800-450-6118
carpalrx header

Guide to Carpal Tunnel & Pregnancy

From Dr. Z - Carpal tunnel syndrome specialist

Carpal Tunnel & Pregnancy

You've probably already learned that carpal tunnel & pregnancy are as common as bread and butter. You may even have carpal tunnel symptoms at this very moment.


So how do you get rid of those symptoms safely, without causing harm to your baby? 


You'd never risk having steroid shots or carpal tunnel surgery which can harm an unborn baby. But there are nonsurgical treatments that are both safe for your child and highly effective in relieving symptoms. These are outlined below.


First let's learn about this painful condition. We'll see why carpal tunnel & pregnancy are so closely tied together.


swollen ankles

How carpal tunnel & pregnancy are linked

A huge proportion of expectant mothers have symptoms of carpal tunnel. Pregnancy is definitely the cause - but why? What happens during pregnancy that can affect pain or numbness in the hand and fingers?


The reason begins with hormonal imbalance causing fluid retention.

carpal tunnel sufferer

Hormones during pregnancy

During pregnancy, hormones are produced which result in various kinds of changes to your body. One of the greatest changes is how your body distributes and holds fluids, like water. 


The result is often inappropriate and excess fluid retention. This can cause other problems like changes in nerve sensitivity, urinary and bowel disturbances, erratic blood sugar concentration, and - of course - tissue swelling.


It's well known that pregnant women experience swelling in parts of their body that never swelled before. Swollen joints are most common, primarily in the lower limbs (like the ankles). 


The lower limbs are more prone to fluid retention and build up than other areas. However, swollen knees, arms, and wrists are also normal complaints during pregnancy. 


And therein lies the underlying problem: fluid retention inside the wrist joint causes swelling.

pins and needles

Deep inside the wrist joint, there's a narrow passageway through which many crucial structures of the hand travel. It's called the carpal tunnel (hence the name of the disorder).


The two most important structures passing through this passageway are the flexor tendons (responsible for curling your fingers) and the median nerve. Both are packed tightly together in this space. 


The median nerve is a main nerve of the hand. It's primarily responsible for carrying sensations from the palm and fingers to the brain. These sensations include pain, touch, temperature, and vibration.

carpal tunnel

The median nerve lies in a crowded field of flexor tendons (see above image) as they all pass through this carpal tunnel channel. If any swelling occurs in this channel at the wrist joint, the median nerve gets crushed.


This is why pregnant women get carpal tunnel: pregnancy hormones cause fluid retention and swelling inside the wrist joint which crushes the median nerve. That crushing is what causes all of the symptoms of carpal tunnel syndrome.


Note that pregnant women are not the only people vulnerable to problems resulting from fluid retention. Those with other  metabolic disturbances can also retain fluid, and also get carpal tunnel syndrome. Examples are:

 

  • menopausal women
  • patients with kidney disease
  • people with diabetes 

 

These people are at high risk for getting carpal tunnel syndrome. The difference is that carpal tunnel & pregnancy are usually temporary. In contrast, carpal tunnel with these other conditions tends to be chronic.

pain

Carpal tunnel risks & symptoms

Risk factors

If you're already at high risk for developing of carpal tunnel, pregnancy will surely bring it out. Aside from pregnancy, the other most common risk factors for developing this disorder are:


emotional stress

Symptoms

The most common symptoms of carpal tunnel syndrome occur in the fingers and hand. The symptoms can appear in all of the fingers except the pinky finger. And symptoms only happen on the palm side of the hand. These are:



When symptoms start off, they may only bother you while you're trying to sleep. But as they advance, symptoms will begin to appear during the day. They will also increase in intensity.

bad doctor

Carpal tunnel & pregnancy facts

It's hard to believe, but formal studies of carpal tunnel & pregnancy are still in their infancy (please excuse the pun). It only began being formally studied scientifically in 2013 Dr. A. Zyluk.


Since then, huge amounts of additional research have concluded that carpal tunnel & pregnancy are not only common, but practically the rule. 


The latest evidence indicates that at any given moment, approximately 1 million pregnant women have carpal tunnel syndrome. In fact, if pregnant, you're more likely to get carpal tunnel syndrome than not.


Other key facts about carpal tunnel & pregnancy are:


  1. The prevalence of carpal tunnel & pregnancy is 11% (in the first trimester), 26% (in the second trimester), and 62% (in the third trimester).
  2. Carpal tunnel is improperly diagnosed by doctors 48% of the time.
  3. Symptoms may start slowly but usually worsen  in the third trimester. 
  4. In 85% of women  the condition resolves within 6 weeks postpartum.
  5. In another 15% of women  symptoms persist or worsen by 1 month postpartum .
pregnancy

Safely treating carpal tunnel during pregnancy

Some expectant mothers chose to ride out carpal tunnel symptoms during pregnancy. They're gambling they won't be one of the 15% of women who have persistent postpartum pain or numbness. 


But other women just can't stand the pain or numbness one minute longer. That means their only options are non-drug and nonsurgical treatments. 


So what options are both effective AND won't harm your baby? Luckily, there are some good ones.

Myofascial release massage therapy

myofascial release massage

Myofascial release massage is an ancient therapy. But it’s seeing resurgence today as a natural and effective remedy for carpal tunnel. Pregnancy causes fluid accumulation and swelling. Myofascial release helps reduce the inflammation and swelling naturally.


Actually, therapists use myofascial release massage as the “go-to” treatment for most carpal tunnel patients, including pregnant women. It’s both safe and highly effective in providing long lasting symptoms relief.


The only downside to this remedy is that it must be performed daily and for at least a month. It also requires another person’s assistance since it’s impossible to do it on yourself. But if you have the extra help, then a month of therapy will almost certainly relieve symptoms for good.

Stretching exercises

finger stretching exercises

It might sound too good to be true, but the proper stretching exercises can eliminate even severe carpal tunnel symptoms. Why? 


Tendons require good lubrication to work properly. And as long as the tendons inside your wrist joint remain lubricated, they will facilitate fluid drainage. This is crucial for reducing swelling.


The proper carpal tunnel stretching exercises target the flexor tendons from fingertip to the forearm. 


The entire exercise regimen should only take 60 seconds to complete. And it should be performed every 1 to 3 hours daily (depending on your symptoms severity). Learn how to perform these carpal tunnel exercises here.

Night bracing

night brace

This remedy also might sound too simple or good to be true. But bracing your hand at night is highly effective against carpal tunnel syndrome. 


While carpal tunnel & pregnancy might be practically synonymous, a certified carpal tunnel wrist brace can help eliminate the symptoms and keep them away. Here are 2 important tips about braces:

  1. First, you should never wear a brace during the day (you only fight the brace while your hand is trying to do its regular work – further stressing it.)
  2. Second, there are plenty of bad wrist braces sold at CVS, Walgreens, Walmart, etc. They’re good for sprains but bad for carpal tunnel - and actually do more harm than good. You should stay away from them. Instead, look for a properly certified carpal tunnel night brace to wear when you sleep.  

Conclusion

While carpal tunnel & pregnancy go hand in hand, you don't have to suffer. There are several nonsurgical and non-drug remedies which can make symptoms disappear without harming your baby. These natural remedies are myofascial release massage, carpal tunnel stretching exercises, and night bracing. 
Share by: