The Tongue Tie Experts Podcast

🎥 FREE 3-Day Video Training: Why Tongue Tie Is Missed — and How You Can Learn to Spot It with Confidence

Perfect for lactation professionals, SLPs, Doulas, Therapists, and all Infant Care Providers.

👉 Watch now: https://tonguetieexperts.kit.com/free

In this eye-opening episode, Lisa sits down with Staten Island-based dentist Dr. Steve Acker, a leader in airway-centered dentistry and guided growth. They discuss how dental professionals can—and should—play a critical role in identifying and preventing sleep-disordered breathing, especially in children. Dr. Acker shares his personal journey from general dentistry to airway advocacy, sparked by h...

In this episode of the Tongue Tie Experts Podcast, host Lisa Paladino, CNM, IBCLC, speaks directly to dentists — whether you’re already performing frenotomies or considering a laser purchase. Drawing on over a decade of experience supporting families and collaborating with dentists, Lisa outlines six essential considerations for best practices in tongue tie release.

Key Takeaways:

🔹 The Awesome Responsibility: Recognizing the holistic and profound impact of tongue tie release on families.

🔹 Key Questions to Guide Your Practice:

🔹 Beyond the Quick Fix: Understanding that frenotomy is more than a procedure — it’s part of a larger...

In this episode, Lisa Paladino, CNM, IBCLC, speaks with Patricia Berg, IBCLC and craniosacral therapist, about the power of combining bodywork and lactation care. They explore how craniosacral therapy supports breastfeeding, the importance of addressing birth trauma, and how collaboration and evidence-based practice enhance infant outcomes.

Key takeaways:

Patricia Berg can be found here:  800lactate.com

Resources & Links:

🔹 Lear...

In this engaging episode, Lisa Paladino highlights the power of interdisciplinary teamwork in healthcare, especially in tongue tie management and lactation consulting. Drawing from her nursing career, she emphasizes the value of nurturing environments for new providers, open communication amid controversies, and the continuous journey of professional development. Lisa offers actionable insights on building strong networks of resources and referrals, empowering practitioners to confidently enhance patient care.

Key Takeaways:

In this episode of Tongue Tie Experts, host Lisa Paladino speaks with pediatric therapy specialists Rachel Best and Jamie Smith. They discuss their pilot study on the timing of frenotomy and its impact on treatment outcomes. The conversation explores the importance of research in infant feeding therapy, the role of pre-frenectomy care, and how tissue changes influence interventions. They also address accessibility challenges, insurance barriers, and the need for collaboration among healthcare providers. Additionally, they emphasize educating parents, recognizing feeding difficulties, and taking a holistic approach to pediatric health.

Key Takeaways:

In this episode, Lisa Paladino, CNM, IBCLC, explores the complex—and often controversial—challenges that lactation consultants face when assessing and managing tongue tie in infants. From inconsistent training and ambiguous assessments to provider disagreements and family pressures, Lisa breaks down the barriers to effective care and offers actionable strategies to overcome them.

Key Topics Covered:

“I can hardly believe it—we’ve made it to 100 episodes! When I first started the Tongue Tie Expert’s podcast, my goal was simple: to educate, support, and connect professionals working with tongue-tied infants and their families. But I never could have imagined the incredible journey it would become.

Reaching this milestone is no small feat—most podcasts don’t make it this far—and it’s all thanks to you: our dedicated listeners, expert guests, and the passionate community that continues to grow around this work.

So today, I just want to say thank you. Thank...

In this episode, Lisa Paladino CNM, IBCLC calls on her experience and current literature to discuss the procedure for frenotomy for breastfeeding infants, focusing on the tools used, the types of providers who perform the procedure, and the associated risks and precautions.

She emphasizes the importance of understanding these aspects for professionals who work with infants and breastfeeding. Lisa also highlights the differences between scissor releases and laser releases, explaining the benefits of using a CO2 laser. She advises choosing an experienced provider and following proper aftercare instructions. Additionally, she stresses the importance of working with a...

In this episode, Lisa Paladino shares her top five takeaways from the American Laser Study Club’s Breathe & Thrive Conference. While tongue tie is often discussed in the context of breastfeeding, this conference reinforced its lifelong impact on airway health, speech, sleep, and overall function. Lisa breaks down key insights from leading experts and discusses how professionals can improve outcomes for infants and beyond.

Key Takeaways:

1️⃣ Tongue Tie Is More Than a Breastfeeding Issue – It impacts oral development, airway health, and lifelong function, not just infant feeding.

2️⃣ Collaboration Is Essential – No single provider can fully trea...

