
Dr. Piyush Jain
Dr. Piyush Jain provides pediatric clinical guidance for developmental and neurodevelopmental concerns where appropriate.
Short answer: Occasional resistance during a diaper change is normal baby behaviour. But legs that feel consistently stiff and are genuinely hard to move apart, every single change, can point to increased muscle tone and is worth a developmental check, especially alongside other motor signs.
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Diaper changes happen many times a day, which makes them a useful everyday window into a baby's muscle tone, even though most parents don't think of it that way. A relaxed baby's legs usually move apart fairly easily, with some natural kicking and wriggling. A baby with increased muscle tone (sometimes called high tone or spasticity) may hold their legs stiffly together or show real resistance each time a parent tries to gently open them, feeling tense rather than simply wriggly.
A single fussy diaper change means very little — babies squirm for all sorts of reasons, including being cold or simply not wanting to lie still. What matters more is a consistent pattern: the same stiffness, the same resistance, change after change, week after week. Parents from Trilokpuri, Block 6 have described exactly this — their baby's legs feel tight and are genuinely effortful to open at every single change, not just occasionally. When this pattern is paired with stiff-feeling arms, strong fisting, or motor milestones arriving later than expected, it becomes more significant.
This single sign alone isn't a diagnosis, and plenty of babies have a few stiff days during a growth spurt or when unwell. What's worth acting on is the consistency: if it's happening at nearly every change over several weeks, a paediatric developmental assessment can check overall muscle tone alongside other early motor skills. See our note on occupational therapy for children as early tone differences and fine motor development are often assessed together.
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Yes, mild wriggling or occasional fussing is completely normal and usually has nothing to do with muscle tone.
It tends to be consistent — the same resistance and tightness at nearly every change, rather than occasional fussiness tied to mood or temperature.
Stiff-feeling arms, tightly fisted hands beyond the newborn stage, and motor milestones (rolling, sitting) arriving later than typical.
If the stiffness is consistent over several weeks and especially if it comes with other delayed motor signs, a developmental assessment is a reasonable next step.
Useful context about the Genesis Neurogen doctors, so you can understand the wider clinical practice while reading this article.

Dr. Piyush Jain provides pediatric clinical guidance for developmental and neurodevelopmental concerns where appropriate.

Dr. Radha Jain is the Senior Consultant Gynecologist & Obstetrician within the wider Genesis Neurogen clinical practice. Her women’s-health services are detailed on the main Genesis Neurogen Delhi website.
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