Try putting the baby prone and doing another digital suck exam and see
if the tongue comes forward. Chele Marmet used to call this the 'charm
hold'. If that works, work on breastfeeding in positions where baby is
face down.
Babies with muscle tightness in the neck (torticollis and similar
conditions) may retract the tongue in supine and sitting, but bring it
forward in prone. I *suspect* that torticollis may make the floor of the
mouth tighter, restricting tongue function. In kids with both
torticollis and tongue-tie, treating only the tongue-tie is proving
insufficient.
The other possibility here is a completely submucosal restriction. If
tongue mobility does not improve with the baby in prone, suspect that
and look for doctors who understand 'posterior' tongue ties.
Catherine Watson Genna BS, IBCLC NYC www.cwgenna.com
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