Hi Beth, Vasospasm is my bet. It can occur secondary to nipple trauma -- this mom had cracks in nipples early on. Ask her if she notices anything when she goes into the freezer aisle of the grocery store! The spasms often happen shortly after a nursing session and of course anytime the nipples are chilled (even slightly). I would go with the self-care measures for vasospasm and see how she does. Margaret Longmont, CO *********************************************** 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]