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CareNine:
Why do hands feel numb and tingling during pregnancy?

Pregnancy is a time of significant change in a woman's body. One common issue many women face is the sensation of numbness and tingling in the hands. This is mostly caused by Carpal Tunnel Syndrome and it goes away after giving birth.

In addition to numbness in the hands, if you find your legs, back and buttocks being numb, the culprit can be fluid retention. Pregnant women often retain more fluids, leading to swelling in various body parts, including the hands. This swelling can compress nerves, causing numbness and tingling.

Other reasons include hormonal fluctuations during pregnancy affecting nerve function and causing sensations of numbness and tingling. Poor blood circulation and vitamin deficiency can also be a cause.

In case there is any underlying medical condition causing this, always refer to your healthcare provider. However, Carpal Tunnel Syndrome continues to be the most important factor.

Carpal Tunnel Syndrome

Carpal Tunnel Syndrome (CTS) is a common condition that occurs when the median nerve, which runs from the forearm to the hand, is compressed at the wrist. This can cause pain, numbness and tingling.

Symptoms of Carpal Tunnel Syndrome

  • Numbness and tingling: Usually felt in the thumb, index, middle and ring fingers. Often occurs at night.
  • Pain: In the wrist, palm or forearm. Can extend to the shoulder.
  • Weakness: Difficulty in gripping objects. Frequent dropping of items. Dexterity also decreases.
  • Swelling: Sometimes the hand or wrist may appear swollen.

Causes

While fluid retention is an underlying reason, you can get Carpal Tunnel Syndrome during pregnancy if you use forceful and repetitive hand gestures. Using any vibrating equipment can also cause it.

Diagnosis

  • Physical examination: Checking for swelling, tenderness and sensation in the hands.
  • Tinel's sign: Tapping the median nerve to see if it causes tingling.
  • Phalen's maneuver: Flexing the wrist to see if it produces symptoms.
  • Electromyography (EMG): Measuring electrical activity in muscles to detect nerve damage.
  • Nerve conduction study: Assessing the speed of nerve signals in the carpal tunnel.

Treatment options

  • Lifestyle changes: Reducing repetitive hand movements. Taking frequent breaks. Using ergonomic tools.
  • Wrist splints: Wearing splints at night to keep the wrist straight.
  • Medications: Your healthcare provider can prescribe nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce pain and swelling.
  • Steroid injections: Corticosteroids injected into the carpal tunnel to reduce inflammation.
  • Physical therapy: Exercises to strengthen the wrist and improve flexibility.
  • Surgery: In severe cases, a carpal tunnel release surgery may be necessary. This involves cutting the ligament pressing on the median nerve.

Prevention

  • Ergonomics: Adjust your workspace to keep your wrists in a neutral position. Also maintain good posture when working with typing tools or writing instruments.
  • Stretching Exercises: Regularly stretch your hands and wrists before and after any demanding activity.
  • Proper Technique: Use correct hand positions while performing tasks.
  • Breaks: Take frequent breaks from repetitive tasks to rest your hands and wrists.

Carpal Tunnel Syndrome is a manageable condition with the right approach. Simple lifestyle changes, ergonomic adjustments and medical interventions can significantly improve the symptoms. It is important for all pregnant women to know this, so that the next time they have a tingling sensation, they can immediately connect with their healthcare providers.

Sources:
Cleveland Clinic
Parents
Mayo Clinic