I would appreciate any information or suggestions on where to find more info on
this topic:

I have a client who first called when her baby was a couple months old and
breastfeeding was well established.  She was back at work and using a MiniEl
reasonably successfully.

She called because she had had a sudden onset of severe engorgement on the left
breast.  (This was April 13)  Baby couldn't nurse, she couldn't get any milk
with the MiniEl.  By some fluke, I happened to ask about recent exercise and
she has spent that morning raking the lawn and was aware of sore muscles from
this activity.  I got her to relax in a tub and continue with nursing and
pumping and hand expression.  It took about 18 hours before she was better.

She decided to rent a double Lactina and is very pleased with the improvement.

She called again yesterday.  She had had a softball practice the previous
evening and now is experiencing the same thing on the Right breast!  Only the
top half of the breast is painfully swollen.  She is dealing with the problem
ok but is wondering what she should do in the future.

She she avoid playing softball this season?  Is there any way to decrease the
effect of exercise?

I suggested that she stretch, warm up, etc. (she works at a sports clinic and
must know all this stuff) and see if this makes a difference.

I knew about this connection but never before dealt with someone who
experienced this problem.  She seems to be incredibly sensative.  How often
does this problem happen.  Will it continue through out her lactation?  Will
she experience it with a subsequent child?  Are there any published accounts?

What would you suggest that she do?

Thanks   Ruth of Verona WI (yes, I know that I have been scarce on Lactnet, the
arthritis in my neck is requiring some life style changes.)