Why is Tongue Tie Assessment So Controversial—and Challenging? Episode 120

Why is Tongue Tie Assessment So Controversial—and Challenging? Episode 120

January 8, 2026 · 19 min

About this episode

Lisa Paladino discusses the challenges and controversies surrounding tongue tie assessment in infants.

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: Inconsistent Training & Guidelines: Education on tongue tie varies widely, leaving many professionals with limited or conflicting knowledge. Lisa stresses the need for specialized, evidence-based continuing education and peer collaboration to build confidence and competence. Challenges in Assessment: Accurate diagnosis requires more than a visual check - functional assessment is key. Lisa highlights the importance of understanding oral mechanics and using supportive and proven assessment tools. Interprofessional Disagreements: Differing views among health care providers can confuse families and complicate care. Lisa advocates for respectful, evidence-informed communication and building a trusted referral network. Parental Pressure for Immediate Answers: Families often seek quick…

More episodes of The Tongue Tie Experts Podcast

Explore listener stats, chart rankings, contacts and more on the The Tongue Tie Experts Podcast podcast page.