Obstetrics/GynecologyCase Report

The Use of Osteopathic Manipulative Medicine in the Management of Recurrent Mastitis

Caitlin Jackson, OMS III, and Brian Loveless, DO
Notes and Affiliations
Notes and Affiliations

Received: July 17, 2020

Accepted: August 4, 2020

Published: October 27, 2020

J Am Osteopath Assoc; 120(12): 921-925

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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