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  • The anatomy of the frenulum under your baby's tongue (known as the lingual frenulum)
  • Is your baby's torticollis causing tongue or other fascial restrictions which interfere with breastfeeding?
  • Is infant frenotomy for breastfeeding problems an evidence-based solution?
  • What drives overdiagnosis and overtreatment of restricted oral connective tissues in breastfeeding babies?
  • A short history of the diagnosis of posterior tongue-tie

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  • PBL Intermediate
  • S7: Infant fascial restrictions, neuromuscular asymmetry, torticollis: a closer look

Is your baby's torticollis causing tongue or other fascial restrictions which interfere with breastfeeding?

Dr Pamela Douglas18th of Oct 202431st of Dec 2024

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Human fascia interconnects right throughout our bodies, as traditional bodywork therapists have taught us.

However, there is no reason to think that a baby's functional torticollis relates to tongue movements, or affects breastfeeding.

If your baby's head turns when you place your hands on her head and move it for her, which is the case with functional torticollis, then your baby can breastfeed comfortably. In breastfeeding she needs only be able to look straight ahead.

The gestalt method ensures spinal alignment, without rotation of her head.

Recommended resources

  • You can find out about the gestalt method and spinal alignment here.

  • You can find out about positional plagiocephaly, torticollis, and motor development here.

  • You can find out about functional torticollis and evolutionary bodywork here.

  • You can find out about the interactions between positional plagiocephaly, motor development and sleep here.

  • You can find out why the gestalt method is evolutionary bodywork here.

  • You can find out how best to protect your baby's sensory motor development here.

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Next up in Infant fascial restrictions, neuromuscular asymmetry, torticollis: a closer look

Is infant frenotomy for breastfeeding problems an evidence-based solution?

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Systematic reviews are unable to demonstrate any clear benefits of infant frenotomy on breastfeeding outcomes

Syntheses and analyses, either as systematic reviews or metanarrative reviews, fail to demonstrate benefits of frenotomy for ankyloglossia or tongue-tie. It is possible that the benefits of simple scissors frenotomy for classic tongue-tie are being overlooked because of the lack of clarity in all existing research concerning the definition of tongue-tie.

Often you'll hear it said that research has limitations, that there's not enough research done yet, that we need to take into account clinical experience. There's often some truth to each of these claims when it comes to helping women and babies with breastfeeding problems. What matters, in my view, is…

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Possums acknowledges the traditional owners of the lands upon which The Possums Programs have been created, the Yuggera and Turrbal Peoples. We acknowledge that First Nations have breastfed, slept with, and lovingly raised their children on Australian lands for at least 65,000 years, to become the oldest continuous living culture on Earth. Possums stands with the Uluru Statement from the Heart.