Preventing Mommy's Wrist: Tips for New Moms to Avoid Pain - Rehabilitation

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De Quervain's tenosynovitis


My daughter is over 5 months old and is very clingy.
I often carry her and I'm always worried about developing "mommy's wrist" (de Quervain's tenosynovitis).
What can I do to prevent this? Thank you!

Ave, 30~39 year old female. Ask Date: 2007/08/11

Dr. Chen Xianchang reply Rehabilitation


Hello, Miss: Thank you for your inquiry.
I would like to address your question and provide the following suggestions: 1.
"Mommy's thumb" is caused by the overuse of two tendons near the wrist: the abductor pollicis longus and the extensor pollicis brevis.
2.
You may visit a rehabilitation specialist for treatment and have a splint made to protect the wrist (covered by health insurance).
3.
Soaking in warm water (during non-acute phases) can help alleviate symptoms.

Reply Date: 2007/08/11

More Info


Preventing "Mommy's Wrist," or De Quervain's tenosynovitis, is a common concern for new mothers who frequently lift and carry their babies. This condition is characterized by pain along the thumb side of the wrist, which can be exacerbated by repetitive motions, such as lifting a baby. Here are several strategies to help prevent this condition and manage any discomfort that may arise.


1. Proper Lifting Techniques
- Use Your Legs: When picking up your baby, bend at the knees instead of the waist. This reduces strain on your wrists and arms.

- Keep the Baby Close: Hold your baby close to your body to minimize the distance you need to lift them. This reduces the load on your wrists.


2. Alternating Arms
- Switch Sides: Regularly alternate the arm you use to hold your baby. This helps distribute the strain evenly and prevents overuse of one wrist.


3. Strengthening Exercises
- Wrist and Hand Exercises: Engage in gentle stretching and strengthening exercises for your wrists and hands. Simple exercises like wrist flexor and extensor stretches can help maintain flexibility and strength.

- Grip Strengthening: Use a stress ball or a hand grip strengthener to build up the muscles in your hands and forearms.


4. Ergonomic Supports
- Use a Baby Carrier: A well-designed baby carrier can help distribute the weight of your baby more evenly across your body, reducing strain on your wrists.

- Pillows for Support: When sitting, use pillows to support your arms while holding your baby. This can help alleviate pressure on your wrists.


5. Take Breaks
- Rest Your Wrists: Make sure to take breaks when holding your baby for extended periods. Set your baby down in a safe place to give your wrists a rest.


6. Ice and Heat Therapy
- Apply Ice: If you start to feel discomfort, applying ice to your wrists can help reduce inflammation and pain.

- Heat Therapy: Conversely, using heat can help relax tight muscles and improve blood flow.


7. Seek Professional Help
- Physical Therapy: If you experience persistent pain, consider consulting a physical therapist. They can provide personalized exercises and techniques to help alleviate your symptoms.

- Consult a Doctor: If pain continues or worsens, it’s important to see a healthcare professional. They can assess your condition and recommend appropriate treatment options.


8. Mind Your Posture
- Maintain Good Posture: Pay attention to your posture while holding your baby. Keeping your shoulders relaxed and your wrists in a neutral position can help prevent strain.


9. Use Adaptive Tools
- Baby Gear: Consider using adaptive tools like a baby swing or bouncer to give your arms a break while still keeping your baby entertained.


Conclusion
Preventing "Mommy's Wrist" involves a combination of proper techniques, exercises, and self-care strategies. By being mindful of how you lift and carry your baby, incorporating strength and flexibility exercises, and taking regular breaks, you can significantly reduce your risk of developing wrist pain. If you do experience symptoms, don’t hesitate to seek medical advice to ensure you receive the appropriate care. Remember, taking care of yourself is just as important as taking care of your little one!

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