Final answer:
If massaging did not help the baby after a year, the next best step would be to refer the baby to a specialist for a thorough evaluation and to identify an appropriate treatment plan.
Step-by-step explanation:
If the same baby comes to you after 1 year, and the initial approach of massaging didn't work, the next best step would typically be to refer the baby to a specialist. This would ensure a thorough evaluation by a pediatric healthcare provider with specific expertise. Health professionals often proceed with a cautious approach, especially when it comes to infants, as their bodies are still developing and they may respond differently to treatments than adults. Considering that the initial conservative treatment didn't result in improvement, seeking specialized care would be the prudent step to identify any underlying conditions that could be contributing to the baby's issues and determine an appropriate treatment plan.