I was extreamly engorged for a few days after my milk came in. The nurses had me pump just enought to get DS latched on at the hospital. But at home I would take a shower and hand express just enought to get comfortable with the Hot water running on my chest. That helped soooo Much! It also helped that I had someone to watch DS for me so I could take a shower. It might be worth a try if you are still engorged.