10 Important Things You Need to Know About Ultrasound for Mastitis

Ultrasound for mastitis is a non-invasive therapy that has been recognised for its benefits in managing symptoms related to breastfeeding challenges. Many women experience discomfort, tenderness, or inflammation due to blockages in the milk ducts, which can make breastfeeding painful and frustrating. Seeking appropriate treatment is essential to ensure comfort and prevent complications.

This therapy uses sound waves to break up blockages, improve circulation, and encourage the body’s natural healing process. By reducing inflammation and promoting milk flow, ultrasound therapy can provide relief and support ongoing breastfeeding success.

In this article, we will explore the essential aspects of ultrasound therapy, how it works, its key benefits, and when you should consider this option for managing this condition.

1. What Is Mastitis?

It is an inflammation of the breast tissue that can result in pain, swelling, and redness. It is often caused by a blocked milk duct or bacterial infection. Common symptoms include:

  • Breast tenderness or pain
  • Swelling and warmth in the affected area
  • Redness or skin changes
  • Flu-like symptoms, such as fever and chills
  • Difficulty breastfeeding due to pain


Early detection is crucial to preventing complications. Seeking treatment promptly can help reduce discomfort and improve recovery.


Causes:
Mastitis typically develops when milk ducts become clogged, leading to milk stasis. The stagnant milk can cause inflammation and, in some cases, infection. Common triggers include:

  • Poor breastfeeding latch
  • Infrequent feeding or abrupt weaning
  • Pressure on the breast from tight clothing
  • Cracked or sore nipples allowing bacteria to enter


Addressing these issues early can prevent mastitis from worsening.


Types:
There are different types of this condition, including:

  • Acute: Often caused by bacterial infection and characterised by sudden onset of symptoms.
  • Chronic: Less common, typically occurs in non-lactating women.
  • Granulomatous: A rare, inflammatory condition often identified through granulomatous mastitis ultrasound.


Understanding the type of mastitis you have is important for determining the most effective treatment plan.


How Common Is It?
Mastitis affects approximately 1 in 10 breastfeeding women, with most cases occurring within the first six weeks postpartum. While it is more common in breastfeeding mothers, it can also occur in non-lactating women due to hormonal changes or other factors.

2. Benefits of Using Ultrasound Therapy 

Ultrasound therapy offers several advantages, including:

  • Non-invasive approach: Unlike medications, ultrasound therapy does not require oral intake or injections.
  • Promotes natural healing: The sound waves encourage the body’s natural healing process.
  • Breaks down blockages: By loosening clogged milk ducts, ultrasound can help restore normal milk flow.
  • Reduces discomfort: Many women experience relief from pain and swelling after treatment.


Additionally, mastitis USG can assist in diagnosing the condition, ensuring that the right areas are targeted during therapy.


Comparison with Other Treatments

While ultrasound therapy is beneficial, it is not a standalone treatment. It works best when combined with:

  • Proper breastfeeding techniques
  • Warm compresses and massage
  • Adequate hydration and rest
  • Antibiotics if infection is present


This holistic approach ensures faster recovery and reduced risk of recurrence.


Long-Term Benefits of Ultrasound Therapy

Regular use of ultrasound therapy during episodes can improve breast tissue health over time, making future blockages less likely. It also supports better lactation outcomes for breastfeeding mothers.

3. How Does Ultrasound for Mastitis Work?

Ultrasound therapy is a non-invasive treatment that uses sound waves to create gentle vibrations in the affected breast tissue. These vibrations help to:

  • Improve blood flow to the area
  • Reduce inflammation
  • Break up blockages in the milk ducts
  • Promote healing of the affected tissue


A physiotherapist will apply a gel to the skin and use an ultrasound probe to deliver targeted sound waves. This ultrasound treatment is generally painless and can be an effective complementary therapy for managing the condition.


Mechanism of Ultrasound Therapy

Ultrasound therapy works by delivering high-frequency sound waves that penetrate deep into the tissue. These sound waves generate heat and mechanical effects, which:

  • Enhance cellular metabolism
  • Increase tissue elasticity
  • Encourage lymphatic drainage


This makes ultrasound therapy particularly effective for treating focal mastitis ultrasound cases where blockages are localised.


Scientific Evidence Supporting Ultrasound Therapy

Several studies have highlighted the effectiveness of ultrasound therapy in reducing inflammation and improving symptoms of mastitis. A study published in the Journal of Clinical Medicine (PMC10647054) investigated the use of ultrasound therapy in breastfeeding women with this condition. 

The findings indicated that therapeutic ultrasound significantly improved milk flow, reduced pain levels, and decreased inflammation, leading to better overall recovery. The study also suggested that integrating ultrasound therapy with standard treatments enhanced recovery rates and reduced the recurrence of blockages, reinforcing its value as a supportive intervention for mastitis management.

