If you are absolutely sure that the latch is great, and the nipple comes 
out of the baby's mouth nice and round, and there is no brusing over the 
areola, and there is no subtle tongue tie, then it might be 
costochondritis, an inflammation of the cartilage of the ribcage.  This 
can cause shooting pain along the breast. from the chest wall toward the 
nipple.  Perhaps the way the breast is manipulated during latch or 
breastfeeding is pulling on these structures and causing the pain.  
Treatment is anti-inflammatories around the clock (ibuprofen 400mg q6h) 
for at least 3-4 days, according to Dr. Syed Rahman. 

Mom could try bringing baby to the breast, and not lifting her breast at 
all.  If baby latches to the breast where it natually falls, that will 
reduce breast manipulation.
Catherine Watson Genna, BS, IBCLC  NYC

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