Just had a fascintating followup with a woman who I have been working with for 3 months. She had been struggling with cracked nipples that wouldn't heal and extreme vasospasms as well, that were extremely painful and would last for extended periods of time. She is somebody who reports vasospasms in her fingers due to cold weather, so she clearly has a tendency toward this.We used APNO to heal up the cracks, which worked reasonably well though she still had mild cracks that would bleed intermittently. At seven weeks postpartum, she started on Nifedipine for the vasospasms, which worked beautifully to stop the pain of the vasospasms and simultaneously her nipples finally healed all the way. I am wondering whether the improved circulation to her nipples allowed that healing to take place and whether anyone else has had a similar experience. I had always heard that the damage seems to precipitate the vasopsams, but now I am begining to wonder whether there are instances where the reverse is true, ie poor circulation to the nipples is a contributing factor to the damage or its inability to heal. Kathy Lilleskov RN IBCLC *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome