Carpal Tunnel Syndrome During Pregnancy: Causes, Symptoms, and Chiropractic Relief

Carpal Tunnel Syndrome During Pregnancy: Causes, Symptoms, and Chiropractic Relief

Pregnancy brings many beautiful changes—but also some uncomfortable ones. One that often catches women off guard is Carpal Tunnel Syndrome (CTS): tingling, numbness, or pain in the hands and wrists, especially at night.

CTS affects approximately 31% to 62% of pregnant women, typically in the second and third trimesters. Fortunately, there are drug-free and gentle solutions, including chiropractic care, that can help.

Source: Padua L, et al. (2002). “Carpal tunnel syndrome during pregnancy: a prospective study.”
https://pubmed.ncbi.nlm.nih.gov/12112084

What Causes Carpal Tunnel Syndrome During Pregnancy?

Carpal Tunnel Syndrome occurs when the median nerve, which runs through the carpal tunnel in the wrist, becomes compressed. During pregnancy, several factors increase the risk of this compression:

Fluid Retention (Edema)

Hormonal changes cause fluid to build up in the body. This swelling can narrow the carpal tunnel and compress the nerve.

Postural Changes

As pregnancy progresses, spinal alignment shifts. These changes may increase nerve tension in the neck, shoulders, and arms, potentially contributing to median nerve irritation.

Increased Joint Laxity

The hormone relaxin makes joints and ligaments more flexible in preparation for birth. This can destabilize the wrist and lead to inflammation around the nerve.

Symptoms of Pregnancy-Related Carpal Tunnel Syndrome

  • Tingling or numbness in the thumb, index, and middle fingers

  • Burning sensation or pain in the palm or wrist

  • Weakness or difficulty gripping objects

  • Worsening symptoms at night or early morning

How Chiropractic Care Can Help

Chiropractic treatment is a gentle, drug-free option to relieve CTS symptoms and optimize the nervous system during pregnancy.

Wrist and Hand Adjustments

Chiropractors can gently adjust the carpal bones and surrounding tissues, restoring space in the tunnel and relieving nerve pressure.

Spinal and Postural Alignment

Since nerve interference can begin at the neck or upper back, realigning the spine helps improve nerve flow to the hands and arms.

A study published in the Journal of Manipulative and Physiological Therapeutics showed symptom relief with chiropractic manipulation of the wrist and cervical spine.
https://pubmed.ncbi.nlm.nih.gov/15389176

Soft Tissue Therapy

Chiropractors may use myofascial release or gentle massage techniques to reduce tightness in the forearm muscles and improve circulation.

Ergonomic and Lifestyle Advice

They’ll often provide recommendations for:

  • Wrist braces to reduce nighttime symptoms

  • Sleep positions to avoid nerve compression

  • Hand and wrist stretches

  • Reducing repetitive hand motions

The American Pregnancy Association supports chiropractic care as a safe and effective means to support pregnancy and ease musculoskeletal complaints.
https://americanpregnancy.org

Home Tips for Managing Carpal Tunnel During Pregnancy

  • Wear a wrist splint at night to keep wrists neutral

  • Elevate your hands when possible to reduce swelling

  • Use cold compresses on the wrists for 10–15 minutes

  • Avoid repetitive wrist movements when you can

  • Stay hydrated and limit sodium to reduce fluid retention

  • Practice gentle wrist and hand stretches

When to See a Professional

If the numbness, tingling, or pain is:

  • Persistent or worsening

  • Interfering with sleep or daily function

  • Accompanied by weakness or dropping objects

…you should consult your OB provider and consider visiting a prenatal-trained chiropractor.

In Summary

Carpal Tunnel Syndrome is a common pregnancy complaint—but it's not something you have to suffer through. By combining spinal and wrist adjustments, soft tissue work, and ergonomic support, chiropractic care offers a safe and effective way to reduce discomfort and restore normal function.

As always, work with providers who are experienced in prenatal care to ensure you and your baby receive safe and personalized treatment. LakesideChiro.com/appointment