25/01/2026
“They can stick their tongue out, so they’re not tongue tied.”
This is one of the most common and most misleading statements I hear❗️
The tongue isn’t a single muscle.
It’s a highly complex structure made up of multiple muscles working together ‼️ Each responsible for different movements, strength and shape.
So while a tongue might manage to protrude past the lips, that tells us very little about how well those muscles are actually functioning.
For feeding to be effective, the tongue must be able to:
• Lift and elevate to the palate
• Shape and cup
• Create and maintain suction
• Rest correctly in the mouth
• Coordinate with the jaw and palate
• Work without tension or compensation
• Work efficiently during feeding
A tongue can appear mobile on the outside but still be restricted underneath. Many tongue ties restrict the deeper muscular function of the tongue.
This is especially true with posterior tongue ties, where limitation affects lift, strength and coordination rather than simple protrusion.
What does that mean in real life?
Often it looks like:
• Ongoing feeding difficulties 🧑🏼🍼🤱🏼
• Painful or inefficient feeding
• Clicking, leaking or poor seal
• Reflux-like symptoms or excessive wind
• Long or tiring feeds
• Ni**le pain or damage
• A baby who just doesn’t seem comfortable feeding
👉 Tongue ties are about function, not appearance.
A proper assessment looks at how the tongue’s muscles work together during feeding, not just whether the tongue can come out 👅
This is why a thorough functional assessment by a qualified tongue tie specialist (not your GP, midwife, health visitor or paediatrician) is so important! Assessing how the tongue moves, lifts and works during feeding, not just what it looks like at rest 😛
If feeding feels hard, uncomfortable or exhausting, that matters 💜
And it’s always worth a closer look.
If something doesn’t feel right, trust that instinct 💜
You know your baby best 💜