Pregnancy brings many changes to the body, and for some women, this includes swelling in the hands and wrists, leading to Carpal Tunnel Syndrome (CTS). This condition, caused by fluid retention and nerve compression, can result in pain, tingling, numbness, and weakness in the hands.
Fortunately, physiotherapy techniques, including Manual Lymphatic Drainage (MLD), splinting, and gentle exercises, can help manage symptoms and improve comfort during pregnancy.
Why Does Pregnancy Cause Carpal Tunnel Syndrome?
CTS occurs when the median nerve, which runs through the wrist’s carpal tunnel, is compressed by swollen tissues. Pregnancy-related factors that contribute to this include:
Fluid Retention & Swelling – Increased blood volume and hormonal shifts cause fluid accumulation, which can put pressure on the median nerve.
Hormonal Changes – Higher levels of relaxin and progesterone can lead to joint laxity and swelling, making nerve compression more likely.
Repetitive Hand Movements – Frequent typing, phone use, or repetitive wrist motions can exacerbate symptoms.
Posture & Sleeping Position – Poor upper body posture or sleeping with bent wrists can increase pressure in the carpal tunnel.
Pregnancy-related CTS often worsens in the third trimester and may persist temporarily after delivery due to lingering fluid retention.
How Physiotherapy Helps Manage Pregnancy-Related CTS?
Physiotherapy can significantly reduce symptoms of CTS and prevent long-term discomfort. Here’s how:
Manual Lymphatic Drainage (MLD) – MLD is a gentle hands-on technique that encourages lymphatic circulation, helping reduce swelling in the hands and wrists.
Splinting & Wrist Support – Wearing a wrist splint, especially at night, keeps the wrist in a neutral position, reducing pressure on the median nerve.
Nerve Gliding Exercises – Gentle movements help keep the median nerve mobile, preventing it from becoming compressed within the carpal tunnel.
Postural Corrections – Adjusting shoulder and neck posture can help reduce nerve compression that originates from the upper body.
Gentle Hand & Wrist Exercises – Stretching and strengthening the fingers, hands, and wrists can improve circulation and reduce tension.
Cold Therapy & Hand Elevation – Applying cold packs to swollen wrists and keeping the hands elevated can help control fluid retention.
When to Seek Medical Attention?
While pregnancy-related CTS often resolves after delivery, severe or persistent symptoms may require medical attention. Consult a healthcare provider if you experience:
Severe pain or weakness in the hand that affects daily activities.
Persistent numbness beyond the postpartum period.
Difficulty gripping or holding objects.
Conclusion
Pregnancy-related CTS can be uncomfortable, MLD, splinting, posture corrections, and gentle exercises can help manage symptoms. If you’re struggling with hand or wrist pain during pregnancy, a physiotherapist can provide personalised care to keep you comfortable and functional.
If you're experiencing pregnancy-related swelling or Carpal Tunnel Symptoms, please book a session with me at PhysioMatters for expert physiotherapy support. Let's work together to keep you feeling your best during pregnancy and beyond!
Senior Physiotherapist in Women’s and Men’s Health - PhysioMatter
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