Treating the tongue-tied

, , , , , , ,

Imagine being a new mother, you just gave birth to a beautiful baby, but after closer inspection, you notice something is amiss. The doctor confirms that your baby suffers from ankyloglossia, more commonly known as tongue-tie. This medical condition occurs at birth when a baby is born with a tight piece of connective tissue under the tongue. This tissue restricts the tongue’s movement. Luckily, this condition is well known and treatable. Being tongue-tied may result in difficulty breastfeeding or swallowing.

Dawn Dahlgren-Roemmich, CNM, has alot of experience with tongue-tied babies.

Dawn Dahlgren-Roemmich, CNM

Midwife perspectives

Dawn Dahlgren-Roemmich, a certified nurse midwife, has worked with many tongue-tied babies. According to Dawn, only about 10 percent of babies are born with this problem. In the last 20 years, she’s cared for over 100 babies with ankyloglossia. Her second daughter was actually born with ankyloglossia.

“Typically, this condition is very treatable and doesn’t cause any long-term issues if dealt with right away. If the frenulum is not snipped it can cause speech ipediments later in life. This is the reason we chose to have our daughter’s snipped.” – Dawn Dahlgren-Roemmich

When Dawn works with a baby having trouble feeding, she looks at the frenulum. If she finds the frenulum is interfering with feeding, she recommends the baby have the frenulum clipped by a provider or ENT specialist. After the frenulum is snipped, she works with the parents to reteach the baby how to feed.

Chiropractic intervention

Dr. Mitchell does occasionally work with tongue-tied babies.

Carissa Mitchell, DC

Tri-County Health Care has a diverse staff of medical professionals trained to detect this issue. From birthing services to chiropractic care, everyone is on the lookout for symptoms of tongue-tie. Carissa Mitchell, DC, has extensive knowledge of the muscle and bone structures of the human body. As a chiropractor, she is trained to observe and feel for problems affecting bodily alignment. She does see newborns and has had success detecting ankyloglossia. “I see many infants that have trouble latching or feeding and I focus on that. As a chiropractor, I’m not the person to diagnose a tongue-tie but rather check the musculoskeletal components and make sure they’re functioning properly,” explained Dr. Mitchell.

In some cases, extra tissue may not be causing restriction to the tongue. It could be an issue with the nerves and muscles associated with the tongue. A chiropractor can make adjustments to ease the tightness of the tongue, allowing for easier breastfeeding and swallowing.

Read more about this process in this article published by Andrew Dorough DC, CACCP.

Schedule today!

To learn more about obstetrics and birthing services, please visit Call 218-631-3510 to schedule an appointment and follow Tri-County Health Care on Facebook for regular updates.

New chiropractor! Brock Spandl joins the team

, , , , , ,

Brock Spandl, DC

Chiropractic care is growing fast! Hundreds of patients have found pain relief working with the talented Carissa Mitchell, DC. Her hands have helped over 300 people since joining the Tri-County family in June 2021. The high demand for chiropractic care led to the expansion of the service, which included Brock Spandl, DC joining the team.

Carissa Mitchell and Brock Spandl are chiropractors at Tri-County Health Care.


Dr. Spandl is a former athlete, having played soccer, hockey, and track while in high school. Running is a passion and that passion took him all the way to the University of Minnesota, where he competed in track and field. He was the freshman record holder in the heptathlon, 7-time top-3 finisher in the Big Ten conference, 2-time NCAA Division-I national qualifier and 1-time NCAA first-team All-American.

As an athlete, Dr. Spandl understands the physical conditioning the human body goes through to compete at a high level. He can speak the language of the sports and connect with athletes on a visceral level. He knows when they are at peak performance, and he knows when they need help. Dr. Spandl gained a great deal of his knowledge through firsthand experience.

“When I was younger, I suffered a significant lower back injury while competing in a Pole vault competition. Seeking treatment for that injury really inspired me to learn the innerworkings of the human body which led me to the world of chiropractic medicine”

The Staples community

Before joining Tri-County Health Care, Dr. Spandl did operate his own chiropractic office in Staples. Throughout the course of running his own practice, Dr. Spandl formed great relationships with the families and individuals of the Staples community. He hopes those people will come with him to receive care at Tri-County Health Care. A unique chiropractor like Dr. Spandl is hard to come by but he’s not really going anywhere, just moving to a bigger building.

A typical appointment

An initial appointment is a bit longer because Dr. Spandl needs to complete a basic examination. There is no set formula for how to treat a patient; each person is different and requires tailored treatment. According to Dr. Spandl, his most common appointment usually involves lower back or neck pain. He also helps with many headaches and radiculopathies. Dr. Spandl likes to keep his appointments concise so his patients can get back to doing what they love.

