Mary Anne,
As Cathy said, the exercises are specific to what we think baby needs, but the other issue with 
them is the need for frequency. Mom will not see results doing them once or twice per day. I explain 
to the mom that we all learn anything more quickly when we do it frequently and consistently. And 
I may have missed other recommendations, but I never assume any baby will have full recovery w/o 
structural support. I consider it essential to care. I would not refer to early intervention as they
rarely support breastfeeding adequately, unless you have addressed the structural issues first. Find
a pediatric chiropractor or other skilled practitioner first. This should not wait. Finally--is there need
for re-clipping, as is frequently the case?
Jennifer Tow, IBCLC, CT, USA



Date:    Wed, 17 Mar 2010 08:33:44 -0700
From:    Mary Anne Taylor <[log in to unmask]>
Subject: therapy after frenotomy

Hi, I posted on Mar. 3rd about a baby who had a posterior tie clipped and now 
her tongue is discoordinated. Thanks for the replies, Liz, Kathy,and Jane. It 
has been over a month now and not much improvement- I have reviewed 'Supporting 
Sucking Skills' and see somehints about exercises there, but I guess I still 
don't feel quite confident about which ones to suggest. I guess a little gentle 
pacifier tug of war and some stretching wouldn't be harmful, but after that 
thinkI'll refer her to the early intervention program. What the Mom is really 
wondering, tho, is if she can ignore this til baby's older. I suspect that it's 
better to deal with it earlier, but wondering what people with more experience 
would say... Thanks so much, Mary Taylor, IBCLC 

 

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