In this episode of The Feeding Pod, Bri and Tovah are joined by Kara Larson, MS, CCC-SLP, CLC to tackle the hot, controversial, and oftentimes confusing, topic of tongue ties! We come at this from an evidence-based angle - and no we aren’t using that as just a buzzword. We tackle the research, our clinical experiences, and considerations for family values and viewpoints to help bridge the gaps on evaluation and treatment of tongue ties for feeding therapists. If tongue ties come up in your practice (and let’s be honest, when do they not anymore), then you do not want to miss out on listening to this episode! We hope you enjoy!
References/Resources (shortened citations due to text limits)
NYT Articles:
Inside the Booming Business of Cutting Babies' Tongues
What Parents Should Know About Tongue-Tie Releases
National Trends
Joseph, K. S., et al. (2016). Temporal trends in ankyloglossia and frenotomy in British Columbia, Canada, 2004-2013: A population-based study. https://doi.org/10.9778/cmajo.20150063
Kapoor, V., et al. (2018). Frenotomy for tongue‐tie in Australian children, 2006–2016: An increasing problem. https://doi.org/10.5694/mja17.00438
Walsh, J., et al. (2017). Ankyloglossia and lingual frenotomy: National trends in inpatient diagnosis and management in the United States, 1997‐2012. https://doi.org/10.1177/0194599817690135
Wei, E. X., et al. (2020). Ankyloglossia: Update on trends in diagnosis and management in the United States, 2012‐2016. https://doi.org/10.1177/0194599820925415
Systematic Reviews
Carnino, J. M., et al. (2023). The effect of frenectomy for tongue-tie, lip-tie, or cheek-tie on breastfeeding outcomes: A systematic review of articles over time and suggestions for management. https://doi.org/10.1016/j.ijporl.2023.111638
Cordray, H., et al. (2023). Severity and prevalence of ankyloglossia‐associated breastfeeding symptoms: A systematic review and meta‐analysis. https://doi.org/10.1111/apa.16609
Hatami, A., et al. (2022). Effectiveness of tongue‐tie assessment tools in diagnosing and fulfilling lingual frenectomy criteria: A systematic review. https://doi.org/10.1111/adj.12921
Hill, R. R., et al. (2021). The prevalence of ankyloglossia in children aged <1 year: A systematic review and meta-analysis. https://doi.org/10.1038/s41390-020-01239-y
O’Shea, J. E., et al. (2017). Frenotomy for tongue-tie in newborn infants. Cochrane Database of Systematic Reviews, 2021(6). https://doi.org/10.1002/14651858.CD011065.pub2
Solis-Pazmino, P., et al. (2020). Major complications after tongue-tie release: A case report and systematic review. https://doi.org/10.1016/j.ijporl.2020.110356
Visconti, A., et al. (2021). A systematic review: The effects of frenotomy on breastfeeding and speech in children with ankyloglossia. https://doi.org/10.1080/17549507.2020.1849399
Webb, A. N., et al. (2013). The effect of tongue-tie division on breastfeeding and speech articulation: A systematic review. https://doi.org/10.1016/j.ijporl.2013.03.008
Clinical/Expert Consensus Reports
LeFort, Y., et al. (2021). Academy of Breastfeeding Medicine Position Statement on ankyloglossia in breastfeeding dyads. https://doi.org/10.1089/bfm.2021.29179.ylf
Messner, A. H., et al. (2020). Clinical consensus statement: Ankyloglossia in children. https://doi.org/10.1177/0194599820915457
Rowan-Legg, A. & Canadian Pediatric Society. (2024). Position statement: Ankyloglossia and breastfeeding. https://cps.ca/documents/position/ankyloglossia-breastfeeding
Silva, M., et al. (2020). Anyloglossia and oral frena consensus statement. https://www.ada.org.au/Ankyloglossia-Statement-Doc.aspx
Thomas, J., et al. (2024). Identification and management of ankyloglossia and its effect on breastfeeding in infants: Clinical report. https://doi.org/10.1542/peds.2024-067605
Other:
Caloway, C., et al. (2019). Association of feeding evaluation with frenotomy rates in infants with breastfeeding difficulties. https://doi.org/10.1001/jamaoto.2019.1696
In this episode, Bri and Tovah dive into the wild world of internet feeding fads—some helpful, some… not so much. This episode includes kinesio taping and the latest bottles claiming to be “just like the breast" We’re unpacking what’s actually backed by evidence and what’s more hype than help. Join us as we break down the science (or lack thereof), talk clinical implications, and share a few laughs along the way. If you’ve ever scrolled past a reel and thought “Should I be doing that in therapy?”—this one’s for you!
