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Home » Misc » Painful wrists after pregnancy

Painful wrists after pregnancy


Thumb and wrist pain after having a baby

New mothers can get painful thumbs and wrists.

This condition is known as de Quervain's tenosynovitis, mother's wrist or baby wrist.

It is caused by a combination of:

  • hormonal changes in pregnancy
  • increased pressure on wrist tendons when lifting and holding your baby

Some women also get thumb and wrist pain during pregnancy.

Symptoms

You might have baby wrist if you feel:

  • pain when you move your thumb or wrist - this can travel up the arm
  • pain when you tuck your thumb in and make a fist
  • swelling and tenderness on the thumb side of your wrist
  • a catching or snapping feeling when you move your thumb

Treatment

You can often ease the pain yourself with:

  • ice massage
  • stretching techniques
  • painkillers such as paracetamol
  • a rigid wrist splint

If the pain is not easing, see your physiotherapist.

Things you can do to avoid making the pain worse

Managing your pain is the best way to treat thumb and wrist pain. It will help you recover quicker.

You can try the following things to ensure your pain does not get worse:

  • change how you move your hand and wrist until symptoms begin to ease
  • scoop your baby up with your sore hand under their bottom - this can be more comfortable than lifting them under the arms
  • use pillows or cushions to support your arms while breastfeeding, so there's less pressure on your hands
  • try a nursing pillow to lift your baby closer
  • keep your wrist rigid - this avoids pain irritation
  • avoid wrist movements like opening the lid on a jar that is quite tight
  • avoid using your thumb to grip objects

Massage

Massage the area of muscle at the base of your thumb called the 'thenar eminence'. Massaging this muscle can help you naturally hold your thumb further away from your palm.

Stretching exercises

Put your hand on a table, palm facing down. Use your other hand to gently move your thumb upwards and away from the table for 10 to 15 seconds. Bring your thumb down slowly. Repeat 5 times every 2 hours.

Rest the side of your hand on a table, with the little finger at the bottom. Use your other hand to move your thumb away from your fingers. Bring your thumb back down slowly. Repeat 5 to 10 times every 2 hours.

More support

Seek physiotherapy advice if you are having difficulty managing this problem.

Page last reviewed: 19 September 2022
Next review due: 19 September 2025

Why do my wrists hurt after giving birth?

Wrist pain affecting new mothers can be painful and debilitating.

About 34% of pregnant women experience wrist pain during the last trimester of pregnancy. While severity of symptoms generally decrease after delivery, according to the current literature, 4% to 54% of women with symptoms during pregnancy report ongoing symptoms at one year postpartum (Meems et al 2017). Furthermore, many women report onset and exacerbation of symptoms after delivery, due to the demanding and repetitive nature of caring for and feeding a baby. Pain that occurs in the wrist and hand after delivery is commonly known as ‘baby wrist’ or ‘mum thumb’.

WHAT IS CARPAL TUNNEL SYNDROME/ DE QUERVAIN’S TENOSYNOVITIS?

The carpal tunnel is a small passage in the wrist where nerves and tendons pass from your arm into your hand and fingers.

Carpal Tunnel Syndrome (CTS) is musculoskeletal disorder which causes compression of the median nerve which travels through the carpal tunnel. During pregnancy and after delivery, hormones cause you to retain fluid and soften the ligament that forms the roof of the tunnel. When this happens, the nerve running through the tunnel may become squashed which can cause symptoms of pain and numbness.

De Quervain’s Tenosynovitis is another musculoskeletal disorder, causing pain in the wrist and hand due to an inflammation of the tendons help with movements of the thumb and wrist. The repetitive movements of caring for a baby can cause friction between the structures in the wrist leading to inflammation of the tendons, causing pain.

Symptoms of CTS and De Quervain’s have been found to be worse in women who are breast-feeding (Cherni et al 2019).

WHAT ARE THE SYMPTOMS OF CARPAL TUNNEL OR DE QUERVAIN’S SYNDROME?
  • Difficulty with tasks such as lifting or feeding your baby, brushing your hair or doing up your bra
  • Pain at the base of the thumb- extending towards the wrist
  • Pins, needles or numbness of the wrist, hands or fingers (all or part of)
  • Pain, may be worse at night
  • Weakness
  • Burning sensations in the fingers
  • Sharp darting pains from the wrist
  • Radiating pain into the arm and shoulder
WHEN TO SEE A WOMEN’S HEALTH PHYSIOTHERAPIST?

It can be helpful to see a Women’s Health Physiotherapist early for this condition, to manage it early and to prevent your symptoms from progressing. Your Women’s Health Physio can advise if you then need to be referred on to your GP or specialist.

HOW CAN MY WOMEN’S HEALTH PHYSIOTHERAPIST HELP?

Your Women’s Health Physiotherapist will advise you on feeding and lifting positions and provide treatment to reduce pain and increase functional strength of the wrist. Each course of treatment depends on the nature, duration and severity of the symptoms and diagnosis. Treatment might include manual therapy for pain relief, wrist splinting and wrist stabilisation exercises as well as advice and education.

