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Pregnancy-Related Carpal Tunnel Syndrome
Filip Georgiew1, Jakub Florek2, Adam Bębenek3
1Faculty of Health Science, University of Applied Science in Tarnów, Tarnów, POL.
Cureus
|November 17, 2025
Summary
Pregnancy-related carpal tunnel syndrome (PRCTS) often resolves postpartum but may require conservative management. This review focuses on safe, non-surgical treatments to reduce wrist pressure and alleviate hand pain during pregnancy.
Area of Science:
- Obstetrics and Gynecology
- Neurology
- Musculoskeletal Disorders
Background:
- Carpal tunnel syndrome (CTS) is a frequent musculoskeletal issue during pregnancy.
- Symptoms, though often mild, may persist post-delivery.
- Conservative management is the recommended approach for pregnancy-related carpal tunnel syndrome (PRCTS).
Purpose of the Study:
- To review pregnancy-related carpal tunnel syndrome (PRCTS).
- To emphasize indications for conservative treatment modalities for PRCTS.
Main Methods:
- A narrative review was conducted using a comprehensive literature search.
- Databases searched include PubMed, Scopus, The Cochrane Library, and Web of Science.
- Search terms focused on carpal tunnel syndrome, pregnancy, conservative treatment, hand, and pain, with studies from 2005-2025 included.
Main Results:
- The primary goal in PRCTS treatment is to decrease intracarpal pressure.
- First-line treatments include wrist immobilization, anti-edema therapies, and transverse carpal ligament mobilization.
- Certain physiotherapy modalities like laser and shock wave therapy are contraindicated during pregnancy; ultrasound and phonophoresis require caution.
Conclusions:
- Conservative management is key for PRCTS, focusing on reducing wrist pressure.
- Pharmacological treatments require careful consideration due to potential risks.
- Surgery is rarely needed and reserved for severe, refractory cases with significant nerve compression.
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