WEBINAR - Physical Therapy Techniques in Lactation

Physical Therapy Techniques in Lactation

Breast and nipple pain, engorgement, and recurrent plugs leading to mastitis are common reasons why mothers stop breastfeeding earlier than recommended.  Despite the prevalence, these remain challenging conditions to treat. In the past, patients with deep, chronic breast pain in breastfeeding were often treated for yeast infections, though no scientific evidence exists to support this diagnosis.  More current literature has established subacute mastitis, persistent hyperlactation (“oversupply”), and dermatitis as causes of breast pain. Once these conditions have been treated or ruled out, patients nevertheless may experience persistent pain, plugging, and/or engorgement. 

Recent reports describe the efficacy of pharmacologic interventions, such as antihistamines and beta blockers, in functional breast pain.  Before starting medication, breast physical therapy interventions can be utilized. In addition to treatment of pain, these techniques can employed for relief of engorgement, plugging, and inflammation.

Credit: 1 L CERP and 1 Contact Hour

Source: ILCA Webinar 12 June 2020

Presented by: Katrina B. Mitchell, MD, IBCLC

Upon completion, the learner will be able to:

1. Describe the lack of evidence to support candida as an agent of nipple and breast pain

2. Demonstrate technique of lymphatic massage and dangers of deep tissue massage in the lactating breast

3. Distinguish benefits of therapeutic ultrasound in plugging and mastitis

Learning Level: Beginner, Intermediate, Advanced

Disclosures: ILCA accepts no commercial support for continuing education activities. The activity planners have no conflicts of interest to declare. The presenter has no significant financial interest or other relationship with the manufacturer(s) of any product(s) or provider(s) of any services relating to the subject matter of this presentation unless otherwise stated below.

CERPs: ILCA is an approved provider of Continuing Education Recognition Points (CERPs) with the International Board of Lactation Consultant Examiners (IBLCE). (CLT-108-7).

ANCC: ILCA is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation. Approval Number ILCA-P0286. Accepted for BRN credit by the Board of Registered Nursing.

ILCA webinars are provided as a service to our members for continuing education, knowledge, and awareness. We believe in fostering an inclusive environment that supports diversity and removes barriers. The views and opinions expressed in this webinar, including the choice of vocabulary and expressions, belong to the webinar presenter.  ILCA is steadfast in our commitment to present, learn, and discuss any information in a safe, respectful, and supportive environment - we believe that we are better together.

Katrina Mitchell, MD, IBCLC

Katrina B. Mitchell, MD is a board-certified general surgeon, fellowship-trained breast surgical oncologist, and international board certified lactation consultant (IBCLC) whose practice includes the care and surgery of women with breast cancer and benign breast disease.  She also treats maternal complications of lactation, and has a special interest in pregnancy and postpartum breast cancer.  She resides in Santa Barbara, California and practices at the Ridley Tree Cancer Center at Sansum Clinic.  She enjoys reading, traveling, and spending time with her son at the beach.  More information about her clinical and educational interests is available at katrinamitchell.org.

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  • JE

    I would like to have access to the materials. Thank you!

  • AQ

    I learned so much!!

  • RR

    I concur with many of the others that we need to see the handouts, thank you!

  • KE

    I would also love the handouts / transcript.  thank you

  • RD

    I would also love the handouts!  

  • SY

    Wow what a great lecture. I am hospital based and would love handouts to be able to utilize techniques within my scope of practice and to also teach nurses and med students what “not to dol and what can be done for this population of moms. Thank you so much, Susan Y

  • SC

    I would appreciate the speakers handouts. Thanks

  • NC

    Very informative talk.  Handouts would be very helpful to reinforce learned techniques.  Unable to complete survey for CERPS

  • PH

    love a handout too 

  • AD

    Is it possible to get handouts. It would be very useful and greatly appreciated

  • PV

    is it possible to get handouts from this webinar? I learned so much, and would like to have handouts for referencing if possible. 

  • MT

    please fix the survey so that I can complete my evaluation of this incredible webinar!



Recorded 06/12/2020
Recorded 06/12/2020
7 Questions
1.00 L CERP credit  |  Certificate available
1.00 L CERP credit  |  Certificate available