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Upper Limb Issues in Pregnancy and Postpartum: Carpal Tunnel Syndrome and DeQuervain’s Tenosynovitis

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Musculoskeletal Health in Pregnancy and Postpartum

Abstract

Musculoskeletal problems are commonly associated with pregnancy. Though lower extremity complaints are most prevalent, upper extremity complaints are also common. As with all pregnancy-related musculoskeletal problems, upper extremity disorders are caused by a combination of changes in activity, physiology, and biochemical factors during pregnancy, and they will frequently resolve following delivery. Nevertheless, the two major upper extremity pathologies in pregnancy—carpal tunnel syndrome and DeQuervain’s tenosynovitis—can cause a great deal of dysfunction and may even lead to permanent damage in the absence of treatment. This chapter reviews the scientific basis of these diagnoses, including the relevant anatomic structures, etiology, and specific contributions of physiologic changes in pregnancy. We then discuss current clinical data, including prevalence, typical presentation, and diagnostic strategies. Lastly, we conclude with suggested treatments based on the most recent studies and our clinical experience.

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Correspondence to Joanne Borg-Stein MD .

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Stein, K.M., Borg-Stein, J., Ramey, L.N. (2015). Upper Limb Issues in Pregnancy and Postpartum: Carpal Tunnel Syndrome and DeQuervain’s Tenosynovitis. In: Fitzgerald, C., Segal, N. (eds) Musculoskeletal Health in Pregnancy and Postpartum. Springer, Cham. https://doi.org/10.1007/978-3-319-14319-4_9

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  • DOI: https://doi.org/10.1007/978-3-319-14319-4_9

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-14318-7

  • Online ISBN: 978-3-319-14319-4

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