Tongue ties will affect breastfeeding and can cause many issues for both mom and baby!

As a chiropractor, I examine, diagnose and treat baby’s musculoskeletal restrictions that are contributing to the tongue tie issues.

  • Treatment techniques are gentle. These include massage and crainal sacral therapy (CST).

  • Treatment is best pre and post frenotomy

  • Manual therapy helps with breastfeeding difficulties such as: shallow latch, fussy feeds, pain and trauma to mother’s nipples,



1.     Tongue ties usually has associated muscular and/or joint dysfunction that can be corrected. This will to improve breastfeeding mechanics. For example, if the temporal mandibular joint of the jaw (TMJ) is restricted, the baby cannot open wide to get a deep latch; the baby will slip off the breast or compress the nipple.

2.     If muscles of the jaw, mouth, or tongue are tight, the muscle function is weak, and has less endurance.  Babies will get tired and sleepy at the breast as they get tired from working too hard to drink milk.

3.     The same tight muscles may affect the the frenotomy. If the baby cannot open their mouth wide for the release, or lift their tongue, the release may be “incomplete” as the frenelum in the back of the tongue cannot be accessed by the doctor.

4.     Allison Hazelbaker describes a phenomenon as “faux tie”, when constricted muscles cause the appearance of a significant frenum. These constricted muscles can be relaxed with manual therapy and improve breastfeeding.

5.     To get the best latch, babies need to be able to be comfortable to TURN their heads (FULL ROTATION) and bring their head back (FULL EXTENSION)

6. To keep the latch and seal, babies need to maintain a wide mouth AND a good seal with their lips.

A proper neuromuscular exam can help diagnose specific breastfeeding problems in the baby.  Treating those restricted or tight areas can improve the baby's latch and ability to feed.


Dr. Darlene Buan-Basit is currently practicing in Toronto, however will still offer Telemedicine platform to accommodate patients who prefer convenient phone or video appointments due to distance. Telemedicine is a wonderful option for case specific advice and instruction/recommendation.  This is equally convenience for remote locations or those who wish to be home for appointments, avoiding traffic and parking, and for parents of newborns.:

To help with breastfeeding, tongue ties and fussy babies. Service includes:

  • Observation and medical history of baby to provide personalized treatment recommendations

  • Personalized post frenectomy stretching and massage education, including assessment of current situation to guide parents with feeding baby and suck training exercises

  • Personalized before and after care recommendations, and pain control options.

  • $95/hour for personalized video assessment and education

    Email: to schedule

Dr. Darlene Buan-Basit is passionate about helping families who are experiencing tethered oral tissues: tongue tie, lip tie and sometimes buccal ties.  She is now an elected board member of the International Consortium of Oral Ankkylofrenula Professionals.

This is a global organization committed to the education, research and advocacy of best practices for assessment, diagnosis and integrative treatment of restricted oral tissues. To learn more or get involved, please see