Tongue Tie, Breastfeeding, and the Lactation Savvy Therapist


OT, SLP, PT Enroll Here

Learning Objectives for this Infant Tongue Tie CEU course

  • Identify crucial benefits of breastfeeding (milk and non-milk benefits)
  • Identify current research on ties including the limitations of research on this topic¬†
  • Identify how tongue and/or lip ties impact breastfeeding from the completion of a comprehensive, functional assessment that includes oral structure and oral function
  • Recognize basic principles of lactation support/breastfeeding including the differences in mechanics of nursing vs bottle-feeding¬†
  • Recognize normal vs. abnormal oral function and mobility to help determine when tethered oral tissues may require treatment
  • Identify common myths and misconceptions about breastfeeding and TOTS that families may encounter
  • Identify the role of the therapist (OT, ST, PT) and IBCLC on the TOTS team and what professionals may play a role in the treatment of TOTS
  • List treatment options for tethered oral tissues including the risks and benefits of frenotomy for the treatment of breastfeeding challenges
  • Recognize the importance of infant and parent readiness for surgical intervention for breastfeeding challenges
  • ¬†Identify practical strategies/interventions to help families achieve breastfeeding goals


Exactly what you need to gain the confidence and skills to work with breastfeeding infants and TOTs.



Timed Agenda

Tongue ties, lip ties,¬†buccal ties ‚ÄĒ there's a lot to learn.¬†As a self-paced, online course, you can take¬†your time to absorb the material and apply it to your caseload. See below for a full breakdown of the topics and the amount of time spent in each module.

Module 1:
58 minutes


  • Introduction
  • Lactation Knowledge is Essential and Team Members
  • Myths and Controversy
  • Breastfeeding Benefits
Module 2:
2 hours 7 minutes

TOTs Background & Assessment

  • Research
  • Definitions
  • Oral Assessment
Module 3:
3 hours 29 minutes

Breastfeeding & Tongue Tie

  • Impact of Ties on Breastfeeding
  • Looking Beyond Ties
  • Lactation Management
  • Breastfeeding Assessment
  • Breastfeeding Interventions
  • Impact on Bottle Feeding
Module 4:
1 hour 14 minutes

Treatment Options

  • Risks and Benefits
  • Therapy and Lactation
  • Surgical Intervention
Module 5:
1 hour 52 minutes

Therapy Interventions for Tongue Tie

Module 6:
1 hour 24 minutes

Tongue Tie Case Studies

Expand your understanding of breastfeeding challenges and tongue tie from a whole-body perspective.


Course Instructor


Jeanne Pichoff, LOTR, IBCLC

Jeanne Pichoff has been a pediatric occupational therapist since 2004. She has worked in a variety of pediatric settings including the NICU, outpatient clinic, and the state early intervention system.

Jeanne owns and operates a private practice in Louisiana, Flourish Pediatric Therapy and Lactation LLC, which is focused on the niche areas of infant feeding, lactation support, and early intervention services.

Jeanne pursued the additional credentials of Certified Lactation Counselor (CLC), Certified Lymphedema Therapist (CLT), and International Board Certified Lactation Consultant (IBCLC). She continually strives to offer the highest quality service to families in her care.

In addition to her clinical work, Jeanne serves her community as a member of the Acadiana Breastfeeding Coalition, where she promotes breastfeeding advocacy in her region.

Frequently Asked Questions

Who is this infant tongue tie course intended for?

This infant, lactation-focused, tongue tie course (therapist version) is designed for:

  • Occupational Therapy practitioners (OT and COTA)
  • Speech-Language Pathologists (SLP)
  • Physical Therapy practitioners (PT and PTA)¬†

The alternative version is intended for:

  • International Board Certified Lactation Consultants (IBCLC)
  • Dentist
  • Dieticians
  • Other professionals involved in infant feeding

What makes this course different from other TOTs courses?

Most CEU courses about tethered oral tissues (TOTs) focus on the entire lifespan or general pediatrics. Many of the pediatric CEU TOTs courses do not focus on infants, let alone breastfeeding infants.

This is a comprehensive course taught by an experienced Occupational Therapist (OT) and International Board Certified Lactation Consultant (IBCLC).

This CEU course is unique in that lactation education is weaved throughout the course in order to highlight that both parts of the dyad contribute to functional feeding. To our knowledge, there is no other on-demand CEU course for therapists that provides this level of education and demonstration on functional TOTs assessment and intervention fully within the context of breastfeeding.


Are there prerequisites for this course?

There is no required coursework needed prior to enrolling in this course.


Does this course provide a TOTs certification?

Because certifications are widely unregulated and don't provide you with any extra skill or knowledge, we don't provide a TOTs certification with this course. 

We do offer course bundle discounts where you can earn badges for completing course groupings. These badges indicate you've completed multiple, inter-related courses that help you provide more comprehensive treatment to your clients. 

Please see the bottom of this page for the course bundle options.

You can earn CEUs and L-CERPs for completing this course as well which can be used for your therapy license renewal as well as lactation certification renewal for an IBCLC, CLC, CBS, etc.


As a therapist, can I count this course toward my 90 hours of lactation-specific education?

Absolutely! This course is approved for 9.0 L-CERPs. To receive credit for completion, the course must be completed with 100% watch time and each participant will need to complete a post-assessment with a passing score of at least 80% to ensure all learning objectives are met.


Information about AOTA CEUs

This course is approved for 1.1 AOTA CEUs. Participants will be required to:

  • Complete the course in its entirety (100% of the course watched)
  • Complete a multiple-choice post-assessment with a passing score of at least 80%¬†(untimed test)

Information about ASHA CEUs

This course will be available for 1.1 ASHA CEUs. To receive ASHA CEUs, participants will be required to:

  • ¬†Ensure you are eligible to receive ASHA CEUs!¬†Click here for more information
  • Complete the course in its entirety (watch time is tracked by the learning management system)¬†
  • Complete the multiple-choice post-assessment with a passing score of at least 80% (untimed test, 3 retakes)
  • There is no option for partial credit

CE Information for Physical Therapists

APTA does not approve individual companies and you will need to check with your individual state for online course requirements. To best prepare you can save the following:

  • The certificate of completion that will be provided
  • List of references
  • A copy of the assessment questions

How long will I have access to the course?

6 months from the purchase date. This allows you time to learn about tongue ties, apply it to your caseload, and circle back to the course to absorb even more information and refine your clinical reasoning skills.


What is your refund/cancellation policy?

Refunds must be requested within 14 days of purchase by emailing¬†[email protected]. A¬†full refund is available if no modules have been started. A partial refund is available once¬†ANY¬†portion of the course has been viewed.¬†The amount refunded is at the sole discretion of The Lactation OT LLC.¬†There is¬†no refund available after 14 days¬†of purchase¬†OR if module one has been completed.¬†Recipients will receive acknowledgment of refund requests within 3 business days. If the request is valid per the terms listed above, the refund will be processed within 7 business days.¬†If for any reason the course is canceled by¬†The Lactation OT before the course is started, a¬†full refund¬†will be provided.¬†


How do I request special accommodation?

Please send us an email at¬†[email protected]¬†at least 14 days before starting the course with further details of your request.

AOTA Approved Provider, ASHA Approved Provider, IBLCE Long-Term Provider


IBLCE Long-Term Provider

9.0 L-CERPs