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डी-प्रतिबंधित लिमिटेड:
ओरोफेशियल मायोफंक्शनल तकनीक

Body-Therapies to Aid your Infant's Feeding Ability

(ask for your therapist to have experience with infant feeding related tensions)

For a directory of manual therapy providers with experience in treating babies with feeding issues and tongue-tie please visit


Chiropractic therapy 



Cranial-Sacral therapy


Myofunctional Therapy

Should you choose to join my Facebook peer support group page, there is a thread where service-users have recommended therapists across the UK based on their treatment experience.  To join the facebook page, please just click on the link:


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Manual Therapy and Infant Feeding

What is the role of manual therapy for helping babies with feeding difficulties?

(Extracted from:

There are several healthcare professions that use manual therapy as their modality for treating the human body. Manual therapy is the hands-on method of treating the body, rather than a drug-based approach. The therapist uses a variety of techniques to support the tissues and help return function to a normal level when there has been injury or changes to the areas involved.

The techniques used can have different names depending upon the profession using them, but in general they include:

  • Mobilising a joint: taking it through a range of motion to promote full use, to ease ligamentous, capsule or muscular restrictions to full movement.

  • Soft tissue techniques: massage, stretching, inhibition, cross-fibre.

  • Active tissue techniques: asking the patient to work against the therapist e.g. Muscle Energy Technique.

  • Nerve stretching: proprioceptive neuromuscular facilitation stretching.

  • High Velocity/Low Amplitude Thrust: the “clicking” or “popping” noise of a joint when it is adjusted to regain motion.

  • Cranio-Sacral Techniques and Sacro-Occipital Technique: these are generally very subtle, “quiet” and gentle techniques. This first was developed within Osteopathy and is an extension of osteopathic principles aimed at releasing adverse tension in the tissues of the skull: meninges and other connective tissue and can be applied to other joints in the body too. The latter is the extension of Chiropractic philosophies and looks at more subtle mechanical ways of dealing with chiropractic “subluxation” patterns. Both of these approaches are popular for use in treating babies and they involve very little strong force to be applied to the body.

Most osteopaths and chiropractors who treat babies have undertaken extensive post-graduate studies in order to gain an in-depth knowledge of the embryological development of the baby. This will include the anatomy of the nerves, vessels, bones, joints and muscles relating to the brain, head, face, neck, back and body and organs during development. They understand the stages of development during embryonic life, the process of birth and the interventions or traumas that may occur during birth, and the developmental stages during the early years of life.

The aim during treatment will be, for example:

  • to relieve the compressions that occur whilst the baby is growing within the womb (uterus), particularly in the later months when space becomes restricted.

  • to relieve stresses and traumas that might result from the birth process, for example awkward presentations that require interventions such as forceps or ventousse can create trauma in the neck and head areas.

  • to improve the motion of the thoracic cage which houses the heart and lungs so that breathing is easier.

  • to improve the movement of the upper neck area so that the nerves that facilitate feeding are not impinged and the baby can physically and comfortably get their head into the right position for feeding, on both right and left side.

For the mother, osteopaths and chiropractors can work on, for instance:

  • the pelvis to reduce the symptoms of pelvic girdle pain (symphysis pubic dysfunction) that can make walking and daily activities very painful and awkward.

  • the parts of the thoracic cage (ribs and spine) that relate to the nerves that supply the breast and in turn control the milk supply and milk ejection reflexes.

  • the mothers muscles and joints to improve their function can help ensure that mother can achieve comfortable positions for birthing, for feeding, for sleeping.

Important Note:

In the United Kingdom there is increasing legislation to protect the general public and to ensure that health practitioners are adequately trained (to B.Sc. degree level or above), insured and continuing their professional development (ongoing training; CPD). Certain professions have their own governing body that regulates the training courses and the individual practitioners on the register, for example, Osteopaths are regulated by the General Osteopathic Council, Chiropractors by the General Chiropractic Council, whilst other professionals, e.g. Physiotherapists, are required to register with the Health and Care Professions Council that regulates many other professions too.

In law, these professional titles are protected and it is a criminal offence to use them if the practitioner is not registered with the relevant governing body.

