Obstetrics/Gynecology and Pediatrics  |   December 2020
The Use of Osteopathic Manipulative Medicine in the Management of Recurrent Mastitis
Author Notes
  • From the Western University of Health Sciences, College of Osteopathic Medicine of the Pacific in Pomona, California. 
  • Financial Disclosures: None reported. 
  • Support: None reported. 
  •  *Address correspondence to Brian Loveless, DO, Department of NMM/OMM, Western University of Health Sciences, College of Osteopathic Medicine of the Pacific, 309 E. Second Street, Pomona, CA 91766-1854. Email: bloveless@westernu.edu
     
Article Information
Obstetrics/Gynecology and Pediatrics   |   December 2020
The Use of Osteopathic Manipulative Medicine in the Management of Recurrent Mastitis
The Journal of the American Osteopathic Association, December 2020, Vol. 120, 921-925. doi:https://doi.org/10.7556/jaoa.2020.143
The Journal of the American Osteopathic Association, December 2020, Vol. 120, 921-925. doi:https://doi.org/10.7556/jaoa.2020.143
Abstract

Mastitis affects breastfeeding mothers everywhere and management obstacles often lead to cessation of breastfeeding. Breastfeeding mastitis is commonly managed with antibiotics despite lack of clear infectious etiology. With the emerging problem of antibiotic resistance, novel managements are required. We present the case of a 34-year-old woman with 6 pregnancies and 3 children (gravida 6, parity 3) who had 5 cases of mastitis within 6 months treated with multiple courses of antibiotics. The patient underwent with osteopathic manipulative treatment (OMT) to the affected breast over 2 sessions and was taught how to perform self-myofascial release. Techniques are shown in an accompanying Supplemental Video. As of this report, the patient had been symptom free for 1 year. Future research, including a clinical trial of OMT, is required to determine whether osteopathic physicians can effectively manage recurrent lactational mastitis.

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