In this episode of the Tongue Tie Experts podcast, host Lisa Paladino and guest Meaghan Beames discuss the intersection of craniosacral therapy (CST) and tongue tie treatment. They explore the principles of CST, its gentle approach to healing, and its effectiveness in treating infants with tongue ties. The conversation emphasizes the importance of a holistic view of treatment, considering both the baby and the mother's health. They also address common misconceptions about tongue ties and the necessity of thorough evaluations before any procedures. The episode highlights the significance of maternal well-being in the healing process and the potential for...

Tongue-tie cases can be confusing. But what if you had a place to ask questions, learn from experts, and connect with professionals who truly understand?

That’s exactly what you’ll get when you join Tongue Tie Experts Insiders.

Including: 

✅ Monthly online meetups with me, Lisa Paladino

🎤 Expert guest speakers sharing the latest research and best practices

💬 A private community of professionals, ready to support you every step of the way

For just $19.99/month, you’ll never have to navigate tongue-tie alone again.

Join the community today...

In this episode of the Tongue Experts podcast, Lisa Paladino interviews Dr. Erick Galindo Valdez, a pediatrician specializing in diagnosing and treating oral restrictions in children. They discuss the importance of collaboration in pediatric care, the impact of oral restrictions on overall health, and the need for a broader understanding of these issues among pediatricians. Dr. Valdez shares his experiences and insights from his practice in Mexico, emphasizing the interconnectedness of oral health and overall development.

Dr. Erick, founder of Centro TOTS in Guadalajara, Mexico, specializes in diagnosing and treating oral restrictions in newborns and children. With...

What the heck is “white tongue”? 

Tongue tied babies are often misdiagnosed with thrush, leading to unnecessary treatments.

In this episode of the Tongue Tie Experts Podcast, host Lisa Paladino, CNM, IBCLC, discusses the differences between thrush and tongue tie, focusing on the common symptom of a white tongue in infants. Tongue tied babies are often misdiagnosed with thrush, leading to unnecessary treatments.

Key Points:

On this week’s episode, Lisa Paladino  chats with Melissa Cole, a board-certified lactation consultant and clinical herbalist, about the fascinating role of herbal medicine in breastfeeding support. 

Discover:

This episode highlights the value of individualized herbal approaches, empowering clinicians and parents with essential knowledge and accessible resources.

Melissa Cole’s websit...

On this week’s episode:

Lisa Paladino has been taking care of babies for over 35 years, as a nurse, midwife and lactation consultant. Today she shares what you need to know about swaddling for your patients and your own babies. 

What You’ll Learn in This Episode:

More From Tongue Tie Experts:

To learn more, download freebies, and for the links m...

🎉 Gratitude Sale: 50% Off The Professional's Guide to Tongue Tie 🎉

In honor of Lisa’s birthday month, enjoy 50% off this comprehensive course for healthcare professionals working with breastfeeding infants. Use code THANKYOUPOD at www.TongueTieExperts.net/Professional but hurry, sale is ending soon.

In this episode of the Tongue Tie Experts podcast, host Lisa Paladino discusses essential insights that lactation consultants wish all medical professionals knew about breastfeeding. 

Takeaways:

🎉 Gratitude Sale: 50% Off The Professional's Guide to Tongue Tie 🎉

In honor of Lisa’s birthday month, enjoy 50% off this comprehensive course for healthcare professionals working with breastfeeding infants. Use code THANKYOUPOD at tonguetieexperts.net/professional through November!

In this episode, Lisa Paladino interviews Tereza Hakobyan-Lolli and her husband, Anthony Lolli, as they share their remarkable journey in health and wellness, beginning with a tongue tie diagnosis. 

Key Takeaways:

Special Encore Episode: Meet the Tongue Tie Team: Lori L. Overland, M.S., CCC-SLP, C/NDT, CLC, FOM

Knowing the type of providers on the Tongue Tie Treatment Team, what they do for infants, and why, is vital to understanding the process. 

In this episode, Lisa Paladino interviews Lori L. Overland, M.S., CCC-SLP, C/NDT, CLC.

Topics discussed:

In this episode, Lisa Paladino reviews the American Academy of Pediatrics clinical report on ankyloglossia and its impact on breastfeeding. She highlights its strengths and critiques, including outdated references and the lack of recognition for IBCLCs. Lisa calls for a holistic, collaborative approach to treatment, involving lactation consultants, body workers, and other specialists, and advocates for updated research and respect for parents' insights.

Takeaways:

In this conversation, Lisa Paladino shares a case study of a patient with breastfeeding challenges and a complex medical history. She emphasizes the importance of a holistic approach to breastfeeding support, considering the entire family and their unique circumstances. Lisa discusses the journey of this patient, from struggling to breastfeed her first child to navigating multiple miscarriages and finally achieving a successful breastfeeding relationship with her second child. She highlights the role of education, support, and referrals to other healthcare professionals in providing comprehensive care. Lisa shares the insider view of how she manages patients individually and with a...

