First Bite #96 – April 14, 2020

Tricky Tethered Tissues

(.1 ASHA and AOTA CEUs) For more info, click here.

Course Description

In this episode, Michelle is joined Erin Forward, MSP CCC-SLP and they are taking on those tricky tethered tissue issues. Have you been confused about the HIPAA compliant pictures that you see popping up on social media that ask advice about that presumed “tongue tie”? Or has a colleague sent you a HIPAA-friendly pic of a supposed “lip tie” and asked your advice about a static image? In this episode, Michelle and Erin address normal anatomical variations, the history of tethered tissue treatments, and what the evidence currently tells us.


By the end of this PodCourse, participants will be able to identify and describe:

  • Typical variations in the normal anatomy of the mouth.
  • Contributing factors in treatment approaches for frenulums.
  • The evidence behind treatment approaches for frenulums.


Erin Forward, MSP CF-SLP

Erin currently resides in Greenville, SC but grew up in Rochester, NY where her family still resides. Erin attended the University of Pittsburgh for her Undergraduate degrees in Communication Science and Disorders and Psychology, and completed her Master’s degree in Speech Pathology at the University of South Carolina. She has worked in a variety of settings including early-intervention/home-health, NICU in a children’s hospital, and an outpatient feeding clinic. Erin currently works for a non-profit outpatient speech clinic, where she specializes in pediatric feeding and swallowing disorders.

Erin is the Co-Host of the wildly acclaimed PodCourse/PodCast “First Bite: Fed, Fun, Functional a Speech Therapy”, sponsored by Erin is passionate about engaging in interprofessional practice for her patients and advocating for attainment of functional independence for patients and their families, all done with a little bit of fun and joy. She believes that if you tell a child they can do something, they can do it, which is what makes working with children so rewarding, as they inspire her every day.