Jaye, You are not missing anything, you are describing some of the compensations babies use when their tongue is restricted by a tight frenulum, whether it is visible or submucosal. One potentially helpful intervention is to fingerfeed expressed milk once or twice a day to give mom some relief, and use that time to help reduce some of the posterior tongue elevation that along with the tongue sliding is rubbing mom's nipple and abrading it. The finger can be directed downward and can pull the back of the tongue forward gently as the baby sucks, like you are trying to smooth out a wrinkle in fabric. You do not want to eliminate the tongue elevation, as some is normal during breastfeeding, you just want to prevent it from being excessive and squashing the nipple tip. Can I mention the Gold 07 conference since I am not being paid for participating? It starts this week, and I am going to be addressing this topic (using fingerfeeding as oral motor therapy). Catherine Watson Genna, IBCLC NYC *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html Mail all commands to [log in to unmask] To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or [log in to unmask]) To unsubscribe: unsubscribe lactnet or ([log in to unmask]) To reach list owners: [log in to unmask]