I agree with the previous posts --all of them are what I do and recommend.

This is anecdotal, based on my experience, personal and with clients.

I ask clients with "recurring" plugged ducts and blebs, "How tired are you?"  Every single one says they are tired or exhausted. 

I don't know what role exhaustion might play with your client, but sleep is important.

We know exhaustion suppresses the immune system. It also causes one to do things like not empty a breast, or work out a plug, or fall into a deep sleep compressing a breast underneath, because one is tired and isn't thinking clearly. 

Another idea is a soft and gentle brushing of the tip with a wash cloth after soaking. A baby exfoliates the nipple tip while nursing, but a pump doesn't do this. 

Lastly, is learning hand expression an option? 

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