It sounds there are multiple problems going on here with the low milk supply 
and the nipple pain.  Has this mother been treated for a breast infection?  
The chronic plugging and thickened milk on only one side makes me concerned 
that there might be a bacterial infection.

In the Breastfeeding Medicine Journal 2007 2(2) 99-104 there is a article 
called A Breastfeeding Mother with Chronic Breast Pain by Eglash and 
Proctor.  Pain and Renauds were this mothers ongoing symtpoms.  She had been 
treated for yeast with appropriate dosage and length of time with no 
improvement.  She had some improvement with antibiotics and needed a longer 
treatment time in order to completely clear the infection.  Eventually the 
mother was able to breastfeed pain- free.  I don't have the article at home, 
but there was also some discussion that it was difficult to clear this 
infection from soft tissue and that is why there was a longer treatment 
needed.

If someone has this article and has a more complete understanding of this 
infectious process, I would appreciate more discussion.  Sincerely, Rachel 
Wahl

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