The management of carpal tunnel syndrome in pregnancy

Comparison Efficacy of Triamcinolone and Wrist Splint in Severe Carpal Tunnel Syndrome in Pregnancy

“…In this study also prevalence of severe CTS was more in second and third trimesters. Similar results have been obtained in many studies, including studies by Padua et al [21], Tupkovic et al [22] and Turgut et al [4].…”

“…Symptoms are typically bilateral and first noted during the third trimester. Conservative measures are appropriate, because symptoms resolve after delivery in most women with pregnancy-related carpal tunnel syndrome [4]. Carpal tunnel syndrome is a frequent complication of pregnancy, with a prevalence reported as low as (3.4%) [5] to as high as 62% [6].…”

Neuromuscular disorders in pregnancy

“…40,129 The increased incidence of CTS during pregnancy may be due to fluid retention exerting pressure on the median nerve. 123 Other mechanisms have been proposed. 102 Among 46 women with CTS during pregnancy, there was no association between gestational diabetes and an increased risk of developing CTS.…”

“…102 Among 46 women with CTS during pregnancy, there was no association between gestational diabetes and an increased risk of developing CTS. 123 Conservative treatment for CTS in pregnancy includes wrist braces, physical therapy, and low-salt diet; if these are unsuccessful, steroid injection into the carpal tunnel will often relieve symptoms until delivery. 85,123,130 Usually, symptoms of CTS greatly improve after delivery and do not require surgical intervention.…”

“…123 Conservative treatment for CTS in pregnancy includes wrist braces, physical therapy, and low-salt diet; if these are unsuccessful, steroid injection into the carpal tunnel will often relieve symptoms until delivery. 85,123,130 Usually, symptoms of CTS greatly improve after delivery and do not require surgical intervention. 40,123,129 However, there are conflicting data on the postpartum course.…”