Many babies with tongue-ties also have other associated musculoskeletal issues. The functionality of sucking and swallowing begins long before birth and includes many structures. Therefore, many babies have established compensation patterns for inadequate tongue function.

The diagnosis of a tongue-tie should be based on functional assessment as well as physical appearance. A visual inspection tool or a cursory glance are insufficient in assessing the presence or severity of a tongue-tie. The ability to stick a tongue out does not mean that there is sufficient tongue range of motion or dexterity. It’s one motion of eight that we assess and evaluate.

It’s important to ascertain how the presence of a tie is affecting feeding and comfort levels. Tongue-tie issues are equally as important in both the breast and bottle fed baby.

Tongue dysfunction and inadequate latching have implications whether you are breast or bottle fed. A baby gaining weight adequately does not negate the issues that a tongue-tie can create.

“Body work” may be carried out by a number of different professions where the practitioner has additional training and experience in paediatric musculoskeletal health.

We believe that when treating babies with tongue-tie complications it is equally as important to examine, assess and treat inside as well as outside of the mouth. The tongue, palate, jaw, neck, thoracic spine and associated musculature are all important structures to assess and treat as necessary. 

Practitioners working with babies post division will give advice on exercises and home care which will help functional healing.