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How Chiropractic Care Can Help Children After Tongue Tie Revision

Writer: Dr. Jason Young
Dr. Jason Young
Sep 30
5 min read

A tongue tie revision can feel like a huge step forward, especially when feeding has been painful, messy, exhausting, or stressful. But some babies and children still seem tight, fussy, or unsure how to use their tongue afterwards.


That doesn’t mean the revision “didn’t work.” It may mean the body needs help learning a new pattern.


When a tongue has been restricted, the jaw, neck, shoulders, and even breathing muscles can adapt around that restriction. After the release, the tongue has more freedom, but the surrounding muscles may still be holding tension. That’s where gentle paediatric chiropractic care can play a supportive role.



Eye-level view of a parent holding a calm baby near a bright window
Feeding and oral function often involve the whole body, not just the mouth.

A revision releases tissue, but function still has to develop


A tongue tie revision, often called a frenotomy or frenectomy, releases tight tissue under the tongue or lip. This can give the tongue more room to move. For some babies, feeding improves quickly. For others, progress is slower.


That’s because movement is learned.


If a child has spent weeks, months, or longer working around a restriction, they may have built compensations such as:


  • Clenching the jaw during feeds

  • Turning the head more easily to one side

  • Arching the back

  • Using the lips or cheeks instead of the tongue

  • Shallow latching

  • Clicking, leaking milk, or tiring quickly

  • Gagging or struggling with solids


With tongue ties, the restriction isn’t always just a “mouth problem.” The tongue connects into a larger system of muscles and fascia that influence swallowing, posture, breathing, and head position. When one area is tight, another area often works harder.


That’s why some families choose chiropractic care as part of a team-based approach after revision.


Why tension can stick around after the release


Imagine wearing a tight shoe for a long time. Once you take the shoe off, your foot has space, but the muscles may still feel sore or guarded. Your walking pattern might not change instantly either.


A similar thing can happen after a tongue tie release.


The tongue may now be able to lift, cup, extend, and move side to side more freely. But the nervous system may still default to the old pattern. The jaw may still clench. The neck may still feel tight. The baby may still prefer one breast or bottle position because that’s what felt easiest before.


Gentle bodywork can help reduce strain in areas that support feeding and oral movement, including:


  • The upper neck

  • The jaw

  • The base of the skull

  • The shoulders

  • The rib cage

  • The diaphragm


The goal isn’t to “fix” the revision. The goal is to help the body feel safe and relaxed enough to use the new range of motion.


Close-up view of a baby resting on a soft blanket with one hand near their cheek
Jaw and neck tension can affect how comfortably a child feeds.

How chiropractic care may support oral function


Paediatric chiropractic care for babies and children is very gentle. It doesn’t look like adult adjusting. The pressure is typically light, often similar to checking the ripeness of a peach.


A chiropractor trained in paediatric care will usually assess how the child moves, not just where they seem tight. They may look at neurological scans, head turning, jaw motion, body posture, rib movement, feeding position, and reflexes.


Here’s where chiropractic care helping reduce tension can make a real difference for some children.


It may help the neck and jaw relax


Feeding takes coordination. The tongue, lips, jaw, neck, and breathing muscles all have to work together.


If the upper neck is tight, a baby may struggle to turn comfortably. If the jaw is tense, the latch may feel clamped or shallow. If the ribs or diaphragm are restricted, feeding can feel harder because sucking, swallowing, and breathing need rhythm.


Gentle chiropractic care may help ease tension in these areas so feeding feels less like work.


It may support better tongue movement


After revision, many children are given stretches or oral motor exercises by their provider. These help prevent reattachment and encourage better movement.


But if the body is bracing, those exercises can feel frustrating. Relaxing the surrounding muscles may help the tongue move with less resistance.


For example, a baby who couldn’t lift the tongue well before revision may need time and repetition to learn that skill. Chiropractic care doesn’t replace oral exercises, but it may make them easier to practise.


It may help with body preference patterns


Some babies strongly prefer turning their head one way. Others arch, curl, or seem uncomfortable lying in certain positions.


These patterns can affect feeding. A baby who only turns well to the right may latch differently on each side. A child with body tension may also struggle with tummy time, sleep positions, or bottle feeding posture.


A chiropractor may work on gentle mobility so the child can move more evenly.


Overhead view of a baby doing tummy time on a soft mat beside a parent
Comfortable movement can support feeding, posture, and oral development.

Chiropractic care works best as part of a team


Tongue tie care is rarely one-and-done. The best results usually come from a team that understands feeding, oral function, and child development.


Depending on the child’s age and symptoms, that team may include:


  • A paediatric dentist or physician who performs the revision

  • An International Board Certified Lactation Consultant, often called an IBCLC

  • A speech-language pathologist

  • An occupational therapist

  • A myofunctional therapist for older children

  • A chiropractor with paediatric training


Research and clinical guidance from groups such as the American Academy of Pediatrics and Canadian health professionals generally support careful assessment before and after a release, especially when feeding problems are involved. Revision can help when restriction is truly affecting function, but follow-up support matters too.


That’s the key point. The release creates the opportunity. Therapy and bodywork help build the skill.


What a visit may look like after revision


A first visit usually starts with questions. The chiropractor may ask about pregnancy, birth, feeding, sleep, revision details, stretches, bottle or breast preference, reflux-like symptoms, and body tension.


Then they’ll observe how the child moves. For a baby, that may include:


  • How they turn their head

  • How they lie on their back

  • How they handle tummy time

  • Whether they seem stiff or curled

  • How the jaw and cheeks move

  • How they settle when held


Care is gentle and adapted to the child’s age. Some babies relax quickly. Some need breaks, feeding, cuddles, or a slower pace. That’s normal.


Parents are often sent home with simple positioning tips or movement ideas. These might include ways to support tummy time, improve feeding posture, or make oral exercises calmer.


Trust that parent radar. If something feels off, it’s always okay to ask.



The takeaway for families


After a tongue tie revision, healing isn’t only about the tissue under the tongue. It’s also about helping the child use their tongue, jaw, neck, and body in a new way.


Gentle chiropractic care may help reduce tension, support oral function, and make feeding or exercises feel more comfortable. It works best alongside the providers already supporting your child’s revision and feeding plan.


If feeding still feels hard after revision, don’t assume you’re back at square one. Your child may simply need support connecting the new freedom in the mouth with better movement through the whole body.


Give us a call at ForeverYoung Chiropractic, we have two locations to serve you better: Kingston 613-507-5007 and Shannonville 613-966-5855. Or online at https://www.foreveryoungchiro.ca/patientintakeprocess.

 
 
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