Dear Diana,
I was at GOLD, I must say your presentation was so informative and helped me learn so much.
I wonder if you heard the presentation about Vasospasm and unrelieved nipple pain and unhealing nipples by Edith Kennerman at GOLD 11. I found her approach to this made a lot of sense and she mentions about what she calls "mammary constriction Syndrome" causing this sort of pain which almost seems chronic.
I am thinking it causes no harm or cost to try out what she suggests especially when she found being so helpful with unrelieved pain.
The prorocol is before the mother begin to breastfeed her baby, the mother:
1. Does 3-way stretching of pectoral muscles by way of doorway stretches.
2. Latching with the L-Eat latch and transfer method. (You could find this on the Jack Newman Website)
3. Massage of pectorals only above the breast not the breast immediately after baby unlatches.
4. Nipples massage with olive oil immediately post feed.
I really hope this helps. Love to hear what happens.
Yasmin
MA, HSDE, CLEC, LLLL
Mumbai, India
Sent on my BlackBerry® from Vodafone
-----Original Message-----
From: "Diana West, IBCLC" <[log in to unmask]>
Sender: Lactation Information and Discussion <[log in to unmask]>
Date: Wed, 1 Jun 2011 08:25:05
To: <[log in to unmask]>
Reply-To: Lactation Information and Discussion <[log in to unmask]>
Subject: Unrelieved Vasospasm
Hi, wise colleagues,
I have been working with a wonderful mother for the past nine months
and we have not been able to relieve her symptoms of nipple
pain. She took the time to write out her situation and has given me
permission to post it here for your ideas and input:
>Hi Diana,
>Here is the story of my nipples. . . .
>
>I have had pain since the day I came home from the hospital. My baby
>was tongue tied and my nipples were bleeding for a few days.
>Benjamin had his tongue clipped two times and my piercing pain upon
>initial latch improved significantly after the second
>clipping. [Diana's note: posterior tt] Within a month the pain
>associated with the clipping was gone; however, my nipples still
>hurt. Since this time, the pain has remained the same. I have
>constant "raw" nipples. I cannot touch them, I cannot let water in
>the shower spray directly on my nipples, I have to pat dry with a
>towel and I cannot sleep on my stomach or let anything ever touch my
>nipples. If I do not touch them there is usually not any pain.
>
>In additon to this pain, my nipples also turn white and then bluish
>frequently. I have not noticed an increase in pain when the color changes.
>
>This exact pain also occurred with my first child who I exclusivlely
>pumped for (she never nursed) as well as for my second child who did
>not have any nursing difficulties. The pain was gone approximately 2
>months after I stopped nursing baby #2 at 14 months of age. I tried
>to work with several different lactation consultants and midwives to
>try and resolve my nipple pain with my first two children and was
>unsuccessful. I changed flange sizes and trialed diflucan for 2
>weeks with no improvement. With baby #3 I have recently tried the
>following rx and supplements for 3 1/2 weeks without any change in my pain:
>30 mg of Nifedipine daily
>Mupirocin 2% ointment 3 x per day
>5000 MCG Vit B12 daily
>4000 IU Vit D daily
>500 mg L-Carnitine daily
>600 mg Alpha Lipoic Acid daily
>
>Baby #3 is now 9 months old and really enjoys nursing, as do I. My
>nipples still continue to hurt quite a bit and I would love to
>figure out what is causing my pain.
>
>Thank you, thank you, thank you!
>
>Cindy
My feeling is that it is vasospasm -- I do not see any
characteristics of staph or yeast -- but she is not responding to the
standard treatments. She didn't mention it, but we have also tried
over-the-counter antifungals, with no improvement.
Thank you for any ideas you may have.
----------
Diana West, BA, IBCLC
International Board Certified Lactation Consultant
Mahala Lactation and Perinatal Services, LLC
Hackettstown, NJ
(908) 400-1820
http://www.mahalamom.com
<http://www.facebook.com/MahalaLactation>
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