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Numb/Swollen Hands

Discussion in 'Ob/Gyn' started by secretwave101, Jun 6, 2008.

  1. secretwave101

    secretwave101 Senior Member 10+ Year Member

    Dec 13, 2001
    Bruchmulbach, Germany
    Have a patient who is 35w pregnant with numb and swollen hands. Numbness wakes her up and is getting more and more uncomfortable. 1+ ankle edema also.

    BP fine. Trace dip protein. No glucose. Moderate wt. gain.

    Anything I should be doing? Just reassure her? Any ideas for sx. relief for her?
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  3. primadonna22274

    primadonna22274 Senior Member 10+ Year Member

    Carpal tunnel syndrome is very common in late pregnancy due to swelling and compression on median nerves. Did you check Phalen's & Tinel's signs? (Easy.) Obviously you don't want to give her NSAIDs but carpal tunnel braces especially at night and tylenol, ice are helpful. It will likely get better after delivery. Unlikely you would have to refer to neuro for nerve conduction studies (I'm not sure if they would even do them in pregnancy).
    Good luck
    Lisa PA-C
  4. maxheadroom

    maxheadroom Rhinestone Cowboy Moderator Emeritus 10+ Year Member

    Tylenol won't help any of the symptoms of carpal tunnel. The nighttime splinting is a good idea. If her symptoms don't improve within about a month of delivery, she should probably get an EMG/NCS.

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