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Physical Therapy Tricks for Plugged/Blocked Milk Ducts
As a physical therapist (aka physical therapist) and a pregnant woman, 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 usually have no parallel in normal everyday 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, crooked neck in babies (torticollis) that a baby can have at birth, or acquire in the following weeks.
Physical therapists have an impressive toolbox of techniques to treat a wide range of orthopedic conditions, including those mentioned above. A little-known indication for physiotherapy, which I have treated with great success, is the obstruction of the 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 that include therapeutic ultrasound and massage techniques can be extremely effective. to clear clogged ducts.
Blocked milk ducts can be painful and always distressing. Symptoms include tender, red and warm areas of the breast, with progressive loss of milk. Although the cause is not always clear, it is thought to commonly arise from the accumulation of dried milk within the network of lactiferous ducts. Risk factors for developing blockage include incomplete or infrequent drainage due to short or infrequent feedings, and prolonged pressure from straps, seat belts, or tight bras. In most cases, moms can self-treat blocked milk ducts using a few easy strategies (as also recommended by the Canadian Breastfeeding Association):
- Wean your baby often day and night to completely drain the breast.
- Massage your breast to loosen the blockage while breastfeeding.
- Wear loose clothing.
- Soak the 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 plenty of water.
If the condition persists for more than 2-3 days, physiotherapy may be warranted. Using the application of painless therapeutic ultrasound supplemented with manual massage techniques, blocked ducts will usually be relieved in 1-2 sessions with your registered physical therapist. (You may want to make sure your physical therapist has experience treating this condition.) Consult with your physical therapist or family doctor before implementing the practices suggested in this article.
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