Hi Sarah,
Poor mom!
Here are some things I am thinking of to help this mom, in no certain order.
Check for tongue tie, even though she's mostly sore on one side.
Check for signs of torticollis, where baby would have difficulty positioning
on one side and possibly clamping down, with face/neck muscle tone issues.
Possible CST or chiropractic for baby to help if clamping down or for tight
muscles.
I am a big proponent of washing wounded nipples with a mild soap 2-3x per
day, rinse with warm water or warm salt water and pat dry with clean cotton
cloth. Then applying an antibiotic ointment, in addition to oral antibiotics
for wounds not healing. Gel pads seem to work well for my clients with
wounds. These are for moist wound healing.
Make sure not only is baby latching with a wide gape but being held close
throughout the feeding, so there is no stretching, pulling, etc.
I believe also a good diet, possibly vitamins will help with wound healing.
If signs of Raynaud's phenomenon, warmth applied as soon as nipple is
released.
Laurie Wheeler RN MN IBCLC
Mississippi USA

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