Pregnancy and looking after our little ones can be hard on the body. As healthcare professionals, we’re all aware how important it is for the long term outcomes of both the mother and child that we are proactive about their health.

Our pelvic health physio’s here at Proactive Physio can look after women before, during, and after their pregnancy journey – but did you know they can take care of more than just the pelvic issues for new mums?

Mastitis is an inflammatory condition of the breast tissue. It is typically characterised by breast pain, redness, swelling, and warmth, sometimes accompanied by flu-like symptoms such as fever and chills. According to the RACGP , 20% of breastfeeding Australian women will be affected in the first 6 months postpartum, with 3% of these going on to develop an abscess – often due to delays in treatment. Most cases of mastitis are not infective – although inflammatory mastitis is just as painful. We know from a recent publication from the Academy of Breastfeeding Medicine (ABM) that mastitis is not, in fact, caused by a clog in the milk duct, but in fact is caused from a narrowing of the duct from inflamed surrounding breast tissue. The same protocol has listed Physiotherapy as a valuable, and accessible, early intervention.

Our Women’s Health physio’s at Proactive Physiotherapy can not only help alleviate the pain and inflammation of this condition, but provide comprehensive holistic advice to new mothers about breastfeeding – addressing other common concerns such as back pain, neck pain, headaches, and shoulder pain that can come along with the demands of nourishing their children.

The Role of Physiotherapy in Mastitis

Physiotherapists can provide a holistic approach to treating mastitis. Their role extends beyond just pain relief to improving circulation, reducing inflammation, and optimizing breast health.

1. Ultrasound Therapy: Ultrasound therapy for mastitis uses high-frequency sound waves to penetrate the breast tissue, promoting blood circulation and reducing inflammation. The sound waves can help break down blockages in the milk ducts, improving milk flow and reducing the risk of further complications. This safe, non-invasive treatment provides pain relief, speeds up healing, and supports faster recovery from mastitis.

2. Massage Therapy: One of the primary techniques employed by physiotherapists in managing mastitis is manual therapy, which includes gentle massage of the breast tissue. This helps to reduce congestion and swelling compressing the milk ducts, which is a common cause of the inflammation. By using specific massage techniques, physiotherapists can encourage milk flow, reduce pressure, and prevent further blockage of the ducts, thus easing pain and swelling.

3. Postural Correction: Poor posture can exacerbate symptoms of mastitis, particularly when breastfeeding. A physiotherapist can assess and correct your posture, especially during feeding, to ensure that the body is in optimal alignment. This minimises strain on the back and chest muscles, which can contribute to tension and discomfort. Proper positioning during breastfeeding helps the baby latch better, further preventing blocked ducts.

4. Heat and Cold Therapy: A physiotherapist may recommend using heat packs to increase blood flow to the affected area, which aids in the healing process. Conversely, cold packs can be used to reduce inflammation and pain. The combination of heat and cold can provide relief and facilitate faster recovery from mastitis.

5. Education and Advice: Physiotherapists can also offer valuable advice on self-care practices, such as proper breastfeeding techniques, the importance of frequent milk drainage, and how to avoid nipple trauma. In addition, we can screen for poorly fitted bras, and other behavioural or situational factors which could be affecting feeding. Additionally, they can educate on when to seek medical intervention if symptoms worsen or don't improve.

There are so many biological and psychosocial benefits to breastfeeding, and it can be a crucial part of motherhood for so many people. Talk to our team today by calling 07 4053 6222 to see how we can help you.