Physical Therapy Management in Plugged Ducts
Keywords:
Physical therapy, Plugged ducts, Nursing breast pain, BreastfeedingAbstract
Breastfeeding is useful for both mothers and babies. Therefore, many organizations support breastfeeding for at least 6 months. At present, rate of successful breastfeeding in Thailand could not be achieved goal. There are many factors that affect the success of breastfeeding such as breast pain during nursing. There are many pathologies cause breast pain such as plugged milk duct. The best way to deal with a blockage of the milk duct is to stop the milk stasis by empty breast. If the milk duct is clogged, teaching patients to take care of themselves immediately is the best way. However, sometimes the patient cannot handle the clogged milk duct by themselves therefore they need medical treatment. This condition can be managed by physical therapy which are therapeutic heat and cold, therapeutic ultrasonic therapy, specific massage and lymphatic drainage, therapeutic elastic taping and home program. In addition, the patient should be guided for prevention and management clogged milk ducts by themselves.
References
มูลนิธิศูนย์นมแม่แห่งประเทศไทยสำนักงานกองทุนสนับสนุนการสร้างเสริมสุขภาพ (สสส.). (2018). คลายปม นมแม่: ปัญหาเต้านม. [ออนไลน์]. สืบค้นเมื่อ 5 มกราคม 2561. จาก https://www.thaibreastfeeding.org/page.php?id=62.
สมชาย โอวัฒนาพานิช. (2558). รายงานวิจัย เรื่อง ปัจจัยที่มีความสัมพันธ์ต่อความสำเร็จ ในการเลี้ยงลูกด้วนมแม่ โรงพยาบาลพระนารายณ์มหาราช จังหวัดลพบุรี. [ออนไลน์]. สืบค้นเมื่อ 5 มกราคม 2561. จาก https://www.thaibreastfeeding.org/upload/content/file/BF_King%20Narai%20Hosp(1). pdf.
Amir, L. (2014). ABM clinical protocol #4: mastitis. Breastfeeding Medicine. 9(5), 239-243.
Belang, A.Y. (2010). Therapeutic electrophysical agents; evidence behind practice. 2ed. Philladelphia , Lippincott Williams & Wilkins.
Bolman, N., Saju, L. Oganesyan, K., Kondrashova, T. & Witt, A.M. (2013). Recapturing the art of therapeutic breast massage during breastfeeding. Journal of Human Lactation. 28(3), 328-331.
Brown, D. & Langdon, C. (2014). Does Kinesio elastic therapeutic taping decrease breast engorgement in postpartum woman . Official journal of the United States Lactation Consultant Association. 5(2), 67-74.
Campbell, S.H. (2006). Recurrent plugged ducts. Journal of Human Lactation. 22(3), 340-343.
Cooper, B.B. & Kowalsky, D.S. (2015). Physical Therapy Intervention for Treatment of Blocked Milk Ducts in Lactating Women. Journal of Women's Health Physical Therapy. 39(3), 115-126.
Draper, D.O., Harris, S.T., Schulthies, S., Durrant, E., Knight, K.L. & Richard, M. (1998). Hot-pack and 1-MHz ultrasound treatments have an additive effect on muscle temperature increase. Journal of Athletic Training. (33), 21-24.
Finnerty, S., Thomason, S. & Woods, M. (2010). Audit of the use of kinesiology tape for breast oedema. Journal of Lymphoedema. 5(1), 38-44.
Giugliani, E.R. (2004). Common problems during lactation and their management. Journal de Pediatria (Rio J). 80(5 Suppl), S147-S154.
Jacobs, A., Abou-Dakn, M., Becker, K., Both, D., Gatermann, S., Gresens, R. & et al. (2013). S3-Guidelines for the Treatment of Inflammatory Breast Disease during the Lactation Period. GeburtshFrauenheilk. (73), 1202-1208.
Kase, K. Wallis, J. & Kase, T. (.2003). Clinical therapeutic applications of the Kinesio taping methods. Tokyo , Kinesio Taping Association.
Lavigne, V. & Gleberzon, B.J. (2012). Ultrasound as a treatment of mammary blocked duct among 25 postpartum lactating women: a retrospective case series. Journal of Chiropractic Medicine. (11), 170-178.
Lawrence, R.A & Lawrence, R.M. (1999). Breastfeeding : a guide for the medical profession. 6ed. Philadelphia , Elsevier Mosby.
Li, R., Fein, S.B., Chen, J. & Grummer-Strawn, L.M. (2008). Why mothersstop breastfeeding: mothers' self-reported reasons for stoppingduring the first year. Pediatrics.122(suppl), S69-S76.
Low, J. & Reed, A. (2000). Electrotherapy Explained : Principle and Practice. London: Butterworth Heinemann.
Leung, S.S.F. (2016). Breast pain in lactating mothers. The Hong Kong Medical Journal. 22, 341-346.
Martin, M.L., Hernandez, M.A., Avendano, C., Rodriguez, F. & Martinez, H. (2011). Manual lymphatic drainage therapy in patient with breast cancer related lymphedema. BMC Cancer. 9(11), 94.
Mangesi, L. & Zakarija-Grkovic, I. (2016). Treatments for breast engorgement during lactation. Cochrane Database of Systematic Reviews. (6), 1-34.
Mclachlan, Z., Milne, E.J., Lumley, J. & Walker, B.L. (1991). Ultrasound treatment for breast engorgement: A randomised double blind trial. Australian Physiotherapy. 37(1), 23-28.
Priyanka, P., Basavaraj, C., Ramannavar, A., Kurhade, G., Kurhade, A., Justiz-Vaillant, A. & et al. (2016). Comparative effect of ultrasound therapy with conventional therapy on breast engorgement in immediate post-partum mothers: A randomized controlled trial. Integrative Molecular Medicine. 3(2), 553-558.
Robson, B.A. (1990). Breast Engorgement in Breastfeeding Mothers. thesisCase Western Reserve University.
Schwartz, K., D'Arcy, H., Gillespie, B., Bobo, J., Longeqy, M. & Foxman, B. (2002). Factors associated with weaning in the first 3months postpartum. The Journal of Family Practice. 51(5), 39-444.
Tsai, H.J., Hung, H.C., Yang, J.L., Huang, C.S., &Tsauo, J. Y. (2009). Could Kinesio tape replace the bandage in decongestive lymphatic therapy for breast-cancer-related lymphedema? A pilot study". Supportive Care for Cancer. 17(11), 1353-1360.
Witt, A.M., Bolman, M., Kredit, S. & Vanic, A. (2016). Therapeutic Breast Massage in Lactation for the Management of Engorgement, Plugged Ducts, and Mastitis. Journal of Human Lactation. 32(1), 123-131.
World Health Organization. (2000). Mastitis: Causes and Management. Geneva : World Health Organization.
World Health Organization. (2003). Global strategy for infant and young child feeding. Geneva, World Health Organization.