The protected titles include the following:

However, there are several practitioners of manual therapy who do not enjoy the same legally protected status, but may well be trained to a high level or have a great deal of experience within their chosen field. It is the individual choice of the member of the public who chooses to use a non-regulated person to ensure the level training and experience is to their satisfaction and to be aware that whilst these practitioners may be a member of an association, it is not a governing body that has recourse within law to protect the public. For example, titles commonly seen include massage therapists, physical therapists, manual therapists, cranio-sacral therapists. Where nurses and midwives provide manual therapies they are still regulated by the Nursing and Midwifery Council in these roles.

Orofacial Myofunctional Therapy

डायना ओरोफेशियल मायोफंक्शनल थेरेपी के अनुशासन में प्रशिक्षित एक उन्नत व्यवसायी है और जीभ-टाई विभाजन के बाद अपने कार्य को पुनः प्राप्त करने के लिए जीभ का समर्थन करने के लिए आसपास के मौखिक मांसपेशियों की संरचनाओं और ऊतकों को मजबूत करने के महत्व को पहचानती है।

शिशुओं में, टंग टाई प्रक्रिया (फ्रेनुलोटॉमी) का संकेत आमतौर पर तब दिया जाता है जब लिंगुअल फ्रेनुलम जीभ की गति को प्रतिबंधित कर देता है और शिशु आहार से समझौता करता है।  दूध के स्थानांतरण के लिए जीभ की सही मुद्रा और कार्य महत्वपूर्ण है। इष्टतम जीभ के कार्य के लिए एक वैक्यूम बनाने के लिए पूर्ण जीभ की गतिशीलता की आवश्यकता होती है जो समय पर श्रव्य लयबद्ध निगल (गल्प नहीं!) और दूध के हस्तांतरण के माध्यम से जीभ की क्रमिक वृत्तों में सिकुड़नेवाला क्रिया को प्राप्त करने के लिए चूसने वाले पलटा को उत्तेजित करने के लिए निप्पल / टीट को संलग्न करता है।

जीभ की स्टाइलोग्लोसस पेशी जीभ को पीछे खींचती है और ऊपर उठाती है। यह पेशी जीभ की नोक से टेम्पोरोमैंडिबुलर जोड़ के पास के क्षेत्र तक चलती है। एक टंग टाई इस मांसपेशी की गति को और अधिक कठिन बना देती है और इसलिए कुशल दर्द-मुक्त भोजन प्राप्त करने के लिए एक अच्छा चौड़ा खुला गैप प्राप्त करना निरंतर या बनाए रखने में असमर्थ होता है और कुछ मामलों में बिल्कुल भी नहीं। मैं अक्सर गर्भावधि माता-पिता को यह याद करते हुए सुनता हूं कि कैसे अपने शिशु को खिलाते समय वे एक विस्तृत जंभाई के साथ कुंडी लगाते हैं, लेकिन फिर शिशुओं का मुंह उथले कुंडी से 'फिसल जाता है' या इसे बनाए रखने में असमर्थ होता है, जिसके लिए लगातार प्रयास करने की आवश्यकता होती है।

facial muscles tongue tie

Orofacial Myofunctional Exercises are performed differently for infants, as babies are unable to do the exercises following a command.
Instead, babies respond to stimuli and reflex. So, in order to strengthen the muscles necessary for feeding, breathing and sleeping, suggested exercises for the adult caregiver to perform on the infant work well. These are gentle, and relaxing and can easily be incorporated into a busy lifestyle.

शिशु को दूध पिलाने से ओरोफेशियल मांसपेशियां उत्तेजित होती हैं और यह चेहरे के विकास को बढ़ावा देता है। उसी तरह, सही चूषण और चबाना दांतों में परिवर्तन और कठिनाइयों को रोकता है जब होंठ और जीभ जैसी संरचनाएं चलती हैं।  एक ओरोफेशियल मायोफंक्शनल प्रैक्टिशनर को प्रशिक्षित किया जाता है, पूरी तरह से मूल्यांकन करने के बाद, और एक संबद्ध दृष्टिकोण में काम करने के लिए, मुंह, चेहरे और गर्दन की मांसपेशियों को पुनर्संतुलित करने और सांस लेने के कार्यों को बहाल करने के लिए तकनीकों को लागू कर सकता है। , चबाना और निगलना।  न्यूरोलॉजिकल री-एजुकेशन अभ्यास विकासशील या विकसित क्रैनियोफेशियल संरचनाओं और कार्य के सामान्यीकरण में सहायता के लिए निर्धारित हैं। चिंता भाषाई उन्माद (जीभ टाई) की उपस्थिति नहीं है, यह है कि मौखिक कार्य कैसे प्रभावित होता है और मौखिक कार्य में कमी के दीर्घकालिक परिणाम होते हैं।

