Has she tried reverse pressure softening? Jean Cotterman has a wonderful handout, you can find in our archives if you don't have it. The latest info involves longer applications of reverse pressure, up to 5 min if I remember correctly, and also laying on one's back. If she has tried this, but only for short periods, doing it for several minutes with the relaxation and imagery might help. Also, what pump is she using, and I am sure you have tried different flange size. laurie Laurie Wheeler MN RN IBCLC Mississippi USA *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome