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Lactation Information and Discussion <[log in to unmask]>
Date:
Sat, 11 Nov 2000 00:38:39 -0500
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Lactation Information and Discussion <[log in to unmask]>
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From:
Carla D'Anna <[log in to unmask]>
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To: Denise Fisher <[log in to unmask]>
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>>>>(Carla)  Another thing this book mentions is costochondritis, which
originates in the area of the breastbone and is an inflammation of the
cartilage of the ribs.
>>(Denise) Well I guess we'll never know - it really was a gentle birth, but
yes, you never can tell what effort she may have used pulling herself to
standing, or whatever.  Why would the pain be as it is though - are you
suggesting nerve involvement again?

        I don't know enough about this condition to know what I'm suggesting. I
just found the descriptions in the book compelling.  I'm going to quote 4
paragraphs from that book.  I hope this is fair use.

        ------from Solving the Mystery of Breast Pain --------
"Musculoskeletal Pain
        When benign disease is not present and the pain is noncyclic, the most
common cause is a musculoskeletal (muscles/bones) condition. The most common
condition causing pain is a pinched nerve in the back.  Often a history of
back injury, scoliosis, arthritis, or osteoporosis is involved.  If the
cause is referred pain (pain that comes from another source) from the back,
usually only one breast will be painful.
        To check for this pain, a physician will ask the patient to elevate her arm
(on the painful side) over her head.  The physician, standing behind the
patient, lifts the painful breast toward her breastbone and applies pressure
in the mid-underarm area.  If the pain is coming from a pinched nerve, this
will cause a very tender area to radiate pain into the breast.  Pressure
applied to the middle of the underarm will cause pain.

Costochondritis
        Another cause of musculoskeletal breast pain - known as Tietze's syndrome -
originates in the area of the breastbone and ribs and is commonly referred
to as costochondritis (inflammation of the cartilage of the ribs).  The pain
is localized close to the breastbone and the area is tender when pressure is
placed on the breastbone, when moving the rib cage, or when taking a deep
breath.  This pain often occurs after heavy lifting or activities that
stretch the upper body.  Young mothers often suffer from costochondritis
from lifting their children.  Female athletes suffer more often than other
women from this type of breast pain.
        This cause of pain is identified from its symptoms and confirmed when
aspirin or ibuprofen is effective in reducing and controlling the pain.  The
pain is from inflammation, and anti-inflammatory medications prove
effective, usually in 24 to 48 hours.  If you find your pain is from
costochondritis, taking anti-inflammatory medications on a regular schedule
during the period of inflammation and avoiding the activity that promoted
the strain on the rib cage will bring relief.  Costochondritis may recur if
the cartilage is reinjured."


>>(Denise) What does the nipple do when the baby stops sucking, but negative
pressure of good latch is still maintained.  I recall there is some
backwards and forwards movement of the nipple during suckling, so obviously
it must be a slightly backwards more relaxed state when the infant pauses.

I wish I could picture it with a video version of photographic memory, I
can't.  I have the same impressions as you but am not sure.  Does any one
else have a copy of those ultrasounds that you can

>>(Denise)if you have no objection I'll pass your email on to the mother.

        Yes, feel free to show the mom whatever you think might be valuable.
Another plug for this  book, it can be seen at
http://www.amazon.com/exec/obidos/ASIN/1886665060/qid%3D973916665/002-918099
9-8290410  $8
I have no financial interest in this.  I just noticed she also has one
called Solving the Mystery of Breast Discharge
http://www.amazon.com/exec/obidos/ASIN/1886665079/qid%3D973916914/002-918099
9-8290410  $8
and one call Finding a Lump in Your Breast
http://www.amazon.com/exec/obidos/ASIN/1886665044/qid=973916813/sr=1-1/002-9
180999-8290410 $15
that I think I will order.

There is an interview with the author at
http://www.amazon.com/exec/obidos/show-interview/k-j-neeceudyc/ref=pm_dp_ln_
b_8/002-9180999-8290410


In looking these up I just found the author has a generous web site where
much of this information can be found posted plus the books mentioned above
are sold here too.  Go to http://www.cancerhelp.com/ed/

Carla

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