In this episode of the Tongue Experts podcast, Lisa Paladino interviews Dr. Sharon Smart, and Dr. Ray Tseng. 

Dr. Sharon Smart and Dr. Ray Tseng, board members of ICAP and CIREAS, discuss the importance of interdisciplinary teamwork and evidence-based practices for treating tongue and oral ties. They emphasize the need for rigorous research and advocate for educating professionals about ttethered oral tissues. Both highlight the evolving field and encourage listeners to join ICAP and CIREAS to stay informed and support advancements in care.

To learn more (and join) ICAP, click here: https://icapprofessionals.com/

What are IBCLCs Afraid of? Episode 364 

In this conversation, Lisa Paladino discusses her experiences, as an IBCLC and Certified Nurse Midwife, with 35 years of experience, and the fears that come with this career.. She talks about the responsibility of not missing any medical problems or lactation issues, the fear of not being trusted or taken seriously, and the concern of giving care plans that may not work for families. Lisa emphasizes the importance of developing a rapport with the families and providing education and resources to build trust. She also shares a case study of a baby w...

This week's episode is a replay of our response to an article in the NY Times regarding tongue tie treatment. The article featured my colleague, Dr. Scott Siegel. 

In this episode, which was recorded as an Instagram Live event, you'll hear more of the story including:

- My letter to the editor of the NY Times, which can be found here: https://www.tonguetieexperts.net/blog

- The motivation of Dr. Siegel agreeing to open his office to reporters.

- How Dr. Siegel feels about how his practice was portrayed.

In this episode, Lisa Paladino CNM, IBCLC calls on her experience and current literature to discuss the procedure for frenotomy for breastfeeding infants, focusing on the tools used, the types of providers who perform the procedure, and the associated risks and precautions.

She emphasizes the importance of understanding these aspects for professionals who work with infants and breastfeeding. Lisa also highlights the differences between scissor releases and laser releases, explaining the benefits of using a CO2 laser. She advises choosing an experienced provider and following proper aftercare instructions. Additionally, she stresses the importance of working with a...

In this episode, Lisa interviews Rebecca Hill, PhD, DNP, FNP-C, CNE, FAAN about the state of research on tongue tie and its associated effects on infant feeding. They discusses her personal journey, how she evolved her work into researching tongue tie. The conversation explores the importance of clinical experience and the need for evidence. Dr. Hill discuss the challenges of measuring the effectiveness of tongue tie treatment and the need for ancillary support from lactation consultants, speech-language pathologists, and occupational therapists. 

Highlights

Professional Course Waiting List - ENHANCED pro course coming in August! https://www.tonguetieexperts.net/waiting-list

In this conversation, Lisa Paladino covers the team approach to tongue tie treatment, emphasizing the importance of a comprehensive and collaborative approach involving various professionals. It discusses the assessment, referral, and post-procedure care for infants with tongue tie, highlighting the role of lactation consultants, body workers, speech language pathologists, and medical providers. 

Highlights:

On this episode, Lisa chats with Dr. Chelsea Pinto, introducing a different paradigm for treatment of families whose infants have oral restrictions.

Topics Discussed:

More from Tongue Tie...

Tongue tie treatment is so much more than "clipping a frenum". In this episode, Lisa shares some of what she included in assessment and treatment of dyads suffering with breastfeeding (or bottle feeding) dysfunction. 

Important links mentioned: Understanding Milk Supply for Medical and Birth Professionals

Use code PODCAST15 for 15% off 

Professional Course Waiting List - NEW course coming this summer! https://www.tonguetieexperts.net/waiting-list

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Key Takeaways: 

Lisa Paladino discusses the challenges professionals face when assessing and treating infants with tongue or lip tie. include determining the right time for release, the importance of proper lactation support, educating families, and addressing previous misinformation. Lisa emphasizes individualized care and functional evaluation by a lactation consultant before treatment. She also announces the launch of an updated course for healthcare providers. You can join the waiting list (professionals only, please):  CLICK HERE

Takeaways:

In this week's episode, Casey Quinn-Daly shares her experiences navigating the healthcare system, as a provider herself, for her son's feeding difficulties and other medical concerns. She discusses the challenges she faced with breastfeeding a tongue and lip-tied infant, the importance of finding the right healthcare providers, and the need for providers to listen to parents and parents to trust their instincts. Casey emphasizes the value of finding specialists who have expertise in specific areas and encourages providers to communicate their niche areas of practice.  

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To learn more, download freebies, and for the lin...

In this episode, join Lisa Paladino as she discusses the myths and misconceptions sent in by our listeners

about the confusing world of tongue tie, lip tie, and breastfeeding.

