Hello! I guess I should post my own thoughts on the topic, as I asked for others to do the same. Vasospams plagued me. They are terrible! I tried everything in the books to remedy- without going for nifedipine. I had spasms coming out of the shower or sitting on the toilet- too cold! They were not predictable or only associated with feedings. Rice socks were inconvenient to re-heat throughout the day and totally inconvenient when out of the house. They could also become too hot. I finally thought of "pocket warmers". "Pocket warmers" last 6-10 hours once activated. I would put a cloth bra pad on my skin and then the warmer on top of that. They could be shaken briefly to reactivate when needed. They worked wonders! I still blanch but feel no pain (2.5 years later, still nursing). In addition to the typical recommendations, I encourage 2-5 minutes of heat (regardless of type of compress) before and immediately afterward to prevent and relieve the pain. If it doesn't help significantly, I may recommend nifedipine. Heat worked well for me, so I did not go that far. With any method of heat, mothers need to be careful that their compress doesn't get too hot. "Pocket warmers", rice socks, or other compresses need to be kept away from children and animals. Also, the "pocket warmers" need to be kept dry (prevent milk saturation). These are just my thoughts. I am glad to read the thoughts from others! Kind regards, Kate Cropp WHNP, IBCLC MSN Nashville, Tennessee, USA Mama to nursling Henry, 33 months! *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html Mail all commands to [log in to unmask] To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or [log in to unmask]) To unsubscribe: unsubscribe lactnet or ([log in to unmask]) To reach list owners: [log in to unmask]