How we help

Who we treat

We work with infants, babies and toddlers. Understanding what you are seeing is the first step, so below are the signs of the most common conditions we help with, and why acting early makes such a difference.

Smiling baby crawling on a play mat during a developmental milestone
Condition

Gross Motor Development

Every baby develops at their own pace, but motor milestones tend to emerge in a predictable order. When rolling, sitting, crawling or standing are slow to appear, or your baby favours one side of the body, physiotherapy can help build the foundations.

Signs that may be worth checking

  • Stiff or unusually floppy arms, legs or trunk
  • Poor head control beyond the early months
  • Not pushing up or tolerating tummy time
  • Strongly favouring one hand or one side of the body
  • Not rolling, sitting or crawling around the expected time
  • Difficulty bearing weight through the legs
  • Milestones that seem to slip backward

Typical motor milestones

  • Around 2 months: lifts head during tummy time
  • Around 4 months: good head control, pushes up on forearms
  • Around 6 months: rolls both ways, begins to sit with support
  • Around 9 months: sits steadily, starts to crawl
  • Around 12 months: pulls to stand, cruises along furniture

These are general guides, not deadlines. If you are unsure, an assessment brings clarity.

Condition

Torticollis (tight neck)

Congenital muscular torticollis happens when the muscle running down one side of the neck (the sternocleidomastoid) is tight or shortened. This makes it hard for your baby to turn their head freely, so they tend to tilt their head to one side and turn their chin toward the other.

Signs to look for

  • Head consistently tilts to one side
  • A strong preference to look in one direction
  • Difficulty turning the head fully to both sides
  • Chin pointing toward one shoulder
  • A small, firm lump may be felt in the neck muscle
  • Feeding challenges or a preference to feed on one side
  • Fussing or straining when turned to the harder side
  • Flattening developing on one side of the head

Why it matters

Because babies spend so much time on their backs, a persistent head turn often leads to flattening on that side of the skull (plagiocephaly). Torticollis and flat-head syndrome frequently go together, which is why they are best assessed as a pair.

How physiotherapy helps

Treatment is gentle and play-based. It includes neck stretches, active exercises that encourage your baby to turn toward the harder side, positioning strategies, and plenty of parent coaching so progress continues between visits. Started early, most cases respond very well.

Condition

Plagiocephaly & head shape

A baby's skull is soft and grows rapidly, so steady pressure on one area can flatten it. This is positional plagiocephaly, often called flat-head syndrome. It is common, it is not painful, and with early repositioning and therapy the head shape usually improves.

Signs to look for

  • A flat spot on the back or one side of the head
  • Seen from above, the head looks asymmetrical
  • One ear pushed slightly forward compared to the other
  • Uneven forehead or cheek fullness on one side
  • Less hair or a bald patch over the flattened area
  • A strong, persistent preference to rest the head one way

Different head shapes

  • Plagiocephaly: flattening on one side, giving the head an asymmetrical, slanted look from above.
  • Brachycephaly: flattening across the whole back of the head, making it look wide and flat at the back.
  • Scaphocephaly: a long, narrow head, more common in babies who spend a lot of time on their side, and often seen in premature infants.

When to seek advice sooner

Positional flattening improves with repositioning. Rarely, an unusual head shape is caused by early fusion of the skull's growth seams (craniosynostosis), which needs medical assessment. If the shape is unusual or ridged, or you are unsure, it is always worth asking. An assessment gives you a clear answer.

Read about helmeting and when it is required

Why it matters

The benefits of early intervention

In a baby's first year, the brain and body are remarkably adaptable. That is exactly why starting early tends to be gentler, faster and more effective than waiting to see if it settles.

Softer, more responsive skull

An infant's skull is soft and grows fastest in the early months, so head shape responds best to repositioning and therapy during this window.

Free movement before habits set

Treating a tight neck early frees up motion before muscle tightness and one-sided habits become entrenched.

Milestones stay on track

Symmetrical, comfortable movement lays the groundwork for rolling, sitting and crawling to develop on time.

Often avoids more intensive steps

Early repositioning and physiotherapy can reduce the likelihood that a helmet or more involved treatment becomes necessary later.

Confident, empowered parents

You learn simple, practical techniques to support your baby every day, turning worry into confident action.

Peace of mind

Even when everything is developing normally, an early assessment gives reassurance and a clear picture of your baby's progress.

The first years of life are a critical window for healthy movement and neurodevelopment. If you have noticed something, or simply want reassurance, reaching out early is one of the best things you can do for your baby.

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