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Dangle feed, massage and heat.

I laid the baby on the bed and crawled over her on all fours. DH massaged my boob while the baby nursed.

Hope it clears soon!

Good suggestions here already. I got a few of these during the first months of BFing and massage and heat (I used a hot water bottle and a wash cloth soaked in hot water and regularly refreshed) while pumping (and also frequent nursing on that side) worked. One of them was quite deep and that was the hardest and took about two days to resolve--was so hard to get pressure down to that one while massaging. And the massaging HURT!!! I almost couldn't do it. But that's what cleared the block. I managed never to get mastitis despite several clogged ducts, so it's not inevitable. Good luck!!!

Dangle feed! In the carseat worked for me.

@MrsADS: I get these a lot unfortunately. Lots of good suggestions here. For me, the best is heat and massage while pumping. I like to wet a disposable nursing pad and microwave. Apply to the spot where the clog is and then massage with the end of an electric toothbrush or the like while pump going. Good luck!

Don't worry! I got them everyday!

Nurse nurse nurse, start baby on that breast. Try different positions. Hot hot showers are good!

I keep getting that. So annoying. It takes a while to get less sore. Do you have a heating pad? Keep some heat on it.... Along with all other suggestions!

I saw an LC a few weeks ago when I had a stubborn clogged duct, red skin near the clog, and a fever. She told me new research has come out that suggests ice instead of heat! I put cold packs in my bra and massaged the way she showed me, and I was able to get through it without getting mastitis.

@MrsADS: I'm going through this right now. I started abx on Wednesday night. 102 fever, aches, chills feeling like a truck hit me etc etc.
I didn't feel like I had a true clog either. I actually think an infection might have started through an abrasion near my nipple from the pump. Red streaks and pain all the way into my armpit. Ack. But the abx cleared that up within 48 hours. I know you are trying to avoid them but all of a sudden I was really bad, really fast and I could see this spiraling out of control.

My LC suggested to clear away from the clog first so around your lymph nodes in your armpit. Then massage the clog and slowly towards your nipple. Maybe start lechithin too (sunflower based, Amazon sells it.).

Can you pump? You might have better luck massaging and manipulating the clog without a baby attached

@MrsADS: your ob/midwife. Not a dumb question. I actually had to call after hours to my ob on call. I felt bad for bothering them but knew I'd need abx and didn't want to wait till the next day.
You can try alternating ibuprofen and Tylenol also.

@MrsADS: if you don't feel sick, you are probably better off working the clog. I doubt the dr will tell you anything different in terms of how to treat and sounds like you may not need abx yet. Sorry you have such a stubborn clog!

When I got these, I would use a hand pump so I could hold it at the highest suction while pushing hard on that point. Eventually it would release, but sometimes it could take a few sessions. Also, sometimes I would end up feeling a little bruised afterward, and thinking that it was still there... but it was only because I had pushed so hard lol