The postnatal period is a transformative time, filled with new challenges and physical demands.

For many new parents, the repetitive activities of caring for a baby—feeding, lifting, changing, and soothing—can lead to hand and wrist pain. Conditions like De Quervain’s Tenosynovitis, Carpal Tunnel Syndrome, and general wrist joint pain are common but can be effectively managed with the right strategies.

De Quervain’s Tenosynovitis

De Quervain’s Tenosynovitis is an inflammation of the tendons on the thumb side of the wrist, often caused by repetitive thumb movements and wrist positions used during baby care. Symptoms include pain, swelling, and difficulty gripping or lifting.

Management strategies:

  • Activity modification: Minimise repetitive thumb and wrist movements, and use ergonomic techniques to lift and hold your baby.
  • Splinting: A thumb spica splint can immobilise the wrist and thumb, reducing strain on the affected tendons.
  • Physiotherapy: Targeted exercises, stretches, and manual therapy can alleviate symptoms and improve function.

Carpal Tunnel Syndrome (CTS)

CTS occurs when the median nerve is compressed as it passes through the carpal tunnel in the wrist. Hormonal changes during pregnancy can increase fluid retention, making postpartum women more prone to this condition. Symptoms include tingling, numbness, and pain in the thumb, index, and middle fingers.

Management strategies:

  • Wrist positioning: Avoid prolonged wrist flexion and use neutral wrist positions during activities like feeding.
  • Splinting: Wearing a wrist splint, particularly at night, can help reduce nerve compression.
  • Nerve gliding exercises: Physiotherapists can guide you through exercises to improve nerve mobility.

Wrist Joint Pain

Generalised wrist pain is often due to overuse, poor ergonomics, or changes in joint stability postpartum. The constant lifting, carrying, and pushing associated with baby care can strain the wrist joints.

Management strategies:

  • Ergonomic adjustments: Use both hands to lift your baby, keeping your wrists in a neutral position.
  • Strengthening and stability exercises: Physiotherapy can help build strength in the wrist and forearm muscles, reducing strain on the joints.
  • Heat or ice therapy: Heat can relax tight muscles, while ice helps reduce inflammation and pain.

When to Seek Help

While some discomfort is expected as you adapt to new physical demands, persistent or worsening pain should not be ignored. Physiotherapists specialising in postnatal care can assess your symptoms, provide personalised treatment, and teach you strategies to prevent further issues.

Prevention and Self-Care

To reduce your risk of developing hand and wrist pain:

  • Alternate between hands for baby care tasks.
  • Incorporate gentle stretches and strengthening exercises into your routine.
  • Seek support from a partner or family member to minimise repetitive strain.

Postnatal hand and wrist pain can be challenging, but with proactive care and support, it’s possible to manage symptoms and regain comfort and function. If you’re experiencing pain, don’t hesitate to reach out to a physiotherapist for guidance.

For tailored advice or to book an appointment, contact our clinic today. Your hands deserve the care they need to support you through this special time.