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We offer an integrated approach to manual medicine through Holistic Physiotherapy, CranioSacral Therapy and SomatoEmotional Release.

0406 249 221


Adelaide Clinic
18 Kensington Road, Rose Park

0406 249 221


Adelaide Clinic

18 Kensington Road, Rose Park

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Tongue-Tie Assessment

Tongue-Tie Assessment

Are you concerned about tongue-tie, lip-tie and/or buccal tie? These are all soft-tissue restrictions around the mouth that may be impacting on your overall health and wellbeing. Tongue-tie and other oral restrictions can contribute to issues with eating, speaking and swallowing as well as a myriad of other challenges related to (but not limited to) your posture, breathing and sleep.

In this consultation your therapist will go through a comprehensive interview to understand your total health and symptom picture. They will perform a thorough assessment for any oral restrictions (including taking photographs) and provide you with a detailed overview of your different treatment options.

What are Tongue-ties, lip-ties and buccal-ties?

These oral restrictions are tight or thickened bands of soft tissue that restrict normal movement in the area. This may be under the tongue, under the lip or on the inside of the cheek. Good mobility of the muscles and soft tissues around the mouth is important for eating, swallowing, speech and language development, postural development, jaw control and sleep.

Tethered Oral Restrictions (TOT’s) in BABIES + CHILDREN

How do I know if my baby has a:

Tongue Tie?

  • Extremely sore nipples with a flat crease after baby has attempted to eat
  • Difficulty with mouth opening, latch and getting the tongue stable under the nipple
  • Baby is still hungry after a twenty minute sucking period on the breast
  • The end of the tongue is heart shaped
  • When baby cries the tongue lays flat in the bottom of the mouth (babies tongue tip should elevate when they are crying)

Lip Tie?

  • Difficulty with lip flanging
  • Decreased jaw opening
  • Air swallowing
  • Fussiness after eating
  • Lots of gas

Buccal Tie (cheeks)?

  • Difficulty with jaw opening
  • Difficulty with lip flanging
  • Compensation of facial muscles
  • Tight through cheeks
Tethered Oral Restrictions (TOT’s) in ADULTS

If oral restrictions are untreated in babies and children, the body will develop compensation patterns to work around the restriction. This can contribute to many common symptoms experienced by teenagers and adults. These may include:


  • Tension in the ribcage
    • altered breathing patterns
    • rib problems
    • lung and cardiac restrictions
    • thoracic pain
  • Tightness around the base of skull and upper neck,
    • neck pain
    • headaches
    • swallowing issues
  • Tension in the front or sides of the neck
  • Tension in the bone and cartilage at the top of the throat – this should be fairly mobile to allow for correct speech and swallowing
  • Tightness in the muscles under the jaw – this can pull the jaw downwards and backwards contributing to TMJ issues
  • Tightness in the floor of the mouth


Lip-tie can contribute to issues with:

  • Sucking
  • Breathing
  • Speech
  • TMJ problems


Buccal-tie can cause the muscles of the cheek to overwork, contributing to:

  • TMJ issues
  • Airway issues such as sleep apnea
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