References from the episode:
Gholami, Z., Poorjavad, M., & Nouri, R. (2025). A scoping review on the effects of kinesio taping on oropharyngeal function related to swallowing and feeding. Dysphagia, 40(2), 311–326. https://doi.org/10.1007/s00455-024-10739-6
Lin, C.-L., Wu, W.-T., Chang, K.-V., Lin, H.-Y., & Chou, L.-W. (2016). Application of Kinesio Taping method for newborn swallowing difficultly: A case report and literature review. Medicine, 95(31), e4458. https://doi.org/10.1097/MD.0000000000004458
Maxwell, C., Fleming, V., & Porcellato, L. (2023). Why have a bottle when you can have draught? Exploring bottle refusal by breastfed babies. Maternal & Child Nutrition, 19(2). https://doi.org/10.1111/mcn.13481
Mikami, D. L. Y., Furia, C. L. B., & Welker, A. F. (2019). Addition of kinesio taping of the orbicularis oris muscles to speech therapy rapidly improves drooling in children with neurological disorders. Developmental Neurorehabilitation, 22(1), 13–18. https://doi.org/10.1080/17518423.2017.1368729
Shamsoddini, A., Rasti, Z., Kalantari, M., et al., (2016). The impact of Kinesio taping technique on children with cerebral palsy. Iranian Journal o fNeurology. 15(4).
Zimmerman, E., & Thompson, K. (2015). Clarifying nipple confusion. Journal of Perinatology, 35(11), 895–899. https://doi.org/10.1038/jp.2015.83
In this episode of The Feeding Pod, hosts Brianna Miluk and Tovah Feehan sit down with the incredible Dr. Louisa Ferrara-Gonzalez, PhD, CCC-SLP, BCS-S, CNT, CLC, NTMCT, who is practicing at the top of her license and conducting meaningful research that is helping to shape the future of feeding therapy in the NICU and beyond! Join us as Dr. Ferrara-Gonzalez shares insights on challenges in NICU culture, ways to improve clinical skills, and bridging gaps in care as babies transition from the NICU to home. Whether you’re in the NICU or exploring pediatric feeding therapy, this conversation is packed with valuable takeaways you won’t want to miss! We hope you enjoy!
Resources Mentioned:
CNT: https://neonataltherapycertification.com/
Dr. Brown’s Medical: https://www.drbrownsmedical.com/
Catherine Shaker: https://shaker4swallowingandfeeding.com/
NANT: https://neonataltherapists.com/
Dr. Britt Pados article: https://pubmed.ncbi.nlm.nih.gov/33676453/
Caring Essentials: https://www.caringessentials.net/
Caring OutLoud: https://podcasts.apple.com/us/podcast/care-outloud/id1694961557
Dr. Katlyn McGrattan article: https://pubmed.ncbi.nlm.nih.gov/31650190/
Dr. Lisa Newman article: https://pubmed.ncbi.nlm.nih.gov/11731633/
Dr. Lousia’s website: https://infantfeedingspecialists.com/dr-louisa-ferrara-gonzalez?gad_source=1&gclid=Cj0KCQjws-S-BhD2ARIsALssG0b4MzqnQIIPz_G9ML6-YaoGmRKCq4gr9lapCbXYu5-5xeD2BqVQEzkaAvk1EALw_wcB
In this episode ofThe Feeding Pod, host Tovah Feehan dives deep into the topic of laryngeal clefts with two incredible guests, Carolyn Schultz and Caetyn Groner. Carolyn, the founder of the Laryngeal Cleft Network, and Caetyn, a Speech-Language Pathologist serving on the board of the same organization, bring a wealth of knowledge on this condition, both from personal experience and their advocacy efforts. Tune in as they share their insights into the challenges and triumphs of living with and supporting those affected by laryngeal clefts, as well as the importance of education and resources within the community.
