How can i manage carpal tunnel syndrome while pregnant?

Wrist guards: Avoid activites which involve using your hands or if you must use your hands try and minimize the amount. Wear wrist guards at night while you sleep. Usually the symptoms get better after delivery.

Consider nerve block: While median nerve block (an injection of a local anesthetic and a steroid in the vicinity of the compressed nerve) is frowned upon in general, it is actually quite helpful in the setting of pregnancy, offering quick relief with minimal side effects. The concern is that they are a temporary fix, but given that the carpal tunnel often resolves with delivery, this is not an issue.

Pregnancy: In pregnancy the typical conservative management with nsaids cannot be used as they pose a risk to the baby. Splints can help and a steroid injection can be employed instead.

Splint first: The single most early effective thing to do os to wear a well fitting wrist splint at night ( not too tight!) using antiinflammatories helps but taken with food and try to take if ok with your obgyn and it dies not upset your stomach or cause other health issues. And cleared by your OB gym a hand surgeon may be able to offer an injection which can elevate blood sugar a bit so get clearance.

Wrist splint: A simple wrist splint for sleeping can help tremendously. If no relief, a cortisone shot in the 3rd trimester will help. Rarely ct surgery is necessary to relief intractable pain.

Physical Therapy: The carpel tunnel syndrome of pregnancy has a lot to do with weight gain and water 'retention'. Techniques to improve circulation through massage, motion and breathing can be helpful. Laser therapy for cts is safe in pregnancy too. Avoid aggravating activities, and sleep with wrist support.