Before Pain Turns to Struggle: Lessons from the Clinic  Episode 118

Before Pain Turns to Struggle: Lessons from the Clinic Episode 118

December 11, 2025 · 24 min

About this episode

Lisa Paladino discusses common breastfeeding challenges and the importance of recognizing tongue tie and maternal pain.

In this episode of Tongue Tie Experts , IBCLC and Certified Nurse Midwife Lisa Paladino shares two real-life case studies that uncover the most common - and most misunderstood - breastfeeding challenges. Learn how to recognize the signs of tongue tie, why maternal pain should never be ignored, and what truly needs to happen before and after a tongue tie release to ensure optimal results. Lisa breaks down the importance of a full feeding assessment, explains why babies often compensate during breastfeeding, and highlights how preparation, aftercare, and collaborative support can transform outcomes. Whether you're a lactation professional, a healthcare provider, or a parent seeking answers, this episode offers practical insights and evidence-informed guidance to help families navigate tongue tie and breastfeeding with confidence. Key Takeaways Maternal experience matters. A parent’s pain, intuition, and observations are essential clinical clues that should always be taken seriously. Breastfeeding pain is not normal. Persistent discomfort signals that something in the feeding relationship needs attention. Babies often compensate for feeding difficulties. These compensations can mask…

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