ORAL DYSFUNCTION

What is oral dysfunction and how do I know if my baby has it?

“Oral dysfunction” simply means your baby’s mouth, tongue, jaw, or facial muscles aren’t working as smoothly or efficiently as they should. Signs can include a shallow or painful latch, clicking sounds, leaking milk, long or very short feeds, poor weight gain, coughing or gagging with feeds, excessive gassiness, or a baby who seems frustrated at the breast or bottle. Sometimes you’ll also see tension through the neck and shoulders or a strong preference for one side.

Can oral dysfunction affect both breastfeeding and bottle feeding?

Yes. Oral dysfunction isn’t just a breastfeeding issue. Babies can struggle with both breast and bottle, or seem to “do fine” with the bottle but work extremely hard to compensate. You might notice chewing on the nipple instead of sucking, collapsing nipples, dribbling milk, noisy breathing while feeding, or needing specific positions to feed. My job is to figure out why feeding feels hard and help your baby use their mouth and body more efficiently.

Does oral dysfunction always mean my baby needs a tongue- or lip-tie release?

No. Not every baby with oral dysfunction needs a procedure. Many babies improve significantly with chiropractic adjustments, oral-motor exercises, and changes in positioning and pacing. When I evaluate your baby, I look at tongue function, tension patterns, jaw and neck mobility, and how all of that shows up during an actual feed. If I feel a release could be helpful, I’ll talk with you about next steps and help you build a trusted team around your baby, including lactation and a skilled release provider, so you feel supported and never pressured into a decision.

What does an oral dysfunction evaluation and treatment plan look like with you?

We start with a deep dive into pregnancy, birth, feeding history, weight trends, and your specific concerns. I assess your baby’s whole body, then look closely at oral structures, tongue function, tension patterns, and how your baby actually feeds. From there, I create a plan that may include gentle chiropractic care, cranial sacral work, oral exercises, and position or latch tweaks. When needed, I coordinate with lactation, speech, occupational therapy, and release providers so you’re not trying to piece it all together alone.

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