Breastfeeding and Torticollis: Positioning, Support, and What to Watch For
Understanding Torticollis and Feeding Challenges
Torticollis is a tight or shortened neck muscle — most often the sternocleidomastoid — that causes a baby to tilt or turn their head to one side. While it’s fairly common, it can make feeding a bit tricky. Babies with torticollis may prefer turning their head one way, struggle to latch on the non-preferred side, or feel uncomfortable in certain feeding positions.
The good news? With the right support and positioning, feeding can become much smoother and more comfortable for both baby and parent.
Optimal Feeding Positions
When feeding a baby with torticollis, the goal is to support alignment, comfort, and symmetry. The right position can make feeding easier and help stretch and strengthen both sides of your baby’s neck.
For Breastfeeding
Football hold: Use on the side opposite your baby’s head preference to encourage turning toward the tighter side.
Laid-back position: Let gravity help! This position reduces strain and helps baby relax into a more neutral posture.
Pillows and blankets: Support your baby’s body so their head and neck stay aligned and comfortable.
For Bottle Feeding
Feed on both sides: Alternate arms each feed to promote balanced head mobility.
Side-lying position: A natural, comfortable position that encourages proper alignment. Switch sides frequently.
Upright feeding: Particularly helpful for babies with reflux or those who prefer one side.
Supportive Techniques
Before feeding, try gentle stretches or massage (as recommended by your baby’s PT or OT) to relax tight muscles. If breastfeeding, take breaks during sessions to allow baby to reposition. For bottle feeding, paced feeding can help baby coordinate their suck and swallow more effectively.
Your lactation consultant can work alongside your therapy team to develop a feeding plan that fits your baby’s specific needs.
Red Flags to Watch For
Reach out for professional support if your baby shows any of the following:
Difficulty latching or staying latched
Coughing, choking, or milk leaking from the mouth
Fussiness or refusal to feed from one side
Signs of uneven jaw movement or body posture
If you notice these issues reach out! I can help determine if these challenges are related to torticollis or other feeding issues.
Build a Support Team
Torticollis often improves most quickly when a few professionals work together:
Lactation Consultant: Supports latch and positioning, especially if baby favors one side.
Pediatric Physical or Occupational Therapist: Addresses the root cause of torticollis and provides at-home exercises.
Feeding Therapist (SLP or OT): Helps if baby has trouble coordinating sucking, swallowing, or breathing.
Bodywork providers (optional): Some families find benefit from gentle pediatric chiropractic or craniosacral therapy — always choose trained, licensed providers.
Encouragement for Parents
Feeding a baby with torticollis can be challenging, but you’re not alone. With the right guidance and small adjustments, feeding can become more comfortable and rewarding.
If you need help, reach out to Every Baby Feeds for personalized support — we’re here to help you and your baby nurture, support and thrive every step of the way.