An Osteopathic Perspective on the Mastitis Spectrum

 Mastitis spectrum disorders include a variety of presentations, including engorgement, plugged ducts, mastitis, and abscess formation. Lactational mastitis is a common occurrence in lactation, affecting up to 10% of patients. Common risk factors include oversupply, nipple trauma, and ineffective latch. Standard treatment includes continued breastfeeding with correction of latch techniques and supportive pain relief. Antibiotics are commonly used but indicated only in infectious presentations to prevent breast abscess formation.

OMT is a physiologically grounded adjunct in the management of mastitis spectrum disorders. Techniques such as myofascial release and lymphatic pumps can enhance lymphatic flow, reduce edema and swelling, and relieve pain. Early case-level evidence suggests that OMT is beneficial when integrated with standard care.