Physical Development

My Toddler Can't Twist or Unscrew Lids

Medically reviewed by Dr. Sarah Chen, MD, FAAP · Board-Certified Pediatrician

Content reviewed against published AAP, CDC, NIH guidelines

Editorial policy

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Your baby's physical development is unique, and concerns about my toddler can't twist or unscrew lids, here is what you need to know.

The short answer

Unscrewing lids is an advanced fine motor skill that combines wrist rotation, grip strength, and bilateral hand coordination. Most children learn to unscrew loose lids between 2 and 3 years. If your toddler is under 2 and cannot unscrew lids, this is completely normal.

Key takeaways

  • Unscrewing lids is an advanced fine motor skill that combines wrist rotation, grip strength, and bilateral hand coordination. Most children learn to unscrew loose lids between 2 and 3 years. If your toddler is under 2 and cannot unscrew lids, this is completely normal.
  • Usually normal when: Your toddler is under 2 and cannot unscrew lids.
  • Call your doctor if: Your child has lost hand function or strength.
  • Varies by age — see the age-by-age breakdown below
Supervised tummy time is recommended daily from the time the baby comes home from the hospital to help prevent flat head syndrome and to strengthen neck and shoulder muscles.
Back to Sleep, Tummy to Play, American Academy of Pediatrics (AAP)

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What Parents Should Know

According to AAP, CDC, NIH guidelines, unscrewing lids is an advanced fine motor skill that combines wrist rotation, grip strength, and bilateral hand coordination. Most children learn to unscrew loose lids between 2 and 3 years. If your toddler is under 2 and cannot unscrew lids, this is completely normal. At 12-18 months, toddlers at this age cannot unscrew lids and are not expected to. They are still developing the wrist rotation and grip strength needed. Offering containers with loose lids to practice can build these skills. It is generally considered normal when your toddler is under 2 and cannot unscrew lids. However, you should contact your pediatrician promptly if your child has lost hand function or strength.

Sources: [1], [2], [3]

Normal vs. Concerning

Usually Normal
Worth Discussing
Your toddler is under 2 and cannot unscrew lids.
Your child has lost hand function or strength.
Your toddler can unscrew with help or with loose lids.
Your child has pain or swelling affecting hand use.
Your toddler is developing wrist rotation with other activities.
Your child is over 3 and cannot unscrew any lids.
Unscrewing ability is improving with practice.
Your child has generalized hand weakness.

By Age

What to expect by age

12-18 months

Toddlers at this age cannot unscrew lids and are not expected to. They are still developing the wrist rotation and grip strength needed. Offering containers with loose lids to practice can build these skills.

18-24 months

Some toddlers begin to unscrew very loose lids with assistance. The bilateral coordination of holding the container while turning the lid is challenging. Practice with play dough container lids and large bottle caps helps develop this skill.

2-3 years

Most children can unscrew loose lids by age 2-3. If your child cannot unscrew any lid by age 3, mention it to your pediatrician. They may benefit from occupational therapy to develop hand strength and coordination.

3-4 years

Unscrewing should be manageable for loose-to-moderate lids. Tight lids are still difficult and require adult strength. If your child cannot unscrew loose lids, evaluation of hand function is recommended.

What to Tell Your Pediatrician

  • Describe when you first noticed my toddler can't twist or unscrew lids and how it has changed over time.
  • Note your baby's current age and which age-specific patterns you are seeing.
  • Mention if your child is over 3 and cannot unscrew any lids.
  • Mention if your child has generalized hand weakness.
  • Let your doctor know if you have noticed any related concerns, such as changes in feeding, sleep, or movement patterns.
  • Bring a list of any questions or observations you want to discuss at the appointment.

What Should You Do?

When to take action

Probably normal when...
  • Your toddler is under 2 and cannot unscrew lids.
  • Your toddler can unscrew with help or with loose lids.
  • Your toddler is developing wrist rotation with other activities.
  • Unscrewing ability is improving with practice.
Mention at your next visit when...
  • Your child is over 3 and cannot unscrew any lids.
  • Your child has generalized hand weakness.
  • Your child has difficulty with other twisting and turning tasks.
Act now when...
  • Your child has lost hand function or strength.
  • Your child has pain or swelling affecting hand use.