ओरोफेशियल मायोफंक्शनल थेरेपी में 3 अलग-अलग भूमिकाएँ होती हैं जो फ्रेन्युलोटॉमी (जीभ-टाई) प्रक्रिया की सफलता को बेहतर बनाने में मदद करती हैं:

1) एक फ्रेनुलोटॉमी प्रक्रिया से पहले, ओरोफेशियल मायोफंक्शनल थेरेपी न्यूरो-मस्कुलर री-एजुकेशन के आवेदन के माध्यम से शक्ति समन्वय जागरूकता और व्यवहार संशोधन का निर्माण करती है।  Diana आपको न्यूरो-मस्कुलर री-एजुकेशन के चरणों के माध्यम से आपकी सहायता करने के लिए एक व्यायाम पत्रक और कार्यक्रम प्रदान करेगा।

2) ओरोफेशियल मायोफंक्शनल थेरेपी मुंह के पहले कमजोर क्षेत्रों में ताकत को प्रोत्साहित करके जीभ के कार्य और गति को जोड़कर उपचार प्रक्रिया में सहायता करती है जिससे यह बेहतर जन्मजात खिला क्षमताओं की दिशा में काम कर सके।

3) सही मौखिक कार्य को बहाल करने और सुधारने के लिए मौखिक संरचनाओं का पुनर्वास। सर्जिकल प्रक्रिया के बाद भौतिक चिकित्सा के समान, ओरोफेशियल मायोफंक्शनल उपचार एक फ्रेनुलोटॉमी की सफलता को बेहतर बनाने में मदद करने के लिए समान भूमिका निभाता है।  

tongue anatomy

For additional exercises and relaxation techniques; please take a look at my free online Baby Massage and Yoga Courses!

Tongue Function/Tone Strengthening Exercises

Myofunctional therapist

These exercises are found in your aftercare paperwork I gave you at your consultation.

Although doing these is absolutely optional, my recommendation is not to delay, and to commence from day 2. 

This will enable your baby to get the most benefit from the division and give him/her a 'head-start' in terms of learning ability on their feeding journey. Exercises are designed to be a playful, bonding and learning experience-If you are short on time or too busy we do not want to do these in a time-pressured situation. These exercises are designed to mimic the different aspects that the tongue uses to feed; the last thing we want to do is put your little one off feeding.

To be clear; I DO NOT advocate any form of exercise or practice that involves touching or interfering with an open wound for the reasons discussed at your consultation.

Baby Massage

(Suitable from birth to pre-crawling age)

Here we have all of the benefits of a baby massage course, to be enjoyed without even leaving the house!

Baby massage is not a new concept, and has been practised in other countries for hundreds of years, with the belief that it helps with health, happiness, security and a feeling of being loved-for parent and baby. Baby Massage is tailored for all babies right from birth until pre-crawling age. It also addresses many of the symptoms a baby may be experiencing as a result of a restrictive frenulum such as colic, trapped wind, reflux and teething without the need for medication. It also has the added benefits for parents with bonding and confidence with their baby.

Baby Massage involves the parent/caregiver learning massage techniques, in order to promote physical and emotional well-being to the baby whilst also promoting bonding and attachment skills for the parent too. Baby massage is also a great introduction to infant Yoga.

Course benefits include:

  • Aids gross & fine motor skills

  • Sleep, increases duration & frequency

  • Aids digestions, relieves constipation and colic

  • Helps with reaching developmental milestones

  • Increases parent & baby bonding

  • Increased strength & flexibility

  • Reduces stress


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