Thanks every one for all the help and advice. The mother was able to let down on the non-working breast after sitting in front of her oven on low about 300 and nursing the most agressive twin for about 1 hour on the second attempt... She has since nursed one or both infants every three hours with no further problems. She did switch to Motrin for pain relief. She was referred to the hosspital lactation consultant by her nurse midwife who verified the physical symptoms reported by the mother. I work with the consultant and turned to Lactnet for help Thank you again for the help.