From the Research
The most effective management for clogged ducts in postpartum women is a five-step systematic therapy (FSST) that includes comprehensive milk stasis dredging treatment, as it has been shown to significantly improve breast pain score, swelling degree, and range of breast induration in a large case-control study 1. This approach is supported by the most recent and highest quality study, which found that FSST can relieve pain, reduce breast swelling and range of induration, and improve symptoms differently for plugged ducts or mastitis 1. Key components of FSST include:
- Frequent breastfeeding or pumping, at least every 2-3 hours, starting with the affected breast
- Applying warm compresses to the affected area for 10-15 minutes before feeding or pumping
- Gentle massage of the affected area toward the nipple during feeding or pumping
- Ensuring proper latch and positioning of the baby during breastfeeding
- Using over-the-counter pain relievers like ibuprofen or acetaminophen to reduce pain and inflammation Additional measures that may help prevent recurrence include:
- Staying well-hydrated and getting adequate rest
- Wearing loose-fitting, non-restrictive bras
- Taking lecithin supplements (1200mg 3-4 times daily) to reduce milk viscosity It is essential to seek medical attention if symptoms worsen, including fever, increased pain, or redness spreading, as this may indicate mastitis requiring antibiotics 2, 3.