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Physical Therapy Tricks for Plugged/Blocked Milk Ducts
As a physical therapist (aka Physiotherapist) and expectant mother, I find myself increasingly interested in the physical challenges new mothers and their babies face. The rapid growth that occurs for both mother and baby creates unique physical demands that are typically without parallel in normal daily life. These physical demands can lead to a variety of disorders ranging from pelvic/sacroiliac instability in mothers due to rapid weight gain and hormonal changes resulting in loosening of ligaments (also known as laxity), to a stiff and crooked neck in infants (Torticollis ) a baby can get at birth, or get in the weeks that follow.
Physiotherapists have an impressive toolbox of techniques for treating a wide range of orthopedic conditions including those listed above. One little-known indication for physiotherapy, which I have treated with great success, is blocked milk ducts in nursing mothers. Although this problem clearly does not fall within the typical assortment of orthopedic conditions and sports injuries that have become synonymous with physical therapy, physical therapy modalities including therapeutic ultrasound and massage techniques can be extremely effective in clearing blocked ducts.
Blocked milk ducts can be painful and are always difficult. Symptoms include tender, reddish and warm areas of the breast, with progressive loss of milk. Although the cause is not always clear, it is believed that it usually arises from the accumulation of dry milk within the network of lactiferous channels. Risk factors for developing blockage include incomplete or infrequent drainage due to short or infrequent feeds, and prolonged pressure from belts, seatbelts or tight bras. In most cases, mothers can treat blocked milk ducts themselves with a few easy strategies (as also recommended by the Canadian Breastfeeding Association):
- Nurse your baby often day and night to completely drain the breast.
- Massage the breast to loosen the blockage while nursing.
- Wear non-restrictive clothing.
- Soak your breasts in warm water with Epsom salts for 10 minutes before each feeding (a handful of salt in 2-4 liters).
- Try different feeding positions, including leaning over your baby.
- Eat healthy and drink lots of water.
If the condition persists for more than 2-3 days, physiotherapy may be warranted. By applying painless therapeutic ultrasound supplemented with manual massage techniques, blocked ducts are typically relieved in a 1-2 sessions with your registered physical therapist. (You can make sure your physical therapist has experience in treating this condition). Please check with your physical therapist or family doctor before implementing the practices suggested in this article.
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