Laryngeal Cleft Network FB Page
Laryngeal Cleft Network IG Account
This is the first episode in a new miniseries featured on The Feeding Pod. In these episodes, Bri & Tovah discuss products marketed online that claim to help kids with feeding and swallowing. But, there’s a twist! Neither one is aware of what the other is bringing to share so you get raw, unfiltered reactions from one host and more nuanced, evidence-based discussions from the other regarding marketing tactics, appearance, and whether it’s actually worth the hype. Let’s just say this leads to some entertaining chats. DM us on instagram any products you’d like to see reviewed in future episodes - We hope you enjoy!
In this episode of The Feeding Pod, Brianna (Bri) Miluk and Tovah Feehan are joined by the incredible Dr. Jessica Stokes-Parish, and they are beyond excited to dive into her groundbreaking work. Bri "fangirls" over Dr. Stokes-Parish’s contributions, which have had a significant impact on healthcare providers, as well as anyone who uses social media.
The conversation centers around the CRABS framework—a tool that Dr. Stokes-Parish created to help navigate the challenges of communication and engagement on social media. Whether you're a healthcare professional or simply someone who engages online, this framework provides valuable insights on how to effectively connect, communicate, and maintain professionalism in the digital space.
Tune in as Dr. Stokes-Parish explains the importance of the CRABS framework, offers real-world examples, and shows why this model is a game-changer for both professionals and everyday social media users. Don't miss out on this enlightening conversation that will change the way you approach social media and communication!
🎧 Listen to the full episode now!
#TheFeedingPod #CRABSFramework #SocialMediaStrategy #HealthcareCommunication #ProfessionalGrowth #DigitalEngagement #SocialMediaTips #SLPCommunity #HealthcareProfessionals #CommunicationSkills
In this episode, Brianna (Bri) Miluk and Tovah Feehan sit down with Dr. Marry Vuong, a pediatric pharmacist and Chief of Staff at Perfecting Peds, to dive deep into the world of pediatric pharmacy and its intersection with speech-language pathology. From the importance of collaboration between healthcare professionals to how pharmacy impacts pediatric care, Dr. Vuong shares her expertise and passion for optimizing medication management for kids. Whether you're an SLP, pediatrician, or healthcare professional, this conversation sheds light on why understanding pharmacy is crucial for effective interdisciplinary care. Tune in to learn how Perfecting Peds is changing the game and why the world of pharmacy is more connected to your work than you might think!
Join us for an eye-opening discussion on the untapped potential of collaboration in pediatric care.
#TheFeedingPod #PediatricPharmacy #SLP #InterdisciplinaryCare #HealthcareCollaboration #PediatricCare #MedicationManagement #SpeechPathology #PerfectingPeds #SLPCommunity
🎉 Welcome to a brand new season of The Feeding Pod! 🎉
This season brings exciting changes, including a fresh perspective and a new co-host—Tovah Feehan! Together, Tovah and Bri will explore the world of feeding therapy, sharing ideas, experiences, and deep insights into the field.
In the premiere episode, they take a step back to reflect on their journeys as clinicians, discussing how their practices have evolved over time. Expect candid conversations about the uncomfortable moments—how thinking has shifted, challenges faced, and valuable lessons learned. 💡
The big takeaway? Growth is a constant process. The hope is that, ten years from now, today's practices will spark a cringe—a sign of continued learning, adapting, and improving. 🛠️
Tune in to hear more about these journeys, insights gained, and what’s coming in the new season. Let’s continue growing together! 🌱
#TheFeedingPod #NewSeason #PodcastLaunch #FeedingTherapy #SLP #SpeechPathology #SLPCommunity #ProfessionalGrowth #ClinicianJourney #ContinuousLearning #FeedingTherapists #ChangeAndGrowth #SLPLife
🎙️ Dive into the world of pediatric feeding therapy with Brianna and special guest Karli Negrin! Karli has nearly 20 years of experience in this specialized area of cardiac feeding disorders. 🍼 Follow along from pre-op to post-op, as they unravel the complexities of pediatric cardiac feeding, offering invaluable tips for SLPs and caregivers alike. Get ready for a heartwarming journey filled with compassion and expertise. 💖 #FeedingTherapy #PediatricCHD #PediatricFeeding #HeartHealth #SpeechTherapy #ExpertInsights
Instagram: @chd_slp
Email Karli at: Karli.Negrin@nemours.org
Cardiac newborn neurodevelopmental network
For the transcript and show notes, visit https://pediatricfeedingslp.com/podcast.
