Rockville Lactation

Lynnette Hafken, MA, IBCLC

Lactation Consultant

text (fastest response) or call: (240) 888-2123

email: [email protected]

se habla español

IMPORTANT NOTE RE: FORMULA SHORTAGE: If you are using formula and cannot find it (or you can and want to let parents know where), see

Nipple Pain

If you have not already, please review Positioning & Latch, since most causes of nipple pain can be attributed to a latch issue.

[The Following is Under Construction]


Breast/ductal thrush: “[d]espite the common perception that yeasts cause ‘candida mastitis,’ no scientific evidence exists to support this diagnosis…”

Research on Candida (yeast/thrush) infections of the breast has shown conflicting results, and the ABM states that 2016 bf pain protocol

Candida (yeast) infection:

Pink nipple/areola area

Shiny or flaky appearance of the nipple Nipple pain out of proportion to the

clinical findings

Burning nipple pain and pain radiating

into the breast

Associated with infant oral thrush and diaper rash, other yeast infection, being prone to yeast infections

Blebs/Milk Blisters

Allodynia/Functional Nipple Pain

The Academy of Breastfeeding Medicine uses this term for “the sensation of pain in response to a stimulus, such as light touch, which would not normally elicit pain.” There is little known about the physical source of this pain, but the ABM states that it sometimes co-occurs with other chronic pain conditions such as irritable bowel syndrome (IBS), fibromyalgia, interstitial cystitis, migraines, temporomandibular joint disorders (TMJ), and pain with intercourse—or just by itself. 

Research shows that people with chronic pain who are also experiencing depression, anxiety, or other distressing psychological symptoms have a less effective response to treatment; so although you are experiencing real physical pain that no one should imply is “all in your head,” treatment for psychological symptoms can improve your physical response to treatment. I have seen this in my own practice.