Pat, I've also seen this at clinic, and heard of other cases. To be best of my knowledge, there isn't a lot that can be done except to keep the breast warm. Usually the nipple will blanch along with the pain, and may fade in and out. Keeping one breast covered while using the other, and drying and "putting away" the other breast quickly, or placing a warm compress on it after feeding, may help alleviate the pain. Indeed, warmth seems to be the painkiller more than anything else. She might also consider wearing nursing pads or padding her bra with cut-out cloth diaper, etc, to block penetration of cold air through her clothing. Anyone else? -Lisa ****************************************************************************** Lisa A. Marasco, IBCLC / [log in to unmask] International Board Certified Lactation Consultant / [log in to unmask] ******************************************************************************