What is the best treatment for a blocked lactiferous duct (milk duct)?

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Last updated: March 31, 2025View editorial policy

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From the Research

The most effective treatment for a blocked milk duct is a five-step systematic therapy (FSST) that includes comprehensive milk stasis dredging treatment to make the milk out of the plugged duct, as it has been shown to significantly improve breast pain score, swelling degree, and range of breast induration in breastfeeding women 1. This approach is supported by a recent study published in 2021, which demonstrated the efficacy of FSST in managing plugged ducts and mastitis in breastfeeding women 1. The study found that after a single FSST, pain score and swelling degree were significantly improved in all cases, with a mean breast pain relief score of 1.69 ± 0.70 and a mean swelling fade away degree of 1.61 ± 0.62 1. Some key steps to include in the treatment of a blocked milk duct are:

  • Frequent and effective breast emptying through nursing or pumping every 2-3 hours, focusing on the affected area
  • Applying warm compresses to the breast for 10-15 minutes before feeding or pumping
  • Gently massaging the affected area toward the nipple during feeding to help dislodge the blockage
  • Taking a warm shower and applying gentle pressure to the clogged area
  • Using over-the-counter pain relievers like ibuprofen (400-600mg every 6-8 hours) or acetaminophen (650-1000mg every 6 hours) to reduce pain and inflammation It is essential to stay well-hydrated and rest as much as possible to help the body recover from the blockage. If symptoms worsen, include fever, redness spreading, or the blockage doesn't resolve within 1-2 days, seek medical attention as this could indicate mastitis requiring antibiotics 1.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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