Has a clogged duct got you down!? Heat and massage are NO longer recommended! This change is new and a lot of people are still using the old recommendations. Clogs are now thought of as inflammation in the breast tissue rather than an actual clump of milk. Heat and massage make the inflammation worse, leading to more pain and even less milk removal. I tell all my patients that if you’re not sure what to do with a clogged duct, ask yourself what you would do for a sprained ankle!! Ice, rest, and