Updated Mastitis Management Protocol: How Manual Lymphatic Drainage Supports Breast Health

Breast inflammation, clogged ducts, and mastitis are common yet often misunderstood conditions affecting lactating mothers. Recent updates in clinical guidelines by the Academy of Breastfeeding Medicine (ABM) provide important shifts in how mastitis should be managed. Here's what lactating mothers need to know and how Manual Lymphatic Drainage (MLD) aligns with these new recommendations:

What's Changed in Mastitis Management?

• Previous Approach: Heat compresses were traditionally used to treat inflammation, but research now indicates heat may increase swelling and exacerbate inflammation.

  • New Recommendation: Cold compresses are advised to effectively reduce inflammation and swelling.

• Previous Belief: Aggressive massage techniques were encouraged to alleviate symptoms.

  • New Understanding: Gentle lymphatic techniques, specifically Manual Lymphatic Drainage (MLD), are now preferred to safely promote lymphatic drainage without harming sensitive breast tissue.

• Previous Approach: Increasing breastfeeding frequency or extra pumping was commonly advised to alleviate clogged ducts.

  • New Understanding: Over-pumping can worsen inflammation by stimulating excess milk production. Feeding on demand or maintaining your normal pumping schedule is now recommended.

• Antibiotic Usage: Previously, antibiotics were often used preemptively at early signs of mastitis.

  • New Recommendation: Antibiotics are reserved for confirmed bacterial mastitis cases. Anti-inflammatory medications (NSAIDs) like ibuprofen are recommended first to manage inflammation.

• Introduction of Probiotics: Probiotics are recognized as beneficial in preventing recurrent mastitis by supporting a balanced breast microbiome.

How Manual Lymphatic Drainage (MLD) Fits In:

Manual Lymphatic Drainage naturally complements these updated guidelines, offering:

• Gentle lymphatic stimulation to reduce inflammation without causing excessive milk production or further irritation.

• Techniques that address chest mobility and fascial tension, crucial for optimal lymphatic function and comfort.

Understanding and applying these updated practices can greatly enhance your lactation experience, providing relief and proactive management strategies. To explore personalized support, check out my in-person and virtual session offerings for breast lymphatic drainage, where you can learn how to incorporate these effective strategies into your routine or seek hands-on support.