Physiotherapy Approach to Breast Engorgement: A Systematic Review


  • Kalpana Zutshi Assistant Professor, F/o AHS, Department of Rehabilitation Sciences, Jamia Hamdard University, New Delhi, India
  • Ifra Aman HOD
  • Tarun Sachdeva Director and Founder, FitSol Clinic, Delhi, India
  • Ruksana Khatoon Senior Physiotherapist, Max Hospital, Delhi, India


Breast Engorgement, Physiotherapy, Physical Therapy


Introduction: Motherhood is an act of unconditional love and warmth
to a baby. Despite this cherished moment, women experience many
physiological changes during lactation period which mainly affect
the reproductive organs and the breast. There are many treatments
that are advised to patients which range from ayurvedic treatments,
allopathic treatments to physical therapy treatments. Physical therapy
treatments range from massage, hot compression, ice compression,
ultrasound therapy, K-tape, lymphatic drainage, and thecar therapy.
The aim of this systematic review is to assess different physical therapy
treatments and their efficacy to cure breast engorgement.
Methodology: This systematic review was directed according to PRISMA
guidelines. Variouselectronic databases were used to search relevant
articles using different keywords. Articles were collected together and
selected,based on the eligibility criteria. The final sets of articles were
selected after complete screening.
Result: A different treatment method such as ultrasound, lymphatic
drainage, K-tape, and hot and cold compression shows significant result
in treatment of breast engorgement.
Conclusion: It has been concluded that physiotherapy play a significant
role in treating breast engorgement. Different treatment methods and
practices for example, the ultrasound, lymphatic drainage, K-tape and
hot and cold compression should be considered as a choice of treatment
for breast engorgement.

How to cite this article:
Aman I, Zutshi K, Sachdeva T, Khatoon R.
Physiotherapy Approach to Breast Engorgement:
A Systematic Review. Int J Adv Res Gynaecol
Obstet. 2022;3(1):5-10.



Muktsar B. Caring for Postnatal Mothers and Newborns.Nightingale Nursing Times. 2012;8(5):61-62.

Giugliani ER. Common problems during lactation andtheir management. J Pediatric 2004;80(5):147-54.

Mangesi L, & Grkovic ZI. Treatments for breastengorgement during lactation. Cochrane DatabaseSyst Rev. 2016;28(6):CD006946.

Taskin L. Birth and Women’s Health Nursing. Printing.System Offset Printing (in Turkish). 2015;(12):455-512.

Karatay Get. Traditional practices of turkish mothersat breast engorgment during Postpartum Period. International Journal of Caring Sciences. 2018;1(3).

Dee HP. The occurrence of breast engorgement. Journalof human lactation. 1994;10(2).

Snowden HM, Renfrew MJ, Woolridge MW. Treatmentsfor breast engorgement during lactation. The CochraneDatabase of Systematic Reviews. CD000046. DOI:10.1002/14651858.CD000046.

Moher D, Liberati A, Tetzlaff J, Altman DG, PRISMAGroup. Preferred reporting items for systematic reviews and meta-analyses the PRISMA statement.BMJ 2009;339:2535.

The Delphi list a criteria list for quality assessment ofrandomised clinical trials for conducting systematic reviews developed by Delphi consensus. Journal ofClinical Epidemiology. 51(12):1235-41.

Manna M, Podder L, Devi S. Effectiveness of HotFomentation Versus Cold Compression on Breast Engorgement among Postnatal Mothers. International Journal of Nursing Research & Practice. 2016;3(1).

Hanif H. Efficacy of Non-thermal Ultrasound in the Management of Breast Engorgement in Post-partum Women. A randomized controlled trial. AJPARS.2017;9(1&2):9 -15.

Dogan et comparison of effect of kinesio taping and manual lymphatic drainage on breast engorgement on postpartum women. A Randomized controlled trial. Breastfeeding Medicine. 2020.

McLachlan Z, Milne EJ, Lumley J, Walker BL. Ultrasound treatment for breast engorgement. A randomised double blind trial. AustralianJournal of Physiotherapy 1991;37:23-29.

Bakar Y, Berdici B, Sahin N. Lymphedema after breast cancer and its treatment. J Breast Health 2014:10.

Ji RC. Recent advances and new insight into muscularlymphangiogenesis in health and disease. Life Sci2018;211:261-269.