Professional Course

Functional Feeding &
Therapeutic Techniques

The clinical course for practitioners working with infants and children who have oral dysfunction and tethered oral tissues. Built from two decades of practice at the National Tongue Tie Centre โ€” and designed to transfer directly into yours.

Enrol now โ€” โ‚ฌ575 โ†’ 8 weeks access ยท Elite members: extended access while subscribed ยท 20% off with Elite membership
Who this course is for

For clinicians working with infants and young children

If you work with babies and infants in the first six months of life โ€” whether your primary role is feeding support, therapy, or primary care โ€” you will encounter oral dysfunction. The question is whether you have the clinical tools to assess it accurately, support families through it, and know when and how to refer.

This course was built specifically for practitioners in that position. Not as an introduction to the topic, but as a substantive clinical resource grounded in real cases from the NTTC โ€” where over 1,000 patients are treated per year.

It is particularly relevant for:

โ†’Lactation Consultants (IBCLC) working with breastfeeding and bottle-feeding difficulties
โ†’Chartered Physiotherapists working with infant oral motor function and postural compensation
โ†’Osteopaths and craniosacral therapists working with infants presenting with feeding difficulties, colic, or reflux
โ†’Speech and language therapists involved in infant feeding assessment
โ†’Paediatricians, GPs, midwives, and public health nurses seeking a more structured clinical approach to feeding presentations
Course details
โ‚ฌ575

Elite members receive 20% off at checkout โ€” โ‚ฌ460.

โœ“8 weeks course access from purchase
โœ“Extended access for Elite members while subscribed
โœ“Pre-recorded videos โ€” watch at your own pace
โœ“Per-video Q&A โ€” comment on each video, answered by Kate
โœ“Real clinical cases filmed at the NTTC
Enrol Now โ†’ Join Elite for 20% off โ†’
Course content

What you'll find inside

The course is built around clinical cases filmed at the NTTC โ€” real consultations, real therapy sessions, real surgical footage. Kate presents the clinical reasoning alongside each case so you understand not just what is being done but why.

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Real clinical case videos

Live consultations and therapy sessions filmed in the NTTC clinic. You watch the assessment, the clinical reasoning, and the intervention โ€” not a simulation, not a lecture, but the actual clinical encounter.

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Surgical footage

Video of frenectomy and frenuloplasty procedures at the NTTC gives non-surgical practitioners a direct understanding of what the procedure involves โ€” which is essential for pre- and post-operative therapy and for supporting families through the process.

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Bite-sized, flexible format

Videos range from a few minutes to fifteen minutes. Watch between appointments, in short bursts, or in longer sittings โ€” the format is designed to fit around a working clinical week, not to compete with it.

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Per-video Q&A with Kate

Each video has a comment and question section. Ask your clinical questions as they arise โ€” directly in context with the material you are watching. Kate responds promptly and in full.

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Clinical fundamentals

Alongside the case videos, Kate presents the clinical reasoning and foundational knowledge that contextualises each case. The science of oral function, the anatomy of restriction, and the rationale for every element of the NTTC approach.

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Pause, rewind, revisit

Watch each video as many times as you need. Return to specific cases when a relevant presentation appears in your own clinic. The course works as both a structured learning programme and an ongoing clinical reference.

What you'll be able to do

After this course, you can

These are not abstract learning objectives. They are the practical clinical outcomes that practitioners consistently report after completing the course.

โœ“ Confidently assess oral dysfunction โ€” moving beyond visual diagnosis to functional assessment of how a baby is actually feeding, compensating, and coping
โœ“ Explain your clinical reasoning to parents clearly โ€” including why a referral to a tongue tie specialist is or is not indicated, and what the process involves
โœ“ Implement pre-operative techniques in your clinic so that a baby enters surgery with improved oral function โ€” reducing compensation patterns and improving post-operative recovery
โœ“ Deliver structured post-operative therapy โ€” the rehabilitation that determines whether the surgical outcome is functional and sustained, or merely anatomical
โœ“ Empower parents with evidence-based home strategies so they have genuine buy-in from the beginning and persevere with therapy long enough to see lasting functional change
โœ“ Recognise when feeding dysfunction has a broader systemic component โ€” including reflux, colic, generalised fussiness, and sleep difficulty as presentations that may be driven by oral restriction
โœ“ Integrate the techniques into your existing practice without significant additional appointment time โ€” the content is designed for direct clinical application, not theoretical adaptation
โœ“ Understand the long-term picture โ€” why inadequately treated oral dysfunction in infancy often resurfaces as jaw tension, sleep difficulties, and postural issues in later childhood and adult life
What colleagues say

In their own words

One of the most comprehensive and clinically relevant trainings on oral function and tongue tie I have encountered to date. It promotes a crucial shift in clinical thinking โ€” moving beyond a visual diagnosis to truly recognising the importance of function. The Tongue Tie Toolbox equips clinicians with the skills to assess and support oral function, with practical tools that can be implemented immediately in clinical practice, supporting families before, during, and after frenotomy where appropriate.

