> On Sat, 12 May 2007 Kathy Lilleskov asked about a mother with severe
> breast pain. (Message reproduced, in part, below.)
>
> Kathy, you look as if you have done a very thorough investigation. One
> thing I would add, as i do in cases of severe breast pain, is to ask - Has
> the mother had a spinal injury or any type? What part of the spine was
> affected? In most cases, the answer has been "yes", and I then send the
> mother to whoever has been looking after her back problem, i.e. her
> doctor, for pain management, and/or her physiotherapist.
> This may or may not help with your client, but it is a question I ahve
> found valuable in cases of severe breast pain where the usual explanations
> have been ruled out. I have now seen several Mums where the pain has been
> referred from the area of spinal injury.
>
> Virginia
>
> Virginia Thorley, PhD, IBCLC
> ~~~~~~~~~~~~~~~~~~~~~~~~~
>
> I am working with a woman who is five weeks postpartum. She has
> extreme=20=
>
> pain "like my left breast is on fire'" about an hour or sometimes sooner =
> after=20
> nursing. Nursing itself is pain free, she describes the pain coming as he=
> r left=20
> breast is filling with milk and is experiencing intermittent, simultaneou=
> s=20
> neurological symptoms, numbness and pain in her arm extending to her hand=
> .=20
> When she nurses the baby, the pain is relieved, though she can't bear to =
> put=20
> the baby on her breast until she expresses about 5 ml of milk.She also=20=
>
> experienced this in her right breast to a lesser degree, though that
> has=20=
>
> generally resolved. She does not have oversupply, the breast is completel=
> y=20
> soft after feedings and if she tries to empty more with a pump only gets=
> a=20
> few mls following feedings. Several test weights showed the baby took in=
> =20
> between 2.5 and 4 oz per feed.....
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