What You Can Do at Home

  • Keep track of when you notice my toddler can't twist or unscrew lids — noting the time of day, duration, and any triggers can help your pediatrician.
  • Remember that your toddler is under 2 and cannot unscrew lids — this is generally within the range of normal.
  • At 12-18 months, focus on observation rather than intervention unless your pediatrician advises otherwise.
  • Provide plenty of supervised floor time and tummy time to support your baby's physical development.
  • While monitoring at home, seek immediate care if your child has lost hand function or strength.

Frequently asked questions

Is my toddler can't twist or unscrew lids normal?
Unscrewing lids is an advanced fine motor skill that combines wrist rotation, grip strength, and bilateral hand coordination. Most children learn to unscrew loose lids between 2 and 3 years. If your toddler is under 2 and cannot unscrew lids, this is completely normal.
When should I call the doctor about my toddler can't twist or unscrew lids?
Your child has lost hand function or strength. Your child has pain or swelling affecting hand use.
When is my toddler can't twist or unscrew lids normal?
Your toddler is under 2 and cannot unscrew lids. Your toddler can unscrew with help or with loose lids. Your toddler is developing wrist rotation with other activities.
What causes my toddler can't twist or unscrew lids?
Unscrewing lids is an advanced fine motor skill that combines wrist rotation, grip strength, and bilateral hand coordination. Most children learn to unscrew loose lids between 2 and 3 years. If your toddler is under 2 and cannot unscrew lids, this is completely normal. Common explanations include: Your toddler is under 2 and cannot unscrew lids.. Your toddler can unscrew with help or with loose lids..
What should I mention to my pediatrician about my toddler can't twist or unscrew lids?
You should mention my toddler can't twist or unscrew lids at your next visit if: Your child is over 3 and cannot unscrew any lids.. Your child has generalized hand weakness.. Your child has difficulty with other twisting and turning tasks..
Is my toddler can't twist or unscrew lids normal at 12-18 months?
Toddlers at this age cannot unscrew lids and are not expected to. They are still developing the wrist rotation and grip strength needed. Offering containers with loose lids to practice can build these skills.
Is my toddler can't twist or unscrew lids normal at 18-24 months?
Some toddlers begin to unscrew very loose lids with assistance. The bilateral coordination of holding the container while turning the lid is challenging. Practice with play dough container lids and large bottle caps helps develop this skill.
Should I go to the ER for my toddler can't twist or unscrew lids?
Seek emergency care if your child has lost hand function or strength, or if your child has pain or swelling affecting hand use. When in doubt, call your pediatrician's after-hours line for guidance.
Does my toddler can't twist or unscrew lids go away on its own?
In many cases, my toddler can't twist or unscrew lids resolves on its own, especially when your toddler is under 2 and cannot unscrew lids. By 3-4 years, unscrewing should be manageable for loose-to-moderate lids. Tight lids are still difficult and require adult strength. If your child cannot unscrew loose lids, evaluation of hand function is recommended.

References

  1. [1]American Academy of Pediatrics - Developmental Milestones: Fine Motor AAP
  2. [2]CDC - Important Milestones: Your Child By 3 Years CDC
  3. [3]Exner CE. Development of Hand Skills in Children. In: Occupational Therapy for Children. 2010 NIH

Doctor Visit Checklist

Bring this checklist to your next pediatrician visit to discuss My Toddler Can't Twist or Unscrew Lids.

Things to mention

  • Describe when you first noticed my toddler can't twist or unscrew lids and how it has changed over time.
  • Note your baby's current age and which age-specific patterns you are seeing.
  • Mention if your child is over 3 and cannot unscrew any lids.
  • Mention if your child has generalized hand weakness.
  • Let your doctor know if you have noticed any related concerns, such as changes in feeding, sleep, or movement patterns.
  • Bring a list of any questions or observations you want to discuss at the appointment.

Observations to share

  • Your child is over 3 and cannot unscrew any lids.
  • Your child has generalized hand weakness.
  • Your child has difficulty with other twisting and turning tasks.

Urgent signs to report immediately

  • Your child has lost hand function or strength.
  • Your child has pain or swelling affecting hand use.

My notes

From ismybabyalright.com — free, evidence-based baby health guides

All content follows our editorial policy and is reviewed against published clinical guidelines.

2,705 evidence-based guides6 authoritative medical sources5 medical advisory board members

Bottom line

Most cases of my toddler can't twist or unscrew lids are normal. Talk to your pediatrician if your child has lost hand function or strength.

Trust your instincts. If something feels wrong, reach out to your pediatrician. Worrying about your baby means you care — that is a good thing.

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