About Dr. Spandl

Brock Spandl, DC

After growing up in Moorhead, Dr. Spandl now resides in Staples with his wife, Missy. They have two children, Blair and Paxton. In his off time, he enjoys golfing, fishing and maintaining a healthy body. To schedule an appointment with a chiropractor, please call 218-631-3510 and follow Tri-County Health Care on social media for regular updates.

Learn about Chiropractic Care at Tri-County Health Care

Chiropractic care: Q&A with Dr. Mitchell

, , , , , , , ,

Tri-County Health Care now offers chiropractic and Carissa Mitchell, DC, is leading the way to a future with less back pain and more fun! This week, Dr. Mitchell discussed her work in detail and explained how she can adjust you to a new way of life.

Q: What drew you to chiropractic medicine?

A: I was drawn to chiropractic medicine at a young age. There’s a quote from Thomas Edison that states, “The doctor of the future will give no medicine, but will interest his patients in the care of the human frame, in a proper diet, and in the cause and prevention of disease.” That still resonates with me today.

Adjustments and patient education are a large portion of chiropractic services at Tri-County.

Q: How long have you been working in the field?

A: Six years as of right now. I graduated from Palmer College of Chiropractic in 2015, worked for two different clinics in Michigan before I decided it was time to come back home in 2017. My husband and I bought a practice in Perham and have been there since.

Q: What do you like most about being a chiropractor?

A: I really like seeing a person’s face light up when they’re able to do something that they couldn’t do before. Sometimes it’s a sport or hobby that pain has been preventing them from doing. Sometimes it’s a simple task such as laundry. I think we tend to take a lot for granted until we are limited, so making sure that my patients can enjoy and live their lives the way they want is my favorite aspect.

Q: What is the most challenging thing about your work?

A: The most challenging but most rewarding is working with skeptics. I’ve had many skeptical patients throughout my career, which is good. I like a healthy dose of skepticism. Often these become some of my favorite success stories.

Q: What are some general tips for maintaining good musculoskeletal health?

A: Walk, move, stretch, strengthen, drink your water, and get adjusted. Doing these things every day can greatly improve overall health.

Q: What should patients know before they meet you for the first time?

A: I’m going to try my hardest to put a smile on your face. I like to maintain an atmosphere of comfort and openness. Meeting with me is not a sterile, boring slog. Some people are nervous at first but once I’ve cracked a few jokes and thoroughly explained what will happen, they tend to loosen up. The massage gun helps too.

Q: Could you give me a breakdown of a typical appointment? What should a patient expect when they meet you for the first time?

A: During a typical appointment, patients start by lying face down on the table. I will assess joint motion and muscle tension in the area of complaint and either use my massage gun or hands to help reduce muscle tension before adjusting. Adjustment types vary based on each patient but I have a wide variety of techniques to accommodate each individual. I use mostly manual adjustment techniques but I also know instrument and low force adjusting styles too. So, depending on which techniques we are using, patients may be face down, face up or sitting. During an initial visit, I will also perform orthopedic tests, range of motion, and a chiropractic exam to determine the best treatment.

Q: In your experience, what demographic of people most often meet with you? Is it mostly older people or younger people?

A: My youngest patient has been just hours old and my oldest is in their 90s. I tend to see a lot of pregnant mothers because it is my favorite demographic. The majority of my patients are in their 30s to 50s. Chiropractic care is for everyone!

Q: When should a person seek out chiropractic care? 

A: “I should have gone yesterday” or “I wish I’d done this sooner” is what people tell me daily. Most people seek out chiropractic care when they have pain that has become annoying or is interfering with their daily life. You can get adjusted at any time for wellness and mobility in general, not just pain.

Carissa Mitchell, DC, starts seeing patients on June 15.

Carissa Mitchell, DC

Q: What specific techniques/services will you offer at Tri-County Health Care?

A: HVLA (High-Velocity Low Amplitude) or manual adjusting techniques that I use are Gonstead and Diversified. Low to No force adjusting techniques I use are Thompson (drop table), Webster, activator, SOT, sustained contact (infants). I also do extremity adjusting (shoulders, elbows, wrists, knees, ankles, etc.)

Dr. Mitchell officially started on June 15 and is accepting patients. She will be working in the Wadena and Sebeka clinic locations. Please call 218-631-3510 to schedule an appointment. To learn more, visit and follow Tri-County Health Care on social media for regular updates.