Q: I would like to know how to treat pregnancy induced carpal tunnel and what causes some pregnant women to get it.
It is best treated with acupuncture. I have had great results in my office with the acupuncturist treating carpal tunnel in pregnancy.
-Sara Liebling, CNM
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In reply to some responses in Issue 47 to the question about how to treat carpal tunnel in pregnant women:
How is a woman eight months pregnant supposed to be able to do this exercise [modified sit-ups]? I know that after about four months, I can hardly use my abdominal muscles in this way without straining my back.
-E Stukel
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My philosophy is that no pregnant woman should be doing crunches at all. The rectus muscle in the abdomen that runs vertical is quite prone to separation. There are lots of exercises for abs that do not require direct exertion on these muscle groups. So my advice is to abstain from abdominal exercise until six weeks postpartum and let the belly stretch and grow.
-Jill Cohen
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As a massage therapist doing myofacial and trigger point therapy, I would be a bit wary of steroid injections, pregnant or not. I would find a therapist who has knowledge of carpal tunnel and ways of treating it a bit more naturally. I have seen countless cases cured through mayo facial and trigger point therapy who had been told that surgery was the only choice.
-C.H.
Reprinted from Midwifery Today E-News (Vol 1 Issue 48, Nov 26, 1999)
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