COMPLICATIONS: CARPAL TUNNEL SYNDROME (CTS)

Pregnancy
Written By Labour the App; medically reviewed by Marnie Hyzy, MHS, PA-C

Carpal tunnel syndrome (CTS) in pregnancy is a common condition characterized by numbness, tingling, and pain in the hands and fingers. It occurs when the median nerve, which runs from the forearm into the hand, becomes compressed or squeezed as it passes through the carpal tunnel in the wrist. During pregnancy, hormonal changes and fluid retention can increase pressure on the median nerve, leading to symptoms of carpal tunnel syndrome. Here's an overview of CTS in pregnancy and strategies to manage and prevent it:

Symptoms of Carpal Tunnel Syndrome in Pregnancy

  • Numbness and Tingling: Women with CTS may experience numbness, tingling, or "pins and needles" sensations in the thumb, index finger, middle finger, and half of the ring finger.

  • Pain and Discomfort: Some women may also experience pain or discomfort in the hand, wrist, or forearm, which may worsen at night or with certain activities.

  • Weakness: In severe cases, weakness or difficulty gripping objects may occur due to muscle weakness or atrophy.

Remedies and Prevention Strategies for Carpal Tunnel Syndrome in PregnancY

  • Wrist Splints: Wearing wrist splints or braces at night can help keep the wrist in a neutral position and alleviate pressure on the median nerve. Splints may also be worn during the day, especially during activities that exacerbate symptoms.

  • Hand Exercises: Performing gentle hand and wrist exercises, such as stretching and range-of-motion exercises, can help improve flexibility and reduce stiffness in the hands and wrists.

  • Modify Activities: Avoiding repetitive or forceful hand movements and taking breaks to rest the hands and wrists can help alleviate symptoms of CTS.

  • Cold Therapy: Applying cold packs or ice to the affected wrist can help reduce swelling and inflammation, providing temporary relief from pain and discomfort.

  • Elevate Hands: Elevating the hands above heart level when resting or sleeping can help reduce swelling and alleviate pressure on the median nerve.

  • Avoidance of Flexion: Avoiding activities or positions that involve excessive flexion or extension of the wrists, such as prolonged typing or using handheld devices, can help prevent exacerbation of CTS symptoms.

While carpal tunnel syndrome in pregnancy can be uncomfortable, symptoms typically improve after childbirth as hormone levels normalize and fluid retention decreases. However, implementing the above strategies can help manage symptoms and improve comfort during pregnancy. If symptoms persist or worsen, pregnant women should consult with their healthcare provider for further evaluation and management options.

Sources:

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Labour the App; medically reviewed by Marnie Hyzy, MHS, PA-C
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