Can breast engorgement and blocked milk ducts be treated with scraping therapy?

Written by Lin Yang
Breast Surgery
Updated on March 22, 2025
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Breast pain and blocked milk ducts are not recommended for scraping therapy, as scraping can easily cause inflammation of the mammary glands and result in breast damage. Breast heaviness and blocked milk ducts are likely caused by the accumulation of milk in the ducts. It is advised to visit a regular hospital for a breast ultrasound to determine if the issue is caused by inflammation or lipid accumulation. If the condition is merely an accumulation, using a warm towel for heat compresses and massage can achieve the effect of unblocking the milk ducts. However, if the condition is caused by inflammation, and the symptoms are mild and the lesions are not severe, breastfeeding can still be continued. Nevertheless, the affected breast should not be used for breastfeeding. A breast pump can be used to extract the milk.

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Written by Lin Yang
Breast Surgery
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Are nipple pain and breast tenderness the same thing?

Nipple pain and breast swelling are the same issues, both caused by mammary gland hyperplasia. Mammary gland hyperplasia mainly manifests as cyclic swelling and pain of the mammary glands, typically occurring or worsening before menstruation and diminishing or disappearing after menstruation. The mild cases get unnoticed by patients, while severe ones can impact daily life and work. However, some patients do not show obvious cyclical changes. It may present as swelling and pain in one or both breasts, similar to needle pricks, possibly extending to the shoulders, upper limbs, or thoracic-back area. A minority of patients may experience nipple discharge, and the condition can last for a long time, but symptoms usually disappear or diminish after menopause. During physical examinations, nodular lumps of varying sizes, which are tough but not hard, can sometimes be felt in one or both breasts. These lumps sometimes move when touched, and their boundaries with the surrounding breast tissue are not clear. However, they are not adherent to the skin or pectoral muscles. Sometimes it appears as a thickened area with unclear boundaries. The lumps often swell before menstruation and shrink afterward.

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Written by Lin Yang
Breast Surgery
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Breast swelling and occasional stabbing pain, what's wrong?

Breast swelling and occasional stabbing pain are considered to be caused by fibrocystic breast changes. The symptoms of fibrocystic breast changes include cyclic swelling and pain in the breasts, often appearing or worsening before menstruation and reducing or disappearing after menstruation. It may manifest as swelling and pain in one or both breasts, or prickling and painful sensations, and can extend to the shoulders, upper arms, or thoracic regions. Few patients may experience nipple discharge. During physical examination, nodular lumps of varying sizes, which are firm but not hard, can be felt in one or both breasts. Sometimes these lumps are tender, and their boundaries with the surrounding breast tissue are indistinct, but they are not adherent to the skin or pectoral muscles. Regular follow-up with breast ultrasound is advisable.

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Written by Wu Shi Ting
Breast Health Department
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What is the cause of breast swelling and pain before menstruation?

Menstruation has not yet arrived, but the breasts are already in pain—this is a common annoyance for many women. Many women experience swelling, hardening, and even pain in their breasts before the onset of menstruation. In severe cases, even slight vibrations or bumps can cause unbearable breast pain. What causes this? It all starts with a mysterious substance—hormones. Each menstrual cycle, levels of estrogen and progesterone rise, causing the mammary ducts and lobular duct endothelial cells to enlarge, and the ductal epithelial cells and stromal cells to become congested and swollen, leading to pain. Thus, different degrees of pain occur before menstruation.

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Written by Lin Yang
Breast Surgery
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What is the cause of breast swelling and pain?

Breast pain is generally related to breast hyperplasia, and it can be diagnosed through the use of breast ultrasound or mammography. Currently, breast hyperplasia is believed to be associated with disruptions in the endocrine system leading to elevated levels of estrogen. Factors such as the external environment, work and living conditions, interpersonal relations, and various other stresses that cause neuropsychiatric impacts can alter the internal environment of the body. This, in turn, affects the function of the endocrine system, leading to abnormal secretion of one or more hormones. During the menstrual cycle, the receptors in the breast tissue undergo cyclical changes due to the fluctuation of hormone levels. An imbalance where estrogen levels are high and progesterone secretion is reduced can result in incomplete regression of breast hyperplasia after the growth phase, causing breast tissue hyperplasia. Additionally, differences in the quality and quantity of estrogen receptors in the breast tissue may contribute to uneven growth levels across different parts of the breast.

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Written by Sun Shan Shan
Obstetrics and Gynecology
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What's the matter with delayed menstruation and breast pain?

Delayed menstruation and breast pain, if it occurs in women of childbearing age who are sexually active, this condition needs to be checked to see if there is a possibility of pregnancy. Menstruation is related to mood, diet, environmental stress, and psychological tension. If there is a problem in any of these areas, it can cause menstrual disorders. Of course, a delay in menstruation of about a week is within the normal range. If menstruation is delayed for more than a week and there has been sexual activity, a pregnancy test should be used to see if there is a possibility of pregnancy. If not pregnant and menstruation is delayed for more than a week, it is necessary to promptly go to the hospital for a gynecological ultrasound to check the condition of the endometrium, and if necessary, medication can be used to induce menstruation. If a pregnancy test is positive, then it is timely to go to the hospital for a pregnancy checkup.