I would check the client history (personal and family) for history of 
arthritis (rheumatoid).  There could be a flare up with the prolactin in the 
early weeks of breastfeeding and pregnancy.  Check the archives as well but 
I think the info came from "The Breastfeeding Answer Book".

Hope that helps :)

Colette L. Baran, IBCLC in chilly Western Massachusetts

----- Original Message ----- 
From: "Amy Chappell" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, January 31, 2012 11:41 AM
Subject: painful joints while nursing


>    Had a call from a mother today, permission to post. She is nursing her 
> 3 week old baby boy without any issues until Sunday, when she reports pain 
> and achiness in her ankles and knees while she is nursing. It begins to 
> subside just in time for the next feeding and then begins again.  She is 
> still taking 800mg of Motrin BID for her postpartum discomfort but says it 
> does nothing for the achy joints. She saw her provider yesterday who had 
> no explanation for her and told her to call me. I know moms deal with lots 
> of post baby aches and pains but she says this is specific to nursing. It 
> does not happen when she pumps. Ankles and knees are not swollen.
>    I have never seen this, thus I have no suggestions for her. Can anyone 
> help me out here?
>               Thanks so much,    Amy Chappell RN IBCLC
>
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