How to Relieve Carpal Tunnel During Pregnancy

Hands numb in pregnancy? Don’t be alarmed—experiencing numbness and tingling in hands during pregnancy is likely yet another weird-seeming but normal sign of pregnancy called pregnancy carpal tunnel. The aches and pains of pregnancy carpal tunnel syndrome are all too common: Research indicates that between 31 and 62 percent of pregnant people have symptoms—that’s compared to just 3 to 6 percent of the general population. But just because experiencing numbness in hands during pregnancy is normal doesn’t mean it’s any less annoying. Here’s what you should know about carpal tunnel during pregnancy—including how to get relief.

What Is Carpal Tunnel?

Carpal tunnel, or carpal tunnel syndrome, is a condition that causes numbness in hands during pregnancy, as well as tingling and even pain that can spread to the forearms, according to the American Academy of Orthopaedic Surgeons (AAOS). The nerves and tendons that help you bend your fingers run through a narrow passageway in the wrist—the carpal tunnel—which can sometimes become squeezed or compressed.

Pregnancy Carpal Tunnel Symptoms

Trevor Petrie, MOTR/L, CHT, a certified hand therapist and chief medical officer at Grace & Able, says that the most common symptoms of carpal tunnel during pregnancy include:

• Numbness in hands during pregnancy, which can include a tingling or burning sensation in the wrist or fingers
• Loss of strength in the hand and wrist
• Difficulty making a fist or gripping objects
• A feeling of swelling in the fingers, even if they don’t appear swollen

It’s normal for pregnancy carpal tunnel symptoms to come and go, notes Petrie. Experiencing numbness in hands during pregnancy while sleeping is not uncommon, he adds. “Carpal tunnel symptoms may be worse at night because many people sleep with bent wrists, which can exacerbate symptoms,” he says. He adds that unlike the general population, pregnant people often notice symptoms in both hands. This happens because pregnancy carpal tunnel is a result of hormonal changes rather than repetitive strain injuries.

What Causes Pregnancy Carpal Tunnel?

Petrie says that people are at higher risk of developing carpal tunnel symptoms like hand tingling in pregnancy due to hormonal changes, musculoskeletal shifts and increased fluid retention. But the main culprit is the pregnancy hormone relaxin. “It can cause laxity and inflammation in the ligaments in the wrists—in turn, this irritates the median nerve, leading to carpal tunnel symptoms,” explains Petrie.

When Does Carpal Tunnel Start in Pregnancy?

While pregnancy carpal tunnel symptoms can start at any time during pregnancy, most people notice symptoms developing in the second or third trimester, says Scruggs. This is because pregnancy weight gain tends to put extra stress on the wrists, she says.

How to Relieve Pregnancy Carpal Tunnel

The quickest way to find relief for pregnancy carpal tunnel and symptoms like hands tingling in pregnancy is by reducing the pressure in your wrist, advises Petrie. You can do this with several daily lifestyle changes:

• Wrist splints. Wearing wrist splints (or wrist braces) at night can stop you from naturally curling your hands while you sleep. Keeping your wrists in straight alignment using a brace takes the pressure off the median nerve and reduces inflammation.

• Warm compresses. Using warm compresses on your wrists several times a day for 15 minutes at a time can help relieve the swelling and pain from pregnancy carpal tunnel pressure.

• Ergonomics. Proper hand and wrist positioning is crucial to relieve symptoms. Use a phone holder or grip to avoid bending your wrists when texting or scrolling. When working on a computer, set up your workstation to be at an optimal height so you’re not bending your wrists upward or downward when typing.

• Rest. Take regular breaks to allow your hands, wrists and fingers to rest. Be aware when you’re tense, and try to relax. You’d be surprised at how stress directly correlates with stiffness in your hands.

Pregnancy carpal tunnel exercises

Petrie says that another effective way to relieve pregnancy carpal tunnel is with regular hand and wrist exercises, which can not only help manage pregnancy carpal tunnel symptoms, but stop the condition from getting worse over time. The key is to stretch and strengthen the muscles and tendons in the carpal tunnel region. Petrie recommends the following exercises for carpal tunnel during pregnancy:

• Wrist extension. Straighten out your arm in front of you, with your wrist facing the ceiling. Flex your hand so that your fingers are pointing away from you. Using your opposite hand, gently pull your fingers downward to feel the stretch in your forearm. Hold this for up to 30 seconds.

• Wrist flexion. Straighten your arm out in front of you, with your wrist facing the floor. Straighten your hand so that your fingers are pointing away from you. Using your opposite hand, gently push on the back of your hand downward to feel the stretch. Hold for up to 30 seconds.

If you feel pain during the exercises, you should stop immediately. Take it slowly, and don’t push yourself too hard.

Can You Prevent Carpal Tunnel Syndrome During Pregnancy?

Unfortunately, you can’t entirely prevent carpal tunnel during pregnancy since it goes hand-in-hand with hormonal pregnancy changes, says Petrie. But to stay one step ahead, you can manage it with the above-mentioned lifestyle changes and exercises, he says. Shandra Scruggs, RN, a labor and delivery nurse, doula and founder of Simply Birthed, also recommends staying active and engaging in regular, low-impact exercise to promote overall health and circulation.

When to Talk to Your Doctor About Carpal Tunnel During Pregnancy

Scruggs recommends contacting your doctor if your pregnancy carpal tunnel symptoms persist for several weeks, interfere with daily activities, or if you start to notice new areas of numbness or weakness. Most pregnancy carpal tunnel cases are mild and require no medical treatment. But in some cases, your doctor might recommend cortisone injections. According to the AAOS, corticosteroid injections are generally safe during pregnancy. However, Michael Green, MD, an ob-gyn in Lake Arrowhead, California, suggests that cortisone shots during pregnancy should be evaluated on a case-by-case basis, considering the specific circumstances and potential risks and benefits.

If you experience sudden swelling in your hands, feet or face, severe headaches, nausea, shortness of breath or stomach pain, see your doctor immediately as these could be signs of a serious pregnancy complication called preeclampsia, says Petrie. “[Preeclampsia] can be mistaken for carpal tunnel syndrome, as both conditions involve sensations of swelling, numbness and tingling in the hands,” he explains.

When Does Pregnancy Carpal Tunnel Go Away?

In most cases, pregnancy carpal tunnel goes away soon after delivery, thanks to your hormones diving back down to normal levels—although it can also take a few weeks or months, adds Scruggs. The hormone relaxin can stick around in your body for up to 12 months after childbirth.

Pregnancy carpal tunnel is a common pregnancy condition that can cause bothersome symptoms like numbness in hands during pregnancy. It can seem scary, but it’s generally nothing to worry about—and, thankfully, it usually goes away soon after delivery. That said, if your symptoms are particularly bothersome, check in with your provider.

Please note: The Bump and the materials and information it contains are not intended to, and do not constitute, medical or other health advice or diagnosis and should not be used as such. You should always consult with a qualified physician or health professional about your specific circumstances.