Newborn Care

Could Your Baby's Colic Be Related to Their Balance System?

Constant crying and trouble settling may not be "just colic" — it can be a sign of vestibular dysregulation. Here's the connection, explained simply.

If you've spent hours rocking, bouncing, and driving your crying baby around the block at 2 a.m., searching "why won't my baby stop crying" with one hand on your phone, you already know how helpless it can feel. And you're probably wondering if there's something more going on than "just colic."

Short answer: for some babies, yes. Research and clinical experience both point to a connection between how a baby processes movement and balance, their vestibular system, and how easily they settle. When there's tension or restricted motion in the upper neck, it can affect that system, and a gentle, newborn specific chiropractic adjustment may help.

Most parents are told colic comes down to gas, an immature digestive system, or a phase you simply survive. Those things can be part of the picture. They're just not always the whole picture.

The balance system starts working early

The vestibular system is the part of the nervous system that helps us understand movement, balance, and where our body is in space. It receives information from the inner ear, but it also depends on input from the eyes, muscles, joints, and upper neck.

Most babies find movement calming. They settle when rocked, carried, or taken for a drive. Some babies respond very differently. A change in position may make them stiffen, arch, startle, or cry. Laying a sleeping baby down flat can turn them wide awake and uncomfortable in seconds.

That doesn't automatically mean there's a vestibular problem. It does mean the way the baby is processing movement deserves a closer look.

Here's the connection. The nervous system runs from the brain down through the spinal cord at the top of the neck, out to the rest of the body, including the pathways that process movement and balance. That upper neck area carries a heavy share of the sensory input the brain uses to understand where the body is and how it's moving. When that incoming sensory input improves, the brain's outgoing signals, the motor output that controls muscle tone, coordination, and the ability to settle, tend to improve too. That's one reason a baby's vestibular processing and their upper neck alignment often show up together.

They aren't two separate issues. They're connected by the same nerve pathway.

Five questions worth asking

In a 2021 study, chiropractor Jan Hoeve used five questions to look for signs of vestibular dysregulation in colicky babies:

  1. Does your baby struggle to calm down or fall asleep during a car ride?
  2. Do they remain upset while being carried against your chest as you walk?
  3. Do they wake and cry when you lay them flat after they've fallen asleep?
  4. Do they suddenly wake with a scream and a Moro-like startle?
  5. Do they seem more comfortable inclined than lying flat?

One "yes" doesn't diagnose anything. Babies act this way for plenty of reasons, including feeding difficulty, reflux, illness, or plain temperament. What matters is the overall pattern.

What the study found

Hoeve compared 120 colicky babies with 117 babies who didn't have colic. Nearly every colicky baby had at least one sign on the five question vestibular index. Most of the non-colicky babies showed few or none.

The colicky babies received an average of about four visits using a very gentle, pulsed vibration over selected areas of the upper neck and base of the skull. Their average vestibular score dropped from 2.88 to 0.10, a 96.5% change.

That's a striking number, and worth being precise about: the study showed a 96.5% decrease in the five question vestibular score, not a 96.5% decrease in crying itself. There was also no untreated group of colicky babies for comparison, so the study can't prove vestibular dysfunction causes colic, or that treatment alone produced the change.

What it does give us is another useful lens for looking at a baby who's having a hard time settling.

What I see in practice

After many years caring for infants, I've found that babies who are uncomfortable, hard to settle, or very sensitive to movement often have tension and altered motion in the upper neck.

When I talk about an upper-cervical subluxation, I don't mean one isolated finding or something that only shows up on an X-ray. In an infant, I'm looking for a combination of reduced motion, altered position, tight muscles, and discomfort. In plain terms, that's the same nervous system connection described above. Restricted motion at the top of the neck changes the sensory input traveling up to the brain, which can affect the motor output coming back down, including the signals involved in muscle tone and feeling settled.

Sometimes the signs are obvious. A baby who consistently turns their head one way, resists looking in the other direction, arches backward, or gets upset when laid down. Other times it's more subtle: tension at the base of the skull, difficulty relaxing, an unusually "strong" or stiff neck, or discomfort with certain movements and positions.

That doesn't mean every crying baby has an upper-cervical subluxation, or that every case of colic shares the same root cause. Babies are rarely that simple. Feeding, digestion, sleep, birth stress, sensory processing, and musculoskeletal tension can all overlap.

What we look at during a newborn assessment

At Whole Health Chiropractic in Gilbert, we don't just hear "colic" and assume we know the answer. We look at the whole baby.

That includes how comfortably the baby turns their head, whether they favor one side, how they respond to being laid down or moved, whether they tend to arch or extend, and where we find tension around the upper neck and base of the skull. We also consider feeding history, birth history, posture, and movement patterns.

If chiropractic care is appropriate, the adjustment is adapted specifically for a newborn. Gentle, precise, and directed toward the areas where we find altered motion and tension.

A quick word about safety

Not all crying is colic. A baby with a fever, difficulty breathing, repeated or green vomiting, poor feeding, fewer wet diapers, unusual sleepiness, a bulging soft spot, blood in the stool, or crying that suddenly feels different needs medical attention. Parents know their babies. If something feels wrong, contact your pediatrician or seek urgent care.

Looking beyond "just colic"

Sometimes colic becomes a label that ends the conversation: your baby cries a lot, and eventually they'll grow out of it. Parents deserve a more thoughtful look than that.

Vestibular regulation may not explain every unsettled baby, but how a baby responds to movement, position changes, and being laid flat can offer meaningful clues. When those signs appear alongside restricted upper-neck motion, malposition, tight muscles, and discomfort, it's worth assessing the area carefully.

If your baby is struggling with excessive crying, difficulty settling, car rides, or changes in position, we'd be happy to take a closer look. Whole Health Chiropractic provides gentle newborn and pediatric chiropractic care for families in Gilbert, Arizona, and throughout the East Valley. Reach out or book a visit any time.

Common questions about colic and chiropractic care

Is chiropractic safe for a newborn?

Yes. Pediatric adjustments use light, precise pressure appropriate for an infant's size and development. It's nothing like an adjustment for an adult.

How many visits does a colicky baby typically need?

In the Hoeve study, colicky babies averaged about four visits over two weeks. Every baby is different, and we reassess along the way rather than committing to a fixed number up front.

What is vestibular dysregulation in babies?

It's difficulty smoothly processing movement, position, and balance information, which can show up as resistance to lying flat, distress during position changes, or trouble settling even with rocking or carrying.

Can chiropractic replace medical care for colic?

No. Chiropractic care can be one part of figuring out what's going on, but always start with your pediatrician, especially if there are any warning signs like fever, vomiting, or poor feeding.

Reference: Hoeve, J. (2021). Clinical evidence of vestibular dysregulation in colicky babies before and after chiropractic treatment vs. non-colicky babies. Frontiers in Pediatrics, 9, 668457. doi.org/10.3389/fped.2021.668457

When you're ready

Let's take a closer look at your baby's colic.

If your baby is struggling to settle, resists lying flat, or seems uncomfortable with certain movements, we'd love to help you figure out what's going on.

Call (480) 507-2788 Book Online
← Back to all posts