Carpal tunnel syndrome (CTS) is a condition commonly experienced by pregnant women, causing pain, tingling, and weakness in the hands and wrists.
CTS occurs when pressure is applied to the median nerve that passes through the carpal tunnel in the wrist. During pregnancy, this condition is often triggered by fluid retention and hormonal changes that cause swelling and nerve compression. Additionally, weight gain and the habit of performing repetitive hand movements can exacerbate CTS symptoms.
Recognizing the Symptoms of Carpal Tunnel Syndrome in Pregnant Women
CTS symptoms usually develop gradually and tend to worsen as pregnancy progresses. Common symptoms include:
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A sensation resembling being pricked by a needle in the hand
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Pain or numbness in the hand
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Weakness in the hand
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A burning feeling in the fingers
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Pain that radiates from the hand to the arm or shoulder
The pain typically affects the thumb, index finger, and middle finger. Some pregnant women may experience symptoms in both hands, with the discomfort often intensifying at night or in the morning.
How to Manage Carpal Tunnel Syndrome in Pregnant Women
While CTS during pregnancy typically improves after childbirth, there are several strategies to help alleviate discomfort, including:
Resting Your Hands
To reduce discomfort, identify activities that trigger pain and avoid movements that strain the wrists. Ensure that you give your hands enough rest to alleviate pressure.
Using a Wrist Support
Wearing a wrist support or splint while sleeping can help keep the hand in a neutral position and reduce pressure on the median nerve. You can also use this support during the day if symptoms flare up.
Soaking Your Hands in Cold or Warm Water
Alternating between soaking your hands in cold or warm water for 30 seconds at a time, about three times, can encourage blood circulation to the wrist and relieve tension.
Physical Therapy and Exercises
Despite the pain, it is important to continue stretching and strengthening your wrist through exercises. These exercises will help alleviate symptoms.
Examples of exercises include gently bending your wrist back or performing grip exercises using a small rubber ball.
Medical Procedures
If the above methods are ineffective or if the symptoms worsen, your doctor may suggest decompression surgery. This procedure involves cutting the ligaments that put pressure on the median nerve, thus reducing pain and pressure.
By implementing preventive and treatment measures, CTS symptoms during pregnancy can be managed, providing relief and comfort. However, if symptoms persist or worsen, it is advised to consult a doctor for more suitable treatment options.
You can also use the consultation service with a doctor on the Ai Care app, available for download from the App Store or Play Store.
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- dr Nadia Opmalina
Tiffany Ayuda (2023). What to know about carpal tunnel in pregnancy. Available from: https://www.babycenter.com/pregnancy/your-body/carpal-tunnel-during-pregnancy_234
Pregnancy Birth & Baby (2024). Carpal tunnel syndrome and pregnancy. Available from: https://www.pregnancybirthbaby.org.au/carpal-tunnel-syndrome-and-pregnancy
NHS UK (2024). Carpel tunnel syndrome (CTS) in pregnancy. Available from: https://www.southtees.nhs.uk/resources/carpel-tunnel-syndrome-cts-in-pregnancy/
John Hopkins Medicine. Carpal Tunnel Syndrome. Available from: https://www.hopkinsmedicine.org/health/conditions-and-diseases/carpal-tunnel-syndrome