In this thought-provoking podcast episode of The Feeding Pod, Brianna (Bri) Miluk, MS, CCC-SLP, CLC is joined by Maggie Patterson, co-host of the podcast “Duped: The Dark Side of Online Business” as they delve deep into the world of dark marketing and ethical business practices and their relevance to the field of speech-language pathology. With over two decades of experience in marketing, sales, and business, Maggie shares her insights into the complexities of ethics, shedding light on the gray areas that often challenge professionals. As they discuss parallels between ethical dilemmas in various industries and those faced by SLPs, you’ll gain valuable perspectives on topics like ethical businesses in name only and the cultish tactics sometimes found in online business. Plus, can answer questions like “do certifications really matter?” This engaging and informative conversation also touches on shady sales practices and the potential dangers of triggering and traumatic storytelling. Tune in for a captivating exploration of ethical considerations that will empower SLPs to make informed decisions in their careers and beyond.
Dr. Cialdini's 6 Principles of Persuasion
Dr. Steven Hassan - BITE Model
Toxic Positivity Book (Amazon Affiliate Link)
Ethical Business and Name Only Episode
The Cultish Side of Online Business Episode
Certifications: Credibility Booster or Money Making Scheme? Episode
Seriously Shady Sales Practices Episode
The Trouble with Triggering and Traumatic Stories Episode
In this episode Brianna (Bri) Miluk, MS, CCC-SLP, CLC is joined by Meg Lico, MA, CCC-SLP where they explore the dynamic world of multidisciplinary care for patients with cleft and craniofacial conditions. Join as they delve into the intricacies of this specialized field. They discuss the importance of collaboration among healthcare professionals, share advocacy tips, uncover myths, and shed light on innovative approaches to care. Whether you're a healthcare provider or caregiver, this podcast offers insights, inspiration, and invaluable knowledge to enhance the quality of care for cleft and craniofacial patients.
Erin Ross Feeding Matterns Presentation
Five Reasons Why NSOME Do Not Work
In this episode Brianna (Bri) Miluk, MS, CCC-SLP, CLC is joined by Dr. Taylor McFarland, a Board Certified pediatric dentist as they explore the intricate relationship between pediatric dentistry and pediatric feeding disorders. Dr. McFarland shares her inspirational journey into the field and guides you through crucial topics, from scheduling a child's first dental visit to preventing cavities and addressing oral care in children with pharyngeal dysphagia. They also delve into the pillars of aspiration pneumonia and discuss how oral care may need to adapt for children with feeding disorders, including the use of suction and a "no rinse" approach. Whether you're an SLP looking to enhance your knowledge or a healthcare professional dedicated to children's well-being, this episode promises expert insights, inspiring stories, and practical advice to bridge the gap between pediatric dentistry and speech-language pathology.
Surround by Specialized Care Co
Brushing Budding (affiliate - 15% off with code THEMAMADENTIST)
Surround by Specialized Care Co (toddler)
Surround by Specialized Care Co (big kids, 6 year molars+)
Join in the latest episode of The Feeding Pod where Brianna (Bri) Miluk, MS, CCC-SLP, CLC is joined by Rebecca Smith, MS, CCC-SLP, CNT, CLC, BCS-S as they delve into the critical world of pediatric feeding and swallowing competencies. This episode sheds light on the challenges faced in rural areas, where access to specialized care is scarce and misinformation looms. Discover how misinformation can hinder interventions, exacerbate issues, and erode trust in evidence-based care. Explore actionable strategies to empower parents, collaborate with specialists, and leverage technology, bridging gaps in rural pediatric feeding competencies. Tune in to uncover success stories and partnerships between urban and rural healthcare providers, as they advocate for improved pediatric healthcare in underserved regions.
