Infant Feeding & Tongue Ties

Infant feeding has a number of dynamics including:

  • Flow rate of breast and/or bottle
  • Breast and/or bottle shape/size
  • Baby’s anatomy (such as tongue tie)
  • Baby’s muscle function
  • Baby’s nervous system response
  • Baby’s comfort

Physical therapists are trained as nonsurgical musculoskeletal experts.

Reach out to discover how to support your child in their feeding journey


We Provide Functional Tongue Mobility Assessments

Our physical therapists are trained in the functional assessment of tongue ties. Not just if they stick out their tongue.

We look at:

  • Tongue function through the Bristol Tongue Assessment Tool to identify babies unlikely to benefit from referral for frenectomy.
  • Jaw and neck function using a movement screen modified from our exam used by experts in TMJ dysfunction.
  • Body response and regulation. Identifying how your baby responds to touch and how best to support their cues and body response.
  • Use best research to support feeding.

How A Tongue Tie Limits Movement

A tongue tie can:

  • Limit the ability for a baby to lift their tongue restricting swallow and suck.
  • Prevent a baby from bringing their tongue forward preventing the ability to maintain a seal. This causes clicking, air intake, and milk loss.
  • Cause compensation in the neck, shoulders, and hips contributing to overall discomfort.

Benefit Of Manual Therapy & Functional Exercise

Manual therapy has been shown to improve overall feeding outcomes in as little as 2 visits supporting transition to exclusive breastfeeding.

Manual therapy at Lunara:

  • Helps improve comfort and ability to maintain engagement while feeding.
  • Reduce tension to reduce compensations and allow improved suck and swallow. Bonus: reduce torticollis.
  • Promote muscle activation to allow improved seal and sustained feeding.
  • Support on bottle feeding to support breastfeeding.

Why Choose Lunara?


Our therapists are trained to:

  • Support feeding in the fragile infant.
  • We take a consistent approach to help regulate, relaxe, promote movement, and empower your child in their feeding.
  • Utilize manual therapy techniques to create an optimal environment to improve that you can integrate into your usual play and interaction.
  • Work with dentists to help parents make a decision on frenectomy.