For any professional working with infants from birth to six months โ€” particularly Lactation Consultants, Paediatricians, Midwives, and GPs โ€” this course is an invaluable resource. It ensures that feeding issues are not dismissed or overlooked, but explored in a holistic, informed, and compassionate manner.

Katie Mugan โ€” Nursing Mama
Registered General Nurse ยท Registered Children's Nurse ยท Registered Public Health Nurse ยท IBCLC

An incredible resource for any clinician interacting with babies under six months presenting with feeding issues, fussiness, colic, reflux, or sleep concerns. It's like being in the clinic next to Kate โ€” but better, because you can pause and rewind.

Completion of this course enabled me to confidently detect issues around oral dysfunction, implement pre- and post-operative techniques, and empower parents with science-based information so they have buy-in from an early stage. I can easily integrate the techniques and teachings into my daily practice with no added time needed. I would highly recommend this to clinicians working with this age group โ€” Physios, Craniosacral therapists, Lactation Consultants, Osteopaths, Public Health Nurses.

Deborah Mullan
Craniosacral Therapist CST-T IACST ยท Chartered Physiotherapist MISCP
Oranmore Physio and Craniosacral Therapy
Course author

Built by Kate Roche

KR

Kate Roche

BSc, MISCP, IBCLC ยท Clinical Director & Co-Founder, National Tongue Tie Centre

Chartered Physiotherapist IBCLC Feeding Therapist

Kate is Clinical Director and Co-Founder of the National Tongue Tie Centre in Clonmel โ€” Ireland's original dedicated tongue tie clinic, treating over 1,000 patients per year. She is a Chartered Physiotherapist, feeding therapist, and IBCLC, with over two decades of clinical practice in oral dysfunction and tongue tie.

She presented "Fascia, Freedom, Function" at Tongue Time 2026 in St. Gallen โ€” the world's leading international tongue tie congress โ€” and is a confirmed speaker at ASTOT 2026 in Bali and Tongue Time 2027. The content of this course comes directly from her clinical practice and is updated to reflect what she is seeing in the clinic today.

Before you enrol

Common questions

Who is this course designed for?
Practitioners providing feeding support and therapy to infants in the first six months of life. This includes lactation consultants, physiotherapists, osteopaths, craniosacral therapists, speech and language therapists, occupational therapists, paediatricians, GPs, midwives, and public health nurses. If you see infants with feeding difficulties in your practice, this course is relevant.
How is the course delivered?
The course is a series of pre-recorded videos, available on demand. Videos range from a few minutes to fifteen minutes in length and can be watched in any order, at any time, and as many times as you need within your access period. Each video has a comment section where you can ask questions directly.
How long do I have access to the course?
Standard access is eight weeks from the date of purchase. Elite members retain access to any purchased course for as long as their Elite membership is active, regardless of the standard eight-week window. If you are considering Elite membership, joining before purchasing a course will maximise your access period and give you the 20% discount.
I'm not a tongue tie specialist โ€” is this course still relevant to me?
Yes. The course is designed for practitioners who encounter oral dysfunction in their work โ€” not only those who specialise in it. A significant part of its value is in helping you recognise when a presentation may have an oral restriction component, how to support the family in the meantime, and when and how to refer to a specialist. You do not need to perform any procedures to benefit from this course.
What does the surgical footage cover?
The course includes video of frenectomy and frenuloplasty procedures performed at the NTTC. This is included specifically to give non-surgical practitioners an accurate understanding of what the procedure involves โ€” which is essential for informed pre- and post-operative therapy, and for answering parent questions with confidence.
How quickly are questions answered in the per-video comment section?
Kate monitors the Q&A sections regularly and responds promptly. Questions are answered substantively โ€” not with generic guidance but with the specific clinical detail relevant to what you have asked.
Can I get a discount on this course?
Elite members of Tie Talk receive 20% off all Tongue Tie Toolbox courses, bringing the course price to โ‚ฌ460. If you are considering both Elite membership and this course, joining Elite first will apply the discount automatically at checkout and give you extended access to the course material while your membership is active.
Enrol today

Start with the next case you see

Eight weeks of access. Pre-recorded, flexible, and built for a working clinical week. The techniques are transferable from the first session you watch.

Elite members pay โ‚ฌ460. 8 weeks access. Extended access while Elite membership is active.