My professional background is as a Neonatal Physiotherapist - having worked in a busy 37 bed neonatal unit with follow up until 12 months of age of all infants with extreme prematurity or developmental problems.
My interest in tongue tie is as a result of four of my six children having feeding issues secondary to ties and this gives me personal insight into the issues that parents face.
My belief is that in order to achieve the best potential outcome from a tongue tie release it involves more than just division. Feeding is a functional activity and all babies with a tie will have developed, to varying degrees, compensations. These adaptations result in tension around the jaw and can be widespread throughout the body, this in turn can interfere with selective tongue movement. Babies also need to develop the neural pathways to establish a new more effective way of feeding in preference to the pre-established patterns.