Is nipple pain normal? This is one of the most common questions we hear as lactation consultants. The short answer? No, nipple pain is not normal—but it is very common in the early days of breastfeeding or pumping. During the first few days of nursing, both you and your baby are learning a new rhythm together. As you navigate positioning, latch, and feeding cues, some tenderness can occur. But pain that persists, worsens, or results in visible nipple damage signals a need for support.

Nipple & Breast Care

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Topicals

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Silver Cups

Soothies

Everything Explained

The good news is that most nipple pain can be prevented with a proper latch and correct positioning. Prevention really is the best cure. Working with a lactation consultant early on can help you learn how to establish a deep latch, support your baby’s positioning, and recognize feeding cues. If you're exclusively pumping, discomfort is often caused by an improperly fitted flange—a common, but very fixable, issue. Flange sizing and pump settings should be reassessed to ensure you're getting an efficient and comfortable pumping session.

Sometimes, nipple pain stems from deeper, underlying causes that go beyond technique. Factors such as nipple anatomy (like flat or inverted nipples) or infant oral anatomy (such as tongue-tie or a high palate) can contribute to nipple trauma. These situations may require additional evaluation by a feeding therapist (Speech or Occupational Therapist) or a medical doctor such as a pediatric dentist or ENT.

While you're working to address the root cause of discomfort, there are several effective ways to promote healing and relieve pain:

Topicals — Colostrum contains powerful antibodies that help prevent infection and naturally repair damaged nipple tissue. Express a small amount and gently rub it onto your nipples and areola, then allow it to air dry. Nipple balms, such as purified lanolin or plant-based alternatives, can soothe and protect tender skin between feeds. These are best used for mild pain, redness, or sensitivity and can also be applied before pumping to reduce friction.

Silver Nursing Cups — These provide a breathable, antimicrobial barrier that supports healing. For added benefit, hand express a drop of colostrum and leave it on the nipple before applying the cups.

Soothies or Gel Pads — these can be chilled to reduce inflammation and provide immediate relief for more significant nipple trauma, such as blisters, bleeding, cracks, or sharp pain. Note: do not use Soothies in combination with nipple balms, as this can interfere with healing.

If latching results in severe or unmanageable pain, a period of nipple rest for 12 to 24 hours may be recommended. During this time, pumping and supplementing at each feeding will serve as a temporary feeding plan while the nipples have time to recover. If nipple rest is needed, a lactation consult is strongly recommended to guide recovery and support your feeding plan.

Healing takes time and support. As you recover, try rotating nursing positions to relieve pressure on sore areas, allow your nipples to air-dry when possible, and avoid over-washing or using harsh soaps. If you’re currently pregnant, learning about latch, positioning, and pumping technique can set you up for a more confident and comfortable start postpartum. For individualized guidance, book a prenatal lactation consult through milkGEN.