There are 5 components to a full tongue tie release
Updated: Nov 6, 2022
And you need all 5 to get the results you are probably expecting!
Bodywork Manual therapies like chiropractic, osteopathic manipulation, cranial sacral therapy (a very gentle therapy which guides baby to function), physiotherapy, and many more! Find a therapist who works with infants often for the best results. Read more about this here The practitioner and their skill set is the most important factor in deciding which type to go with along with the areas your baby needs treated, your IBCLC should help you determine this.
Oral motor exercises These are meant to address compensations and work toward function. They are done in the mouth and on the face and may include other body movements. Unlike bodywork, these exercises are done daily by the parents as directed by your IBCLC. When selecting your IBCLC find someone who can direct you through this work. If it is not in the skillset of your IBCLC they may refer you to an occupational therapist or speech language pathologist.
Feeding Plan this is evaluated and organized by your IBCLC. The feeding plan balances the need of the infant and parent and works toward feeding goals. For some, the goal is to feed directly while for others the goal may be bottle feeding expressed milk. Your IBCLC will manage your feeding plan according to your goals and to get the bet outcomes for you. This can include counseling on pumping, feeding positions and techniques, supporting milk supply, and referring to other providers.
*these 3 components are part of your pre and post release plan*
An effective release Scissors or laser...it doesn't matter as long as your provider is skilled and performs a full release to allow the tongue and/or other tissue to move normally. The release allows for movement while bodywork, oral motor training, and feeding plan management work together to get to normal function.
Wound care sometimes called stretches or exercises these are targeted on the site which was released (the diamond shape under the tongue). Wound care is necessary for posterior releases to prevent reattachment and aid in the tissue healing correctly. Sometimes your provider will suggest oral motor exercises along with the wound care. Your IBCLC should suggest additional, customized oral motor training in addition to these.
Without all 5 components your baby may not achieve full functionality. Your IBCLC should be able to guide you through this process and make referrals to skilled providers as needed.