Many times, in clinic a new baby or infant will book in, and the parents have requested a “check up”. Do you do these, they ask.
Yes, Yes and Yes.
A musculoskeletal assessment of infants can give so much information. Early assessment helps identify any potential issues, allowing for timely intervention and preventative measures.
An article by Stellwagen et al (2008) writes about common neonatal birth injuries in normal newborn infants. Although the study was only of 102 newborns, the results showed 73% of these newborns had 1 or more asymmetry. Torticollis (16%), asymmetry of the mandible or jaw (13%), fascial asymmetry (42%) and asymmetry of the head (61%). Torticollis was associated with the mother’s report of the fetus being stuck in one position for more than 6 weeks before delivery. Moderate fascial asymmetry was associated with a longer second stage of labour, forceps delivery, bigger birth weight and birth trauma. Moderate cranial and mandibular (jaw) asymmetries were associated with birth trauma.
As you can see, mild to moderate musculoskeletal injuries are relatively common at birth and often go undetected until a health problem arises.
These kinds of injuries if left unresolved can increase the risk for:
- Mobility or motor skill problems
- Compromised breastfeeding
- Excessive crying
- Discomfort with lying on their back and/or doing tummy time
- Postural problems
The next question that is asked is “When is the best time to bring my baby in to see you?”
Generally, for a check up between 6-12 weeks is ideal. This gives enough time for any postural asymmetries to self-resolve. Of course, if you feel there is a symptom picture building then newborns are welcome from a few days old.
Investing in your baby’s musculoskeletal health during infancy sets the foundation for their future well-being. At Cotlew St Osteopathy, we are committed to providing personalised care. Through early assessment and intervention, we can support the natural growth and development of your baby.
Dr Victoria McLelland – Registered Osteopath
Reference: Torticollis, fascial asymmetry and plagiocephaly in normal newborns. L Stellwagen et al. 2008. Arch Dis Child.
