Are you experiencing breast pain, swelling, redness, or warmth? Mastitis is a common issue for new mothers. Without proper care, it can lead to abscess formation.

Q&A on Blocked Milk Ducts

Q: What are the symptoms of a blocked milk duct?
A:

• Breast pain.

• A firm lump at the blocked area, with slight or no temperature increase.

• No fever (typically affects one breast).

• White spots on the nipple.

Q: What initial steps should mothers take?
A:

1. Self-care:

   • Ensure adequate water intake and avoid high-fat foods.

   • Wear a well-fitting bra (not too tight or loose).

   • Manage stress.

2. Observe breastfeeding technique:

   • Ensure proper latch.

   • Check pump flange positioning if using a breast pump.

3. Milk expression:

   • Express milk 8–12 times within 24 hours to stimulate lymphatic flow.

   • Start breastfeeding on the unaffected side to trigger the let-down reflex, then switch.

   • Apply warm compresses and gently massage toward the nipple (avoid excessive pressure).

4. Seek help if unresolved:

   • Consult a specialist if blockage persists after 24–48 hours to prevent mastitis or abscess.

5. Monitor infant feeding:

   • If the baby struggles to latch, feeds briefly, or shows signs of fatigue/paleness, consult a pediatrician.

Q: How is blocked duct physical therapy performed?

A:

1. Warm compresses to dilate milk ducts and blood vessels.

2. Ultrasound therapy to reduce blockage size.

3. Manual duct massage by a physiotherapist.

Q: Contraindications for physical therapy?

A:

1. Active mastitis infection without antibiotic treatment.

2. Pacemaker use or coronary artery disease.

3. Breast cancer diagnosis.

4. Breast implants (proceed with caution).

5. Unhealed chest fractures.