From the Research
To treat a blocked milk duct, start with frequent nursing or pumping from the affected breast every 2-3 hours, focusing on completely emptying the breast, as this approach is supported by the most recent and highest quality study 1. The goal of treatment is to relieve pain, reduce swelling, and prevent further complications such as mastitis or breast abscess. Key steps in management include:
- Applying warm compresses to the affected area for 10-15 minutes before nursing or pumping
- Gently massaging the clogged area toward the nipple while feeding or showering
- Taking over-the-counter pain relievers like ibuprofen (400-600mg every 6-8 hours) or acetaminophen (650mg every 4-6 hours) to reduce pain and inflammation
- Staying hydrated by drinking plenty of water and resting as much as possible
- Wearing loose-fitting, comfortable bras without underwire If symptoms don't improve within 24-48 hours, or if you develop fever, chills, or breast redness, contact a healthcare provider as the blockage may have progressed to mastitis requiring antibiotics, as indicated by studies such as 2 and 3. It's also important to note that a five-step systematic therapy (FSST) has been shown to be effective in relieving pain, reducing breast swelling, and improving the range of induration in women with plugged ducts and mastitis 1. However, the most recent study 4 highlights the importance of understanding the underlying pathophysiology of nipple duct obstructions, which can help guide treatment decisions. Overall, prompt and effective treatment of blocked milk ducts is crucial to prevent complications and support continued breastfeeding.