Nerve Compression Syndromes in Pregnancy

By Carolyn Kisner PT, MS and Lynn Allen Colby PT, MS on February 24th 2009

Causes
Impairments from conditions such as thoracic outlet syndrome (TOS) or carpal tunnel syndrome (CTS) may be caused by one or more of the following in pregnancy: postural changes in the neck and upper quarter, fluid retention, hormonal changes, or circulatory compromise. Overall, women are three times as likely as men to experience carpal tunnel syndrome. Occurrence in pregnancy can be as high as 41%.

Nerve compression syndromes may also occur in the lower extremities because of the weight of the fetus, fluid retention, hormonal changes, or circulatory compromise.

Interventions
Typical protocols include postural correction exercises, manual techniques, ergonomic assessment, and modalities. Splints may be used in the treatment of carpal tunnel syndrome. Carpal tunnel surgery in the pregnant population is rare, as symptoms generally resolve soon after delivery; a longer course of the problem has been noted in women who breastfeed.

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Filed Under: Jeff, Physical Therapy
Tags: Causes, Nerve Compression, Pregnancy

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