4. When to Consider Mastitis Ultrasound Treatment

If you are experiencing early symptoms such as pain, swelling, and blocked milk ducts, ultrasound therapy may be beneficial. It is particularly useful if:

  • Conventional treatments like warm compresses and massage have not worked.
  • You have recurring episodes.
  • You want to explore non-medicated treatment options.


Consulting an experienced physiotherapist can help determine if this treatment is right for you.


Signs That Ultrasound Therapy May Be Needed

Consider ultrasound therapy if you notice:

  • Persistent blockage despite self-care
  • Severe discomfort affecting breastfeeding
  • Recurrence of mastitis within short intervals


Timely intervention can help avoid complications and improve your breastfeeding journey.

5. Understanding the Ultrasound Settings for Mastitis

The effectiveness of ultrasound therapy depends on the correct settings. Physiotherapists typically use:

  • Frequency: 1 MHz or 3 MHz, depending on tissue depth
  • Intensity: 0.5 – 2.0 W/cm²
  • Duration: 5 to 10 minutes per affected area
  • Mode: Pulsed or continuous, based on severity


These settings are adjusted based on the individual’s symptoms and the severity of the blockage.


Customising Settings for Individual Needs

Each case is unique. Physiotherapists carefully assess symptoms and adjust ultrasound settings to ensure optimal outcomes for each patient.

6. Mastitis Sonography: Diagnosing the Condition

An ultrasound scan can help in diagnosing the condition and differentiating between bacterial infection and ultrasound findings. The scan provides clear imaging of the affected breast tissue and helps in guiding treatment decisions.


Role of Diagnostic Imaging 

Diagnostic imaging can identify:

  • Blocked ducts or abscesses
  • Signs of infection
  • Inflammatory conditions 


Early diagnosis ensures that the appropriate treatment plan is implemented promptly.


How Sonography Improves Treatment Outcomes

By providing detailed imaging, sonography helps clinicians pinpoint problem areas, allowing for more precise and effective ultrasound therapy applications.

7. Comparing Ultrasound Therapy for Mastitis to Other Methods

While ultrasound therapy is effective, it is often used alongside other treatments, including:

  • Self-care measures: Applying warm compresses, ensuring proper breastfeeding techniques, proper exercise, and resting.
  • Medication: Antibiotics if an infection is present.
  • Manual therapy: Breast massage techniques to clear blockages.


Ultrasound therapy provides additional support by reducing inflammation and improving circulation.


Integrating Ultrasound Therapy into a Treatment Plan

Combining this therapy with lifestyle changes and medical advice can enhance recovery. For example:

  • Incorporate regular breastfeeding or pumping to prevent milk stasis.
  • Maintain proper hydration and a balanced diet to support healing.
  • Follow up with your healthcare provider to monitor progress.


Avoiding Recurrence

Ultrasound therapy, when used in conjunction with preventive strategies, can significantly reduce the likelihood of recurrent episodes.

8. Is Ultrasound for Mastitis Safe?

Yes, this treatment is generally safe when performed by a trained professional. It is non-invasive, does not use radiation, and does not interfere with breastfeeding. However, it should not replace medical consultation if symptoms worsen.


Safety Considerations

  • Always ensure the procedure is performed by a qualified physiotherapist.
  • Inform your practitioner if you have any pre-existing conditions or concerns.
  • Follow aftercare instructions provided by your therapist.


Side Effects and Risks

Ultrasound therapy is well-tolerated by most patients. Minor side effects, such as slight redness or warmth in the treated area, are temporary and resolve quickly.

9. When to Seek Medical Help

If mastitis symptoms persist or worsen, seek medical advice. Warning signs include:

  • Persistent fever
  • Abscess formation
  • Severe pain or spreading redness

Timely intervention can help prevent complications and ensure effective treatment.


Importance of Follow-Up Care

Regular follow-up appointments with your healthcare provider can ensure that the condition is fully resolved and prevent long-term issues.

10. How to Access Ultrasound Therapy for 

Many physiotherapy clinics, including DX Physio, offer ultrasound therapy as part of their women’s health services. If you’re struggling with mastitis and would like to explore treatment options, book an appointment today.

Why Choose DX Physio?

At DX Physio, we specialise in women’s health and provide personalised care to help manage conditions like mastitis. Our holistic approach includes:

  • Comprehensive assessment and diagnosis
  • Tailored treatment plans
  • Integration of advanced therapies, including ultrasound

Final Thoughts: Taking Charge of Your Mastitis Recovery

At DX Physio, we understand the challenges that breastfeeding women face when dealing with blocked milk ducts and inflammation. This treatment is a valuable option for managing these symptoms, helping to reduce pain and improve milk flow. 

When combined with conventional treatments, ultrasound for mastitis can provide significant relief and support recovery. If you’re experiencing discomfort or ongoing issues related to blocked milk ducts, consult with our physiotherapists to determine the best course of action.For personalised support and expert physiotherapy care, contact us today to learn more about how ultrasound therapy can support your recovery. Call us at (02) 99493770 or book an appointment now.

