PT

I'm taking this to Tristan's appointment this week.  Hopefully it will get me some results….

Re: Tristan E. Davis, Patient IHC Pediatric Rehabilitation

        Parental Concerns

Diagnosis

            -Congenital Muscular Torticollis

            -Pseudotumor R side sternocleidomastoid

            -L side plagiocephaly

Original Tx referral

            -Physical therapy

Outcome

            -Greater occurrence of regression to torticollis position

            -Short periods of improvement

            -Intermittent difficulties with breastfeeding due to positioning

            -Failure to achieve certain developmental milestones:

                        *Lifting head and upper body in prone position

                        *Rolling from back to stomach and visa versa

                        *Holding head up for age appropriate amount of time

            -Bossing of L forehead

            -Flattening  L anterior head

            -Bossing R temporal region

Tx options to consider

-Helmet to correct plagiocephaly, planned for 3 mo with Northwest Orthodics

            -TOT collar to assist in holding up head

            -Botulinum injections/baclofen po to relieve tightness

Perhaps an MRI would be warranted at this time to further evaluate the condition of the sternocleidomastoid muscle and rule out any other structural abnormalities

 Sincerely,

Nick and Sara Davis