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July 3, 2025 27 mins
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In this enlightening episode of Lo’s Lactation Lab, continuation of conversation with Lo Nigrosh, Rachel Best returns to share her groundbreaking approach to coordinated care for infants with feeding challenges. Together, they explore how multidisciplinary collaboration between SLPs, OTs, dietitians, and lactation consultants leads to transformative results for babies and parents navigating complex feeding journeys. Rachel emphasizes the importance of whole-body evaluation, interprofessional communication, and empowering families in their care journey.

Rachel Best is a Speech-Language Pathologist(SLP), Certified Orofacial Myologist (COM), and International Board Certified Lactation Consultant. She is the founder of Small Steps Therapy, a multi-location practice in Rhode Island and Massachusetts dedicated to collaborative, evidence-based pediatric care.


Expect to Learn
  • Why a collaborative care model is key to effective infant feeding support
  • The connection between tongue ties, torticollis, and full-body tension in babies
  • How coordinated sessions with multiple specialists can change outcomes
  • Strategies for families to find collaborative providers when multidisciplinary clinics aren’t available
  • Insight into the cultural and historical shifts affecting infant feeding practices

Episode Breakdown with Timestamps 
  • [00:00] - Introduction and Rachel’s Practice Expansion
  • [02:48] - Small Steps Therapy
  • [05:36] - Building a Transdisciplinary Infant Team
  • [11:22] - In-Room Collaboration with SLP, OT, and Dietitian
  • [13:49] - Tongue Tie Isn’t a Fad: Cultural and Historical Context
  • [19:00] - Symptom-Based Tongue Tie Evaluation
  • [21:08] - Advice for Families Without Access to Coordinated Clinics
  • [25:49] - Insurance Tips and Closing Thoughts

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