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Deman Xia

Women’s Health Physiotherapy

Deman is a physiotherapist specialising in women’s health,  sports injuries and musculoskeletal conditions. Throughout her journey, Deman acquired experience working with a variety of patients nation-wide and internationally. 

Deman has a special interest in helping women recover from pregnancy and childbirth, and is dedicated to providing comprehensive care throughout the perinatal period. She also has extensive experience in treating a range of pelvic health conditions, including pelvic pain, incontinence, and prolapse related to pregnancy and menopause. In addition to her clinical work, Deman is committed to staying up-to-date with the latest research and techniques in women’s health physiotherapy. She regularly attends conferences and workshops and collaborates with other healthcare professionals to ensure that her clients receive the most comprehensive and effective care possible.

Academic Background:

  • 2015 Bachelor of Rehabilitation
  • 2018 Master of Physiotherapy-USYD
  • WHTA Introductory Course (Women’s Health Training Associates)
  • APPI Mat Pilates Training
  • Polestar Reformer Training
  • Diastasis and the Abdominal Wall Training
  • Women’s Health mentor program
  • Dry needling Introductory Course CPD Health Courses
Wendi Jin

Women’s Health Physiotherapy

Wendi completed her Bachelor of Physiotherapy degree with first-class honours at the University of Sydney. She has specialised expertise in musculoskeletal conditions, sports injuries, orthopaedic surgeries and chronic pain. Wendi believes in a patient-centred and evidence-based approach in order to attain optimal results for her patient’s specific needs and goals. She is passionate about getting you back on the right track, whether that be excelling on the sporting field or doing what you love.

Wendi also has a particular interest in Women’s Health Physiotherapy, which involves managing conditions related to pelvic health, pregnancy, and postpartum recovery.

In her spare time, Wendi loves hiking, exploring new landscapes, discovering hidden gems, and enjoying scenic views. Wendi also won numerous titles in national and local badminton tournaments

Academic Background:
 
  • Bachelor of Physiotherapy (1st Class Honours) – University of Sydney
  • Completion of Introductory Women’s Health Physiotherapy Level 1
  • Completion of Women’s Pelvic Health Physiotherapy Level 1 – Part A
  • Completion of Women’s Health Through the Life Stages Physiotherapy Level 1 – Part A
  • Member of APA(Australian Physiotherapy Association)
  • Dry needling Introductory Course CPD Health Courses
Joey Kwan

Women’s Health Physiotherapy

Joey graduated from the University of Sydney in 2018, with a Master of Physiotherapy degree. Throughout her professional journey, she has worn various hats as a dedicated and skilled physiotherapist.

Her expertise lies in dealing with musculoskeletal conditions and sports injuries within private practice. Joey holds a special interest in the treatment of neck pain and TMJ dysfunction. Her diverse experiences in different care settings have equipped her with a keen eye for delivering prioritized care, overseeing group care, administering rehabilitation exercises, and providing educational interventions for optimal recovery across all age groups.

Joey’s professional history includes extensive work within the NDIS, where she collaborated with patients facing neurological and physical disabilities. Her contributions within a large multi-disciplinary team highlight her commitment to providing comprehensive care.

Academic Background:

  • 2015 Bachelor of Exercise and Nutrition Sciences – University of Queensland
  • 2018 Master of Physiotherapy – University of Sydney
  • 2019 Certificate of Dry Needling 2019
  • 2019 Certificate of Lyn Watson Level 1 Shoulder Course
  • 2019 Certificate of RockTape 1: Kinesiology Taping Course
  • 2020 Certificate of TMJ, C-Spine & Intro to Cranial Techniques
  • 2021 Certificate of Cervicogenic Headache and the Role of Cervical (C1-3) Afferents in Primary Headache
  • 2021 Completion of Introductory Women’s Health Physiotherapy Level 1
  • 2022 Completion of Women’s Pelvic Health Physiotherapy Level 1 – Part A
  • 2023 Completion of Sports Physiotherapy Level 1 2023
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Nicole

Senior Physiotherapist

Nicole is a highly skilled physiotherapist with a Doctor of Physiotherapy degree from Macquarie University. She is passionate about promoting long-term health, injury prevention, and rehabilitation, with a particular interest in women’s health and musculoskeletal care.

Taking a holistic, evidence-based approach, Nicole tailors treatment plans to address each patient’s unique needs, combining hands-on therapy, movement-based rehabilitation, shockwave therapy and education to support long-term recovery. She incorporates Reformer Pilates into her practice to help patients build strength, improve mobility, and restore function. Whether guiding women through pre- and postnatal care, assisting in injury recovery, or optimizing athletic performance, Nicole is dedicated to empowering her patients to feel their best.

Outside of work, she enjoys staying active at the gym, cooking, and reading.

Qualifications & Professional Development

  • Doctor of Physiotherapy – Macquarie University
  • Bachelor of Human Science with a Major in Human Movement
  • Level 1 Sports Trainer – Sports Medicine Australia (SMA)
  • Member of the Australian Physiotherapy Association (APA)