Dr. Jordan Hazelwood - Dysphagia Competency Verification Tool
Trends in Survival after Childhood Cancer
Improved Outcomes of Children with Malignancy
Survival of Infants with Spina Bifida
20 Year Survival of Children Born with Congenital Anomalies
Join host Bri Miluk, MS, CCC-SLP, CLC, and guest Dr. Katherine Sanchez, PhD, CPSP, in a riveting discussion on outcome measurements in therapeutic studies. Explore the essential nature of these measurements, how they align with therapy goals, and their role in family-driven care. The episode includes examples from studies on behavior-based feeding therapy, NICU length of stay, and tube feeding to demonstrate considerations and application in your own practice. Plus, Bri’s favorite, a rapid-fire Q&A segment to get to know Katherine a bit more! Whether you’re a new or seasoned clinician, this episode will help you navigate outcome measurements in a meaningful way for patient care.
Choosing the Measurements: Outcome Measurements Matter
Join us on The Feeding Pod as Brianna (Bri) Miluk, MS CCC-SLP, CLC is accompanied by Dr. Ana, Pediatrician, DO, FAAP and they dive into the world of infant nutrition, gut health, and feeding practices. Dr. Ana is a pediatrician and the co-founder of The PediPals a site for caregivers and practitioners. Learn about normal infant development, managing reflux, addressing gassiness, and dealing with constipation. They also explore the latest guidelines for introducing allergens to infants, ensuring a healthy start for the little ones. This episode is for caregivers and clinicians alike as it is important to know ranges of normal development to ensure not over pathologizing. Discover practical tips and expert advice for parents and caregivers on this informative episode!
Join me in this captivating episode as I sit down with Lauren Sharifi, MPH, RD, LDN, to dive into the fascinating world of nutrition and specifically ARFID. Lauren's journey into the realm of nutrition, fueled by her love for science, cooking, and making a positive impact, led her to establish her own private practice in a gym after completing the coordinated program at UCONN. Recognizing a lack of resources for individuals with ARFID, she founded ARFID.Dietitian to bridge the gap and provide much-needed support. With a majority of adult clients, Lauren's work has taught her valuable insights that inform her approach to working with children with ARFID, focusing on neurodivergent affirming practices. Her responsive and supportive approach aims to create a safe environment that promotes autonomy and well-being. She challenges conventional feeding advice, embracing individual preferences and removing shame surrounding eating differences.
In this episode Brianna (Bri) Miluk is joined by Cassidy Arvidson to discuss her lived experiences with ARFID (Avoidant Restrictive Food Intake Disorder). Cassidy shares her personal journey with ARFID, discussing its different subtypes, the challenges she faces, and what has been helpful and unhelpful in her experience. She emphasizes the importance of understanding and respecting boundaries, educating oneself about ARFID, and providing support for individuals with this eating disorder. Tune in to gain insights for clinicians, caregivers, and ARFID warriors.
In this episode, Brianna (Bri) Miluk, MS, CCC-SLP, CLC is accompanied by Cuyler Romeo, M.O.T., OTR/L, SCFES, IBCLC, and Athena Flicek from Feeding Matters to shed light on the invaluable work of Feeding Matters and their impactful conferences. Join us as we explore the depths of their annual conference, a gathering that brings together leading experts, healthcare professionals, researchers, and families to share knowledge, exchange ideas, and collaborate on cutting-edge strategies to address pediatric feeding difficulties.
Wolf and Glass (Feeding and Swallowing Disorders in Infancy Assessment)
Marsha & Suzanne’s book (Pre Feeding Skills Comprehensive Resource Development)
In this episode, Brianna (Bri) Miluk, MS, CCC-SLP, CLC is accompanied by Bailey DeMario, SLP, CLC, who is an FPIES mother. During this episode Bailey shares the life of being an FPIES parent. They cover everything from how to get a diagnosis from a young age, to an allergy mom’s travel tips. You can find Bailey on Instagram @fpies_speechie_mama.
In this episode, Brianna (Bri) Miluk, MS, CCC-SLP, CLC is accompanied by Stephanie Compton, PhD, RD as they discuss their shared passion for debunking myths and misinformation and bringing awareness to social media. Join Bri and Steph as they define and provide in depth examples of cognitive biases and logical fallacies. You can learn more from Stephanie Compton on Instagram @steph.compton.phd and follow along with her newsletter here: https://view.flodesk.com/pages/5f15193fdd1a8a0026496b87.