Dear Lactnetters Today I received a call from a mom with a 10 week old baby. She is breastfeeding and has developed a deep pain in her left breast after nursing. She says the pain radiates into and down her back. She thought it might be because she had emptied her breast too much so she has tried to stop nursing before being totally empty...same pain. We thought it might be refill pain, but this pain has just started and only on one side. She says she sometimes sees a white "pimple" at the end of the nipple. She also has recently noticed her supply in the left breast is half of the supply of the right. She will do saline soaks of the left breast on the chance this is a clogged duct...but do you think it is a vasospasm? Any help, advice, etc. would be greatly appreciated. Karen Taylor Rn IBCLC Albuquerque NM