Wrist pain during pregnancy?
Hello, doctor.
I am currently 27 weeks pregnant with twins.
Since week 20, I have been experiencing numbness in my hands while sleeping.
One night at week 23, I woke up with significant pain in my right wrist, and shortly after, my left wrist started to hurt as well.
I initially bought a brace to wear, but now the area below my thumbs on both wrists is swollen, and the metal parts of the brace irritate the bones, so I stopped using it.
I have been doing hand stretches, but the effects seem minimal.
Currently, I also feel pain in the muscles below my thumbs, and this has been ongoing for a month.
Since the pain is daily, I'm unsure whether to use heat or ice for relief.
Additionally, I am hesitant to see a doctor due to my pregnancy.
I would like to ask for your advice.
Thank you.
Miss Huang, 20~29 year old female. Ask Date: 2021/12/30
Dr. Shen Boquan reply Orthopedics
Hello, during pregnancy, some individuals may experience poor circulation leading to edema.
If nerves are compressed, it can result in numbness, while tendon compression may cause pain.
You should consult a physician to rule out any other underlying causes.
Rehabilitation or appropriate medication should help alleviate your symptoms.
Wishing you good health.
Sincerely, Shen Baiquan.
Reply Date: 2021/12/30
More Info
Managing wrist pain during pregnancy, especially in the case of carrying twins, can be quite challenging due to the physical changes and hormonal fluctuations that occur. It’s common for expecting mothers to experience discomfort in their wrists and hands, often due to conditions like carpal tunnel syndrome, which can be exacerbated by fluid retention and changes in posture. Here are some tips and strategies to help manage your wrist pain effectively:
1. Understand the Cause
During pregnancy, the body produces more relaxin, a hormone that helps prepare the body for childbirth by loosening ligaments. This can lead to increased pressure on nerves, particularly in the wrist area. Additionally, fluid retention can cause swelling, which may further compress the median nerve, leading to symptoms like numbness, tingling, and pain.
2. Wrist Support
While you mentioned discomfort with the wrist brace, it’s important to find a supportive option that doesn’t cause additional irritation. Look for a brace that is soft and adjustable, allowing for some movement while providing support. Wearing it during activities that exacerbate the pain, such as typing or using your phone, can be beneficial.
3. Modify Activities
Try to identify activities that worsen your wrist pain and modify them. For instance, if typing or using a mouse is painful, consider using ergonomic tools or voice-to-text software to reduce strain. Taking frequent breaks to stretch and rest your wrists can also help.
4. Stretching and Strengthening Exercises
Gentle stretching can alleviate tension in the wrist and forearm. Here are a few exercises you can try:
- Wrist Flexor Stretch: Extend your arm in front of you with your palm facing up. Use your other hand to gently pull back on your fingers, stretching the wrist flexors.
- Wrist Extensor Stretch: Extend your arm with your palm facing down. Use your other hand to gently push down on your fingers, stretching the wrist extensors.
- Tendon Gliding Exercises: These involve moving your fingers through various positions to help maintain mobility and reduce stiffness.
5. Heat and Cold Therapy
Both heat and cold can provide relief, but it depends on what feels better for you. Generally, ice packs can help reduce swelling and numb the pain, while heat can relax and soothe tight muscles. You might want to alternate between the two to see which provides more relief.
6. Elevation
When resting, try to keep your wrists elevated. This can help reduce swelling and improve circulation. You can prop your arms on pillows while sitting or lying down.
7. Consult a Healthcare Provider
While you may feel hesitant to see a doctor during pregnancy, it’s important to consult with a healthcare provider if your pain persists or worsens. They can provide a proper diagnosis and may refer you to a physical therapist who specializes in prenatal care. Physical therapy can offer tailored exercises and treatments to alleviate your symptoms.
8. Consider Alternative Therapies
Some women find relief through acupuncture or chiropractic care, which can help address musculoskeletal issues. Always ensure that any practitioner you see is experienced in treating pregnant women.
9. Stay Hydrated and Maintain a Healthy Diet
Proper hydration can help reduce fluid retention, which may alleviate some of the pressure on your wrists. A balanced diet rich in vitamins and minerals supports overall health and can help manage inflammation.
10. Mental Health Considerations
Chronic pain can take a toll on your mental well-being. Consider mindfulness practices, such as meditation or gentle yoga, which can help manage stress and improve your overall sense of well-being.
Conclusion
Managing wrist pain during pregnancy requires a combination of self-care strategies and professional guidance. It’s essential to listen to your body and seek help when needed. Remember, you are not alone in this journey, and many women experience similar challenges. With the right approach, you can find relief and continue to enjoy your pregnancy.
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