postnatal carpal tunnel

Postpartum carpal tunnel syndrome, also known as carpal tunnel syndrome, refers to the inflammation and swelling of the median nerve in the wrist due to pressure from fluid retention during pregnancy or shortly after childbirth. This can occur after a woman has given birth, as the body adjusts to the changes in hormonal levels and fluid retention following delivery.

Risk Factors

Postpartum carpal tunnel syndrome is more common in women who have recently given birth, particularly around the time of childbirth. Other risk factors include:

  • Prior history of carpal tunnel syndrome
  • Increased fluid retention during pregnancy
  • Advanced maternal age
  • Multiple gestation
  • Obesity
  • Hand or wrist injury or infection

Symptoms

postpartum carpal tunnel symptoms can vary from mild to severe and may include:

  • Hand or wrist pain or ache, especially during the first few weeks postpartum
  • Numbness, tingling, or burning feelings in the hands or wrists
  • Weakness or heaviness in the hands, making it difficult to grasp objects
  • Visual disturbances, such as blur or doubling vision
  • Difficulty forming passwords or writing
  • Dropping objects or shaking hands

Management

Postpartum carpal tunnel syndrome is usually managed conservatively with lifestyle changes and physiotherapy. Some recommendations may include:

  • Resting the affected hand or wrist
  • Applying ice
  • Manual therapy to relax the median nerve and alleviate pressure on the nerve
  • Using a splint to maintain a neutral position of the wrist
  • Engaging in gentle stretching and strengthening exercises
  • Drinking plenty of water to avoid fluid retention
  • Avoiding repetitive motions that aggravate the median nerve

In severe cases, if conservative management fails, medications or further diagnostic studies may be recommended to identify the underlying cause of carpal tunnel syndrome and guide specific treatment. Additionally, referring to a women's health physiotherapist for personalized treatment is also important for managing postpartum carpal tunnel syndrome effectively.

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