Hi K.,
My son, who is now 6, was born early and with tort & phagio both. In utero, he was very low and wedged behind my pubic bone for so long that the right/back side of his head had a large flat spot and his neck had been twisted in the position so long he had torticollis. You are on the right track with the therapy!! My son started therapy at 3 months and wore a helmet for a couple months. The neurosurgeon ordered the CT scan to determine the type and severity of the phagiocephaly (was moderate) and also ordered the helmet and therapy. He said a CT is the only way to determine the type of phagio and this is critical, some types the bones fuse and requires surgery and you can not tell this by just looking a him!! The CT is easy...we had ours at Arnold Palmer in Orlando and they squirted a little liquid medicine into my son's butt to make him sleepy and not move. The scan took about 5 minutes and he woke up about 1-2 minutes after that in my arms and was completely fine.
The therapy really does work for the tort. I'm glad you are seeing good results. We made a diaper change rule....with every diaper change he got a couple minutes of therapy from us. We also massaged him a LOT! His head was repositioned every hour all night until his helmet arrived. The helmet was a pain in the rear and he hated it, but it definitely did the job. Today, his head is close to perfect, nobody can tell but us. The torticollis is gone as far as I can tell, but if I rub his neck/shoulders, the one side always feels like it has a tighter muscle than the other. Insurance gave us a fit over the helmet, so be prepared, if he needs one, you may have a fight on your hands. Our docs had to write letters to Cigna to get them to pay and they still only paid a small portion (took a year). My nephew had phagio WITHOUT tort and did not need a helmet, his neurosurgeon said that the tort and severity are the determining factors for the helmet. The tort it will continue to pull the head to make the flatten area worse and keep the head from growing into a normal shape. The helmet will prevent the eventual bulging of the forhead and drooping of the ear on one side. When the doc(neurosurgeon) told us about those things and showed us the photos of what could happen without the helmet and therapy...we got the helmet right away. Therapy was 2x/wk initially then 1x/wk. Another thing you can do is to put things in the car, crib, swing, etc... on the side you want him to look over toward and reach toward to make him want to turn his head that way. By the way, after the helmet, we never had to go back to the neurosurgeon and everyone in our family could tell the difference in his head. So be diligent, stay calm and fight for whatever you son needs....you are his hero and advocate. Good luck. By the way, my son is so adorable and smart smart smart...you would never know that he was a helmet baby!
A.