WHAT CAN I DO TO MANAGE MY SYMPTOMS?
  • Minimise positions or activities that make your symptoms worse. (Caring for a newborn can be hard, but asking for help when it’s not essential for you to do things can be beneficial)
  • Minimise repetitive tasks and heavy lifting (outsource when you can)
  • Keep your wrist in a neutral (straight) position as much as possible while doing repetitive tasks eg feeding.
  • Minimise prolonged positions of full flexion and extension especially when feeding or holding your baby for prolonged periods.
  • Ice ice baby…(wrapped in a tea-towel) over your wrist for 20-30 minutes every 2-3 hours or run your hand under cold water for pain relief.
  • In conjunction with your doctor a course of anti-inflammatories maybe required in severe circumstances
  • Wear a compression band or a wrist splint, especially at night, to keep your wrist neutral.
  • Perform regular fluid drainage massage and gentle wrist mobility exercises.

Note that not all hand/wrist conditions during pregnancy and postpartum are Carpal Tunnel Syndrome or De Quervain’s Tenosynovitis.

If you are struggling with your day to day due to your hand and wrist symptoms, reach out, things can get better. Call/WhatsApp on 9780 7274 or get in touch over email to make a booking for an accurate diagnosis and individualised treatment.

You can also visit our website to learn about other women’s conditions we treat through physiotherapy and how we can help you.

 

References

1. Meems M, Truijens SEM, Spek V, Visser LH, Pop VJM. Follow-up of pregnancy-related carpal tunnel syndrome symptoms at 12 months postpartum: A prospective study. European Journal of Obstetrics and Gynecology and Reproductive Biology. 2017;211:231-2.

2. Cherni Y, Desseauve D, Decatoire A, Veit-Rubinc N, Begon M, Pierre F, et al. Evaluation of ligament laxity during pregnancy. Journal of gynecology obstetrics and human reproduction. 2019;48(5):351-7.

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January 7, 2022

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October 22, 2020

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September 17, 2022

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HANDS HURT!!!

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Hands hurt during pregnancy

Carpal tunnel syndrome: characteristic symptoms its innervation is carried out not by the median nerve, but by the outgoing branches of the ulnar nerve), wrist, palmar surface of the hand.

The period characteristic for the manifestation of this disease, when the wrist of the left hand most often hurts, is the 3rd trimester of pregnancy.

The nature of the discomfort is determined by the fact that the hands and wrists hurt, swell and go numb during pregnancy, sometimes there may be trembling of the fingers.

In addition to the above, vasoconstriction, increased hand sensitivity to cold, and skin pallor are added. Most often, the disease manifests itself at night, but symptoms can also be observed during the day.

If pain occurs in the little finger or on the back of the hand, then this indicates the presence of another disease, since these parts of the hand have a different innervation.

Often the syndrome resolves after childbirth. A woman's normal, prenatal metabolism is restored. . However, if the disease persists, then you need to contact a hematologist (nephrologist, neuropathologist, cardiologist) to prescribe drug therapy. Physiotherapy also helps to avoid the frequent occurrence of pain.

If the situation does not improve, then surgical treatment must be applied.

Cause of pain

So, why do hands hurt during pregnancy? As a rule, during this period, a woman begins to gain weight, which is the physiological norm for this condition. However, after weight gain, edema may appear, indicating a violation of the water-salt metabolism in the body. Here, a woman may complain that her joints of the hands hurt during pregnancy. Along with the violation of water-salt metabolism, there is a decrease in blood flow.

Innervation changes due to nerve compression. Due to the current situation, the nerve cannot conduct nerve impulses normally, and this, in turn, leads to a lack of impulses in the wrist and hand area.

Most often, women who suffer from kidney and heart problems, as well as overweight, rheumatic diseases, and fractures in the area of ​​the hands suffer from diseases. Pregnant women also have reduced immunity, so most often they have exacerbated chronic diseases.

The hands are the most painful, because it is with the hands that everything has to be done. In addition to numbness, pain, in the hands there may be sensations such as: hand tremor; the appearance of heaviness in the hands; feeling of weakness in the fingers; itching in the palms.

Many women are forced to remove jewelry from their fingers and hands due to severe discomfort and pain.

How to get rid of the disease

If you are still overtaken by this disease, first you need to adjust your lifestyle and diet.

Taking into account the fact that the body of a pregnant woman is undergoing restructuring, she needs the so-called "building materials". These include vitamins (especially vitamins K, B12, B6, C, E - they are all involved in hematopoiesis). Therefore, you should eat meat products (poultry), vegetables (peppers, onions, tomatoes, cucumbers), fruits (oranges, lemons, apples, bananas, kiwi), berries (blueberries, raspberries, strawberries), also legumes, dairy products. Flour products and foods rich in starch should be excluded from the diet.

After adjusting the diet, physical activity should be put in order. So, if you are busy with one thing, during which the woman does not particularly move, you need to periodically perform exercises for the hands: shake, make circular movements with the hands, squeeze and unclench your fingers several times, bringing them into a fist.


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