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Does anyone have information on ultrasound treatment for mastitis?
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Does anyone have information on ultrasound treatment fo... - May 13, 2008 11:55:13 AM
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proud
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That's all.....it would be greatly appreciated.
Thank you
< Message edited by proud -- May 13, 2008 12:00:31 PM >
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RE: Does anyone have information on ultrasound treatmen... - May 13, 2008 12:47:38 PM
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SJBird55
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Ummm, for a heifer, you need to increase the frequency in which you milk her - no need for ultrasound. Bag balm can also be helpful. ;)
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RE: Does anyone have information on ultrasound treatmen... - May 13, 2008 1:48:17 PM
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proud
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Thanks for that....
I know, I know. However, where I live, all the specialists in the area refer for this treatment. They claim it works!
I cannot locate any research on the topic but wanted to know what the parameters would be IF.....if I was ever asked to do it( and I just was...).
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RE: Does anyone have information on ultrasound treatmen... - May 13, 2008 8:01:31 PM
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SJBird55
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Well, I believe the physicians are whacked. First of all the breastfeeding moms should have been educated to prevent. Second.. as I mentioned with a heifer - the breast needs to be emptied. Probably no bag balm on the breast as with a heifer because an infant probably shouldn't consume bag balm. Thirdly, in the early stages, just moist compresses and even "milking" oneself in the shower reduces the discomfort, which means ultrasound with no proven benefit is a high cost "solution." 4th... the infant needs to latch on the breast appropriately. AND... if the problem is a major problem, then antibiotics should be prescribed, but again, there should be care in prescribing prescription antibiotics.
A better professional for referral would probably be a lactating specialist.
If it's more than just a lactating problem.. here's one abstract:
Br J Surg. 1996 Oct;83(10):1413-4. Conservative management of infective mastitis and breast abscesses after ultrasonographic assessment. O'Hara RJ, Dexter SP, Fox JN. Department of Surgery, Hull Royal Infirmary, UK.
Current practice in this unit for a suspected breast abscess is preliminary ultrasonographic scan, aspiration of any pus, antibiotic therapy and repeat aspiration in the outpatient clinic if necessary. Inflammatory masses are treated with antibiotics alone. A retrospective review of this strategy has been made. Over a 2-year interval 53 patients were admitted to hospital with a suspected breast abscess. Twenty-two abscesses were aspirated, of which 19 resolved and three required subsequent incision and drainage. Eight patients underwent primary incision and drainage, one of whom required a second drainage procedure. In five patients the abscess discharged spontaneously before intervention. The remaining 18 patients were found on ultrasonography to have inflammation without evidence of focal pus which settled with antibiotic therapy in all but two patients. One of these was found to have an inflammatory cancer and the other developed an abscess, which was drained. Aspiration combined with ultrasonographic imaging is an effective alternative to incision and drainage.
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RE: Does anyone have information on ultrasound treatmen... - May 14, 2008 9:48:11 AM
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Tom Reeves DPT ATC
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I just love reading this stuff. I laugh out loud almost every day in addition to learning things. Thanks for that.
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RE: Does anyone have information on ultrasound treatmen... - May 14, 2008 3:01:19 PM
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proud
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Well SJ....it's my bad anyway.
But for educational purposes, it IS the lactating specialists that refer here....regularily for this!
BUT, not for mastitis as this is already an infection and antibiotics are already initiated. But for a "blocked duct" they refer to Physiotherapy often. Not to me but to a clinic in town here. Ultrasound is utilized in the protocol.
I was asked about it so I posed the question here.
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RE: Does anyone have information on ultrasound treatmen... - May 14, 2008 6:08:23 PM
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ginger
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From: Melbourne Victoria
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one watt per square cm, continuous US five to 8 minutes, lots of gel , lots of broad sweeping movements , bob's your uncle , works a treat.
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RE: Does anyone have information on ultrasound treatmen... - May 14, 2008 8:11:23 PM
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MPT
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What about cross friction massage to the nipple.
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RE: Does anyone have information on ultrasound treatmen... - May 14, 2008 8:23:10 PM
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proud
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quote:
ORIGINAL: SJBird55
Now it's a blocked duct? LMAO Proud... you poor guy.
Check this site: http://pediatrics.about.com/od/breastfeeding/a/mastitis.htm
The above site mentions ultrasound. I haven't found any evidence anywhere with the searches I have done. I'd ask the lactating specialists how it is known that ultrasound is effective. Has there been a randomized controlled trial to prove it is effective? Blocked ducts seem to be self-limiting.
Risk factors: http://www.ncbi.nlm.nih.gov/pubmed/9775842?ordinalpos=3&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVDocSum
I'm quite certain no RCT exist. But according to the lactation specialists in town here....it most definetly works....
Part of me wants to take this tidbit and run with it. Approach the local hospital about a possible research grant and finding out.....but the better part of me says I'm not suited for that......study.....
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RE: Does anyone have information on ultrasound treatmen... - May 14, 2008 8:39:16 PM
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TexasOrtho
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I am Ernst Gräfenberg and I approve of this thread.
< Message edited by TexasOrtho -- May 14, 2008 9:22:52 PM >
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RE: Does anyone have information on ultrasound treatmen... - May 15, 2008 12:27:10 AM
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ginger
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From: Melbourne Victoria
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My best buddy during university devised a fabulous third year pilot study , where we measured the hip "turnout"( external rotation in supine of both hips with knees flexed to 90 degrees ) of elite female ballet dancers , to determine any relationship to hip and back pain complaints. As twenty something young men with a keen eye for girls hip movements in general, we had to pinch ourselves that the faculty actually bought our proposal as a means to better understanding of dancers hips etc.. But honestly , this US stuff for blocked ducts really does work. Wear a plastic or splash proof top . when they let go , stand back!!!.
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