The Connection Between the Tongue and the Vagus Nerve

When parents hear “tongue position,” they usually think about feeding, speech, or maybe tongue ties. While all of those are important, there’s another layer that often gets overlooked: how the tongue connects to the nervous system — specifically the vagus nerve.

This connection helps explain why tongue posture can influence not just eating and talking, but also things like regulation, digestion, breathing, and overall calm in the body.

Let’s break it down in a way that actually makes sense.

What Is the Vagus Nerve?

The vagus nerve is one of the main nerves of the parasympathetic nervous system — often referred to as the body’s “rest and digest” system.

It starts in the brainstem and travels down through the face, throat, chest, and abdomen, connecting to the:

  • Mouth and throat

  • Heart and lungs

  • Digestive system

  • Voice and swallowing muscles

In simple terms, the vagus nerve helps the body know when it’s safe to slow down.

When the vagus nerve is functioning well, it supports:

  • Calm and regulation

  • Efficient digestion

  • Coordinated sucking, swallowing, and breathing

  • A steady heart rate

  • Emotional resilience

When it’s under-stimulated or overwhelmed, we may see:

  • Feeding struggles

  • Gagging, reflux, or constipation

  • Shallow breathing or mouth breathing

  • Difficulty calming

  • Sensory sensitivities

  • Voice or swallowing challenges

So… What Does the Tongue Have to Do With This?

A lot, actually.

The tongue is deeply connected to the nervous system, both directly and indirectly. Several cranial nerves involved in tongue movement, sensation, and swallowing communicate closely with the vagus nerve at the brainstem.

Tongue Position at Rest Matters

Ideally, the tongue rests:

  • Gently suctioned to the palate

  • With the tip and mid-tongue elevated

  • Lips closed

  • Breathing happening through the nose

This position does more than shape the palate and support feeding and speech. It provides consistent, gentle sensory input to the nervous system — input that helps support vagal tone.

When the tongue is low, restricted, or unable to make contact with the palate:

  • Sensory input to the brainstem can be altered

  • Breathing patterns may shift

  • Swallowing can become less coordinated

  • The body may stay in a more “alert” or stressed state

Tongue Movement and Vagus Nerve Stimulation

The vagus nerve is stimulated through rhythmic, coordinated movements in the mouth and throat, including:

  • Sucking

  • Swallowing

  • Chewing

  • Humming or vocal play

  • Deep, nasal breathing

When tongue mobility or placement is limited — whether due to tension, restriction, or poor coordination — these movements can become inefficient or stressful rather than calming.

This is one reason why some babies and children:

  • Squirm or arch during feeds

  • Fatigue quickly while eating

  • Struggle to transition to solids

  • Seem dysregulated during or after meals

Their bodies are working harder than they should, and the nervous system isn’t getting the calming feedback it expects.

Why This Matters for Babies and Children

In early development, the nervous system is shaped by repeated sensory experiences. Feeding is one of the most powerful of these experiences.

When tongue posture and movement are well supported:

  • Feeding becomes more organized

  • Breathing and swallowing coordinate more easily

  • Digestion improves

  • Regulation becomes more accessible

When they aren’t, the body may compensate — and those compensations can show up later as picky eating, speech challenges, mouth breathing, sleep issues, or ongoing regulation difficulties.

Supporting Healthy Tongue Function Is About More Than “Fixing” the Tongue

This is why assessment and support should never be just about looking under the tongue.

A comprehensive approach considers:

  • Tongue posture and mobility

  • Oral rest posture

  • Breathing patterns

  • Body tension and alignment

  • Nervous system regulation

Sometimes supporting vagal tone looks like:

  • Improving tongue-to-palate contact

  • Supporting nasal breathing

  • Addressing oral tension

  • Integrating gentle body-based or sensory strategies

  • Making feeding feel safer and more efficient

The Takeaway

The tongue is not just a muscle for eating and talking — it’s a sensory gateway to the nervous system.

When tongue position and movement are supported, we’re not just helping a child feed or speak more easily. We’re also supporting:

  • Regulation

  • Digestion

  • Breathing

  • And the body’s ability to feel calm and safe

And for many families, that’s where real change begins.

References (for parents who like to dig deeper):

  • Porges, S. W. (2011). The Polyvagal Theory

  • Pearson, W. G., et al. (2013). Neural control of swallowing

  • Goyal & Mashimo (2018). Physiology of the vagus nerve

  • Zaghi et al. (2019). The relationship between tongue posture, airway, and nervous system function

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Breastfeeding Challenges We Don’t Talk About

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Why Follow-Up Matters After a Tongue Tie Release