Constant Burning Sensation on Skin During Pregnancy

Many pregnant women notice strange sensations on their skin. It feels like a crawling feeling, pins and needles, or mild burning. These aren't just random occurrences. They’re often connected to how your nerves, blood flow, and hormones shift during pregnancy. Sometimes it’s harmless. Sometimes it needs checking. Understanding the difference is key to avoiding unnecessary stress while staying alert to genuine red flags.

Pregatips.com
dry skin
Your skin has always been your body’s boundary. But in pregnancy, it suddenly feels like a messenger: itching, tingling, or even burning with no warning. Sometimes you feel a mild burning on your thighs after sitting for too long. Sometimes you feel pins and needles when you sleep on your arm. And sometimes, there’s a crawling sensation on your belly that feels like something is under the skin. It can be confusing, irritating, even scary.These sensations, medically called paresthesia, are more common than you’d expect during pregnancy. And while many are harmless, some might signal underlying conditions like gestational diabetes or an undiagnosed compression issue. Knowing what’s normal and what’s not can help you stop spiralling and get the right care when needed.

What Do These Sensations Actually Mean?

These symptoms usually fall under a category called paresthesia. It's when you feel unusual skin sensations like tingling, pricking, burning, crawling, or numbness without any external trigger whatsoever.

This is often caused by pressure on your nerves, poor circulation, or changes in fluid retention. It's also linked to increased sensitivity due to hormonal changes. That’s why symptoms often show up in your arms, legs, hands, or belly. These are areas where nerves and blood vessels are more easily compressed as your body grows.
Some women describe it as:
  • Ants crawling on their legs or back
  • Electric zaps when turning in bed
  • Mild burning in fingers or feet during rest
These aren’t always dangerous, but they deserve your attention.

Why This Happens in Pregnancy

Here’s how your changing body might trigger these sensations:
  • Hormonal changes: Oestrogen and progesterone affect nerve function and skin sensitivity.
  • Water retention: Swollen tissues can press on nerves, especially in the hands (carpal tunnel) or legs (sciatic nerve).
  • Postural shifts: Your growing belly changes how you sit and sleep, increasing pressure on certain nerves.
  • Increased blood volume: Can lead to mild inflammation or congestion around nerve endings.

Conditions That Can Cause Skin Tingling, Burning, or Pins and Needles

Let’s look at the most common conditions that can trigger these strange skin sensations during pregnancy.
Gestational Diabetes
  • High blood sugar can affect small nerves, especially in the feet and hands.
  • Watch for persistent numbness or burning, especially in the lower limbs.

Carpal Tunnel Syndrome

  • Common in the second and third trimesters
  • Caused by fluid buildup compressing the median nerve in the wrist
  • Leads to tingling or numbness in fingers, especially at night

Meralgia Paresthetica
  • Compression of a nerve in the thigh due to weight gain or tight clothing
  • Feels like burning or pins-and-needles on the outer thigh

Sciatic Nerve Compression
  • The growing uterus can press against the sciatic nerve, causing shooting pain or tingling down one leg

Cholestasis of Pregnancy
  • A rare but serious liver condition
  • It can cause itching and burning sensations without a rash, often on the palms and soles
  • Needs immediate medical attention

When Should You See a Doctor?

If your symptoms are:
  • Persistent or worsening
  • Accompanied by pain, weakness, or swelling
  • One-sided only
  • Linked with other signs like dark urine, yellowing skin, or reduced fetal movement
...then it’s time to seek a medical review. These could point to more serious conditions like preeclampsia, gestational diabetes, or liver dysfunction.

How Doctors Diagnose the Cause

Depending on your symptoms, your doctor might recommend:
  • Blood tests: To check for gestational diabetes, liver enzymes, vitamin B12, or iron deficiency.
  • Nerve conduction studies: For severe nerve compression symptoms.
  • Ultrasound: In cases where sciatic nerve compression is suspected.
Sometimes, no tests are needed if the symptoms clearly match common, harmless paresthesias during pregnancy.

What Can Help: Management and Relief Strategies

Lifestyle-Based Relief
  • Posture check: Avoid crossing legs or sitting in one position too long.
  • Hand and wrist exercises: Especially if tingling worsens at night.
  • Sleep positioning: Use a pillow between your knees and avoid lying on your back after the second trimester.
  • Compression socks: Help improve circulation in the legs.
  • Loose clothing: Tight waistband or fitted undergarments can worsen nerve pressure.
Nutritional Support
  • B-complex vitamins: Especially B6 and B12, can support nerve health. Only take supplements under medical advice.
  • Hydration and anti-inflammatory foods: Coconut water, turmeric in food (not capsules), leafy greens, and iron-rich meals.
That pins-and-needles sensation isn’t all in your head. Your body is navigating rapid changes, and sometimes nerves, blood vessels, and hormones clash. While most of these symptoms are harmless, some do require your attention. Trust your body’s cues. And don’t let anyone dismiss your discomfort as “normal” without checking what’s behind it.

FAQs on Constant Burning Sensation on Skin During Pregnancy

  1. Is tingling skin during pregnancy dangerous?
    Most of the time, it’s harmless and due to nerve compression or fluid retention. But if it’s constant, painful, or affects your movement, get it checked.
  2. What can I do at home to reduce burning or crawling sensations?
    Keep your limbs elevated, stretch gently, wear loose clothes, stay hydrated, and avoid prolonged stillness. Massage and warm showers can also help.
  3. Can it mean I have gestational diabetes?
    Not always, but persistent tingling or burning in the feet may be a sign. A blood test is the only way to confirm.
  4. Will this go away after birth?
    In most cases, yes. As swelling subsides and pressure on nerves decreases postpartum, these sensations typically fade within weeks.
Disclaimer: Medically approved by Dr Amrita Himalayani, Consultant - Obstetrics & Gynaecology, Narayana Hospital, HSR Layout