Everything You Need to Know About Carpal Tunnel Syndrome During Pregnancy

Carpal tunnel syndrome during pregnancy happens when the median nerve in your wrist gets squeezed. Pregnancy brings changes in your body that can increase pressure on this nerve. You might notice your grip feels weaker, have difficulty with fine tasks, or feel discomfort that worsens at night.

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Have you ever woken up with your hand tingling or your wrist aching for no obvious reason during pregnancy? This condition is known as carpal tunnel syndrome (CTS). It can be frustrating when it interferes with your daily tasks, sleep, or even simple things like holding a cup or typing on your phone.Knowing the signs, causes, and ways to ease discomfort can help you effectively manage carpal tunnel syndrome during pregnancy instead of constantly wondering why your hands hurt or feel numb.

What is Carpal Tunnel Syndrome?

Carpal tunnel syndrome happens when the median nerve in your wrist gets compressed. This nerve runs through a narrow passage called the carpal tunnel.

The tunnel is made up of wrist bones at the bottom and a tough band of tissue called the transverse carpal ligament at the top.

When pressure builds up in this area, it affects the median nerve. This nerve is responsible for sensation and movement in parts of your hand, including your thumb, index, and middle fingers.

You might be surprised to know that this condition is quite common in pregnancy. But don't stress, it usually improves after your baby is born.

Causes of Carpal Tunnel Syndrome During Pregnancy?

Some of these pregnancy changes can lead to wrist pain during pregnancy:
  • Hormonal changes: Pregnancy hormones soften your ligaments. This includes the one forming the roof of the carpal tunnel. When the ligament becomes softer, the tunnel can narrow, putting pressure on the median nerve.
  • Fluid retention: Your body tends to hold onto extra fluid during pregnancy, which can cause swelling in your wrists and hands. The swelling can squeeze the median nerve and cause discomfort.
  • Timing: Symptoms are more common in the second and third trimesters when fluid buildup and swelling are at their peak.

Symptoms of Carpal Tunnel Syndrome During Pregnancy

You might notice different sensations or numbness in your hands during pregnancy if you have carpal tunnel syndrome.
Symptoms often feel worse at night or early in the morning:

Sensory Symptoms

  • Tingling or pins-and-needles sensation in your thumb, index, or middle fingers.
  • Numbness in your hand or palm, sometimes making it feel like you’ve lost sensation.
  • A burning feeling in your fingers.
  • Pain that starts in your wrist and may spread to your arm or shoulder.

Motor Symptoms

  • Difficulty holding objects, like a pen or toothbrush.
  • Trouble with fine tasks, such as typing, sewing, or buttoning clothes.
  • Weakness in your hand.

Who is at Higher Risk of Carpal Tunnel Syndrome During Pregnancy?

These factors can make you more likely to develop wrist pain during pregnancy:
  • Carpal tunnel syndrome in an earlier pregnancy
  • Age over 30 years
  • Overweight or having a higher body mass index (BMI)
  • Health conditions like gestational diabetes or hypertension
  • Repetitive wrist movements from jobs or activities
  • A history of smoking

How is Carpal Tunnel Syndrome During Pregnancy Diagnosed?

Your doctor will ask about what you’re experiencing and examine your wrist and hand.
In some cases, they may suggest:
  • Nerve conduction test: This checks how quickly the median nerve sends signals through the carpal tunnel to confirm the diagnosis.
  • Blood tests: These help rule out other conditions that might cause similar symptoms, like arthritis or diabetes.

How Can You Manage Carpal Tunnel Syndrome During Pregnancy at Home?

Thankfully, there are plenty of simple ways to ease the discomfort at home:
  • Keep your hands raised whenever possible to reduce swelling, such as by resting them on a pillow.
  • Try not to do the same wrist movements over and over, like typing. If you work at a computer, take breaks every 20 minutes and maintain good wrist posture.
  • Sleep on your less-affected side and avoid bending your wrist under your chin or sheets. A pillow under your hand can help.
  • Wrap an ice pack in a cloth and apply it to your wrist for 20 to 30 minutes every few hours. You can also run cold water over your wrist for quick relief.
  • Eating less salty food can help with swelling.
  • Drinking plenty of water helps your body manage fluid levels.

Exercises to Relieve Symptoms of Carpal Tunnel Syndrome During Pregnancy

Gentle exercises can keep your wrists moving and reduce swelling.
Try these simple stretches:
  • Wrist flexion and extension: Rest your forearm on the edge of a table. Lift your fingers and bend your wrist upward, then bend them downward.
  • Fist and finger stretch: Make a fist, then straighten your fingers fully.
  • Thumb-to-finger exercise: Touch your thumb to each finger one at a time to form an “O” shape.
Do each of these exercises at least 10 times.

Professional Treatments for Carpal Tunnel Syndrome During Pregnancy

If home remedies aren’t enough, your doctor or a physiotherapist can suggest other options to help you feel better:
  • Wrist splints: Wearing a neutral wrist splint keeps your wrist in a straight position to reduce pressure on the median nerve. This is one of the most effective ways to relieve symptoms.
  • Physical therapy: A physiotherapist might use myofascial release therapy, a type of massage that reduces tightness in ligaments and muscles.
  • Pain relievers: You can take pregnancy-safe pain relief medications under your doctor’s guidance.
  • Yoga: Practising yoga can improve grip strength and reduce discomfort. Just make sure you follow a routine guided by a professional.
Carpal tunnel syndrome during pregnancy can make your hands and wrists feel sore and uncomfortable. It can be annoying and even get in the way of daily tasks. The positive part is that simple stretches, home remedies, and small changes to your routine can really help.

Whether you’re pregnant, a new mom, or navigating postpartum, you don’t have to do it alone. Join our support group to connect, share, and support one another.

FAQs on Everything You Need to Know About Carpal Tunnel Syndrome During Pregnancy

  1. What vitamin deficiency causes carpal tunnel?
    Low levels of vitamin D and B vitamins have been linked to carpal tunnel syndrome.
  2. How can I tell the difference between carpal tunnel and arthritis?
    Carpal tunnel causes tingling, numbness, and weakness in the hand. Arthritis usually brings joint pain, stiffness, and swelling in the wrist or fingers.
Disclaimer: Medically approved by Dr Raghavendra Bhat, Senior Gynecologist and Obstetrician at Sahyadri Narayana Multispecialty hospital Shivamogga