Infant Feeding Therapy

Comprehensive, compassionate occupational therapy for tongue, lip & cheek ties and other feeding difficulties

 Does this sound familiar?

Breastfeeding or bottle feeding has always been a challenge. You’ve seen lactation consultants but are still having issues feeding your baby. You may be facing bottle refusal or issues taking a pacifier. Perhaps you’ve started on solid foods and are having a hard time making that transition. You may have been told your child has a tongue, lip or cheek tie that needs revision. You may have even already had a tie revised but are still struggling to give your child the nutrition they need.


There is help.

Occupational therapy for babies could be the key to happier, healthier feedings for you and your little one. At Adaptive Pediatric Therapy, our tie-saavy occupational therapists work with infants dealing with tongue, lip and cheek ties and other feeding challenges.

Our specialized training and experience can help you navigate feeding issues with more confidence and give your child the functional feeding skills they need to grow and thrive. We use a team-based approach to collaborate with other providers, including lactation, nutrition, GI, pediatric dentist, ENT and more, to ensure your child gets the support they need.

tongue tie icon

Tongue Tie

If your little one has been diagnosed with a tongue tie – or you suspect that they might have one – an occupational therapist can help. An infant feeding OT can assess oral motor patterns, sensory needs and developmental skills to determine the cause of feeding issues. An OT can also provide exercises before and after a tongue tie release.

lip ties

Lip Tie

Just like tongue ties, lip ties can significantly impact an infant’s ability to breastfeed and bottle feed. If you’re struggling with painful latch or if your little one is having difficult feeds, an occupational therapist can provide guidance on how a lip tie might be playing a role. An OT can also help with exercises before & after a frenectomy.

cheek tie

Cheek Tie

If your infant has a cheek tie that needs to be revised, an infant feeding OT can offer additional support. Remember, your baby has been practicing sucking with restricted motion since the first trimester. All of the muscles in the mouth, face, head & neck need to be retrained to have the biggest impact on feeding challenges after a revision.

latch issues with breastfeeding

Latch Issues

An occupational therapist can help identify potential problems with oral motor patterns or issues with head and neck muscles that could be playing a role. When needed, our occupational therapists can also recommend and connect you with one of our preferred providers for lactation consultation for additional support in improving latch.

bottle refusal in infants

Bottle Refusal

Bottle refusal is a common infant feeding problem that can happen with both breast-fed and bottle-fed babies. If your little one is refusing a bottle or pacifier then you know how stressful it can be. An OT can help identify what motor, developmental or sensory delays might be playing a role and assist with optimizing muscle function.

excessive spitting up

Excessive Spit Up

Is it colic? A milk allergy? Something else? If your little one is spitting up excessively or choking while feeding, it can be scary and overwhelming. Working with an infant feeding OT can help identify problems with swallow function, muscular development and more that could be contributing to your infant’s spitting up.

When your child is struggling to get the nutrition they need, everything feels hard.


I get it, because I’ve been there too. I struggled to find the support we needed for my son’s tongue tie release and feeding issues.

It was this experience that inspired me to advance my infant feeding education and training. I knew that if I couldn’t get the help I needed – even while working in OT – that there were likely many families who also needed additional support for their kiddos.

I’ve lived this personally and professionally, and I’m committed to coming up with a care plan that supports your child while also being realistic and functional for your family.


– Allie Caplin, Owner of Adaptive Pediatric Therapy

baby eating broccoli sitting in a high chair

How Does Infant Feeding Therapy Work?

We incorporate a variety of OT strategies to support your child through feeding issues. These include:


Body Work


Myofunctional Therapy


Myofascial Therapy


Cranial Sacral Therapy

We’re ready to help

When you’re facing feeding issues, it’s easy to feel overwhelmed. Adaptive Pediatric Therapy can help you understand your child’s unique feeding challenges and give you confidence to make decisions for their health. We can advise on optimal timing of tie releases and assist before and after a procedure. We can also connect you with lactation consultants and other specialists to complete your infant feeding team.

Contact Us

(207) 370-1744
118 Portsmouth Ave, Building A      Suite A1A, Stratham, NH 03885