Lisa expertly navigates through topics such as "stretching" of tongue ties, the effectiveness of releasing ties, and the profound impact these ties can have on breastfeeding. She sheds light on the often overlooked issue of misdiagnosis by healthcare professionals and explores the array of misinformation we hear about treatment for tongue and lip ties.

But that's not all! Lisa also tackles common myths surrounding b...

If you work with infants and support or offer tongue tie treatment, learning what can go wrong will help you to have better outcomes with your patients/clients. 

In this episode, the Lisa discusses the potential complications and risks associated with tongue tie treatment. The goal of tongue tie treatment is to achieve functional use of the tongue.

She emphasizes the importance of education and selecting experienced providers. She covers topics such as incomplete release, "botched" procedures, ignoring underlying issues, uncertainty about the cause of breastfeeding problems, and feeding aversion. She encourages parents to seek p...

In this episode, Lisa Paladino chats with Renee Beebe to discuss their experiences as authors of books about breastfeeding and tongue tie. They talk about the challenges of writing and publishing, the importance of visuals in education, and overcoming imposter syndrome. They also share their experiences as grandparents and how it has influenced their perspectives on breastfeeding and infant care. The conversation highlights the value of making information accessible to parents and professionals. 

_____________________________________

Renee Beebe is an experienced IBCLC and the author of the book "Fit to Be Tied - A Visual Resource for Parents".

In this encore episode, Lisa discusses the controversy of timing of tongue tie release, including hospital identification of tongue ties and the possible downsides of early treatment without a complete functional assessment. She discusses why her practice has evolved from recommending immediate release, to a slower approach, utilizing a holistic, team view, and how this is leading to better experiences and outcomes. This raises the question - What is a successful outcome of tongue tie treatment? Is it release of frenum or is it successful breastfeeding?

If this discussion brings up anything you'd like to talk about...

How do oral restrictions express in an adult? Listen to the story of Noa Bricklin, a twenty-nine year old woman nearing the end of a seven year journey to correct her tongue tie, and the insidious side effects it has had on her health.

Noa shares her journey of her tongue tie diagnosis, the connection she discovered between tongue tie and her lifelong breathing difficulties, as well as the missed opportunity to find the cause of her symptoms by various  healthcare providers. She emphasizes the importance of advocating for yourself and your children, and seeking out specialists w...

Tables turned for this episode as Lisa is interviewed by Jacqueline Kincer for her podcast. It's a fun and informative conversation as we muse about what we wish parents and providers understood about breastfeeding and tongue tie from a lactation perspective, the team approach that we both practice, and how we share a mission to help families meet their personal infant feeding goals. 

Mentioned in the episode: Ongoing sales of both Professional's Guide to Tongue Tie and  Understanding Milk Supply for Medical & Birth Professionals

All educational freebies and pro and parent's programs: https://www.tonguetieexperts.net/Li...

In this episode, Lisa Paladino interviews Christina Goodheart MA, CCC-SLP, BCS-S to discuss the importance of collaboration and building a community of care in the field of tongue tie and oral restrictions. They share their personal experiences and backgrounds as speech language pathologist and IBCLC.

Takeaways:

In this episode, Lisa discusses the frustration, and expresses some strong emotion, surrounding the issue of  breastfeeding pain and the misconception of breastfeeding as selfish. She emphasizes that breastfeeding shouldn't always hurt and highlights the importance of support and help for breastfeeding mothers. 

Lisa's book mentioned in the episode:  It Shouldn't Hurt To Nurse Your Baby

Points covered:

In this episode, Lisa discusses a research study about buccal ties and shares her personal opinion on the topic.

The study can be found here:

The buccal frenum: Trends in diagnosis and indications for treatment of buccal-ties among 466 healthcare professionals.

Baxter  R, Merkel-Walsh  R, Lahey  L, Knutsen  C, Zaghi  S. The buccal frenum: Trends in diagnosis and indications for treatment of buccal-ties among 466 healthcare professionals. J Oral Rehabil. 2023; 00: 1-11. doi:10.1111/joor.13609

The authors explore the diagnosis and treatment of buccal ties among healthcare professionals. The survey-based study gathered responses from 466 professionals from various healthc...

This week's episode is a response to an article in the NY Times regarding tongue tie treatment. The article featured my colleague, Dr. Scott Siegel. 

In this episode, which was recorded as an Instagram Live event, you'll hear more of the story including:

- My letter to the editor of the NY Times, which can be found here: https://www.tonguetieexperts.net/blog

- The motivation of Dr. Siegel agreeing to open his office to reporters.

- How Dr. Siegel feels about how his practice was portrayed.

- The re...