Strengthen neck and core muscles
- Develop symmetrical movement patterns
- Improve tummy time tolerance
- Reach important developmental milestones
- Prevent worsening head flattening or posture concerns
- Build strength, balance, and coordination
Because movement plays such an important role in infant development, addressing torticollis early can help children feel more comfortable exploring their environment and meeting milestones with confidence.
Enhancing Communication and Feeding (Speech Therapy)
Communication is the bridge to connection. Some children with Torticollis may face challenges with speech clarity or language delays, our Speech-Language Pathologists (SLPs) provide:
Oral Motor Therapy: Exercises to strengthen the tongue and jaw for clearer speech.
Total Communication Support: Using signs, gestures, or AAC (Augmentative and Alternative Communication) to reduce frustration while verbal speech develops.
Feeding Therapy: Specialized support for chewing and swallowing safety, ensuring your child gets the nutrition they need to thrive.
Developing Independence and Fine Motor Skills (Occupational Therapy)
Our Occupational Therapists (OTs) focus on “the job of being a kid.” We help children master the daily skills they need for home and school, including:
Fine Motor Coordination: Strengthening small hand muscles for writing, using scissors, or buttoning clothes.
Self-Care Skills: Practical training for feeding themselves, dressing, and grooming.
Sensory Integration: Helping children process information from their environment so they can stay focused and calm in the classroom.
Wondering About Developmental Milestones?
Have questions about your child’s development, or wondering if a certain diagnosis may be a fit? Try out our developmental screening tool— it’s a fast, free way to get a snapshot of your child’s progress on his or her developmental milestones.
Ready to Help Your Child Reach Their Full Potential?
At Therapy Smarts, we don’t believe in a “wait and see” approach. We believe in early, expert intervention that gives your child the tools they need to thrive. Whether you are looking for specialized Torticollis support or a comprehensive developmental evaluation, our award-winning team in Durham and Chapel Hill is ready to partner with your family.
Two Easy Ways to Begin:
Contact Us Directly: Ready to schedule? Call us at 919-378-1340.
Fill out our Online Inquiry Form to speak with a member of our intake team.
Don’t navigate this journey alone—let’s unlock your child’s possibilities together


