C.T.
I had a lot of needle like pain while breastfeeding too - the entire time - and I did not have anything wrong. Some women just have pain but it is rare. I saw trained lactation professionals constantly...(one woman was so amazing! She became a family member!!) For me, we knew our son was not getting much milk bc he was crying CONSTANTLY. I did not want to use formula at first. The lac. consultant would have me pump and only a teeny teeny bit came out. Finally she started having me feed someone else's breastmilk through a tiny tube while my son was sucking on my breast. Immediately he seemed full and happy and did not cry all the time. It was such an awful experience bc I felt so bad about it all. When that other person's breastmilk ran out we switched to formula and I would give him a bottle after nursing him. He loved to nurse for a LONG time but not much was coming out. I would then pump about halfway through feedings and save my teeny bit of breastmilk to give to him. This whole process kept me up all night and kept me busy all day for 6 months. It was completely exhausting. I knew I did not have much from 1. seeing what came out while pumping and 2. seeing how my son was crying and upset after breastfeeding and happy/full after his bottle. The same thing happened again with my 2nd child but I gave up much sooner bc I wanted to still have time to spend with my first. I guess my recommendation would be to have a lactation specialist come to your house and help you out. But don't feel bad if you have to switch to formula.
For some women, supply and demand does not work. For 6 months I was feeding my son 10 x a day (waking up at night too). He had a great latch and he loved to nurse for a long time. But he was starving afterwards. For some women the pain does not go away. I'm not talking about regular nipple pain from not getting a good latch. I'm talking about the inside needle pain. It is SHARP and for me it never stopped. I just learned to ignore it but it was not enjoyable. My lactation specialist has been doing this for 35 years and she said it is super rare but some women get this....usually it is related to having red hair and very fair skin for some reason. She had no reason for why my milk supply was so low bc she said I was doing everything right. After months she had me try out 2 different drugs to increase my milk supply and neither of those did anything either. Maybe one of them will work for you? Anyway, again, I would see a specialist and don't give up yet! But know that even if you are doing everything right you can still have things go less than smoothly. Good luck to you...I wish you the best.