Persistent breast pain during lactation can be musculoskeletal, inflammatory, infectious, or even malignant in origin. Performing a careful breast exam and observing a breastfeed to ensure the latch is appropriate are always good first steps.
Example Scenario: Your patient has been experiencing severe breast pain for the last week. While performing a breast exam, you notice that both breasts have multiple lumps, the left nipple is flat and cracked, and one quadrant of the breast is red, warm, and fluctuant.
Potential Settings: Emergency room, primary care or pediatric clinic, WIC office
LSM Skills: Assessment and management of nipple damage, breast lumps, and breast pain