I think mastitis is one of the most feared breast-feeding conditions. Red, swollen, painful breasts…. Not fun. Here are my top 5 tips for sorting it out:
Tip #1 - Throw Out The Cabbage Leaves
Mastitis is caused by dysbiosis and/or hyperlactation which causes inflammation. Many women tell me they are using frozen cabbage leaves to relieve symptoms. However, a cold compress will do the trick.
Tip #2 - Don't Reinforce Oversupply
Many women are told to completely drain the breast as often as possible to clear any plugged ducts. However, hyperlactation can be a factor that caused mastitis. Emptying can make this worse. Finding a good feeding schedule is an important part of mastitis recovery and prevention. A lactation consultant is a great way to get on track.
Tip #3 - Avoid Deep Tissue Massage
Inflammation and aggressive massage are best friends. Lymphatic drainage techniques are more effective at reducing swelling, inflammation, and pain. Masseuses and physiotherapists are well-placed to teach you this.
Tip #4 - Consider Ultrasound
Therapeutic ultrasound can be a great adjunct to other mastitis management. When used correctly ultrasound can act as an ‘inflammatory optimiser’, allowing the body to heal and clear away inflammation.
Tip #5 - Medical Management
The most important part of managing mastitis is getting medical advice from your general practitioner. Firstly, it is important to be diagnosed correctly. The GP should also be able to discuss different treatment options specific to you, this could be some of the ones above or higher care of medical management.
Conclusion
Mastitis is common but can also have serious consequences. Women’s Health is a complex area with unique presentations that require careful attention. That is why it is always best to get individualised advice. To book a physiotherapy consultation with Lisa click below.
This is general information only and should not replace medical advice. Please book in with your medical or allied health professional for tailored advice.
The information above has been summarized from the Academy of Breastfeeding Medicine Clinical Protocol #36: The Mastitis Spectrum, Revised 2022 Katri. To read more head to https://www.bfmed.org/protocols
Lisa Moffatt
Physiotherapist - Women's and Pelvic Health
I believe every Aussie mum deserves the knowledge and tools to feel strong, confident, and in control of their body. Too often, women are told that issues like incontinence and postnatal pain are just “part of being a mum”—but that’s simply not true.
I’m on a mission to break the silence around pelvic health by sharing my expertise for free, so mums can get the support they deserve. Through education, community, and open conversations, I want to empower women to take charge of their health and well-being.
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