Carpal Tunnel: how to help.

This is one of those conditions that you certainly know you have when you get it. I’ve had it twice now: the first time was 4 months after giving birth to my boy. I would wake up in the night to feed him, pick him up, get pins and needles in both hands and then they would go numb. The end result being by the time we finished a feed I had to use my arms to put him back into his cot. It led to me having mutliple massages, which helped a little, and doing lots of research. I learnt a lot about my posture and how breastfeeding plus general stress was a huge contributing factor. A few changes to my feeding posture, extra pillows and a magic stretch really sorted me out.

Moving on to pregnancy 3 and the delight of carpal tunnel popped up again in the last few weeks. Certainly not as badly, this time general weakness in my grip strength, pain when in a hands and knees position (not ideal when teaching pilates) and pins and needles when sleeping or holding items for too long a time.

So as someone who has suffered from carpal tunnel I thought I would share my top tips on how to deal with it and how to help it.

Symptoms:

Pin and needles in your hands/fingers

Grip weakness

Numbness in the thumb, first and middle finger, that may extend to the whole hand

A dull ache in the hand/arm

How does it occur?

The median nerve runs all the way down the inside of your arm. It originates from the brachial plexus which is just above the shoulder (think halfway between the bottom of your neck and your shoulder, that bit that is often tense and you want a massage in!).

When this nerve is blocked, inflamed or has pressure on it, you can get the the above symptoms.

The carpal tunnel is a tunnel in your wrist designed to protect the median nerve. Pressure on this puts pressure on the nerve and hey ho, carpel tunnel syndrome.

Screen Shot 2016-04-28 at 19.37.36
Image from: http://www.thebodyworksclinic.com/carpal-tunnel-syndrome/

Stats:

About 50% of pregnant women develop carpal tunnel, it will normally disappear all by itself.

More common in women then men.

Common in people with wrist injuries or those who do repetitive actions with the wrist.

For some people such as myself the issue can be to do with the tension and pressure on the nerve at it’s origin. So I know I carry my stress around my shoulders. Hence when teaching people pilates I so often focus on their shoulders! I can pinpoint the areas that are especially painful at these times. Those points are where the median nerve originates. So  it explains the carpal tunnel issues.

For others it is due to pressure or problems in the wrist areas. Perhaps you hold your wrists at an awkward angle for work or when bottle feeding a baby? Repetitive wrist actions or strenuous wrist activity can also be a cause especially if you have a weak wrist from an injury.

How to help:

Firstly, see the GP.  It is always good to get thee things looked at. They may offer you splints and depending on how bad things are you can even be offered surgery if it doesn’t clear up. I would suggest you try out some stretches and think about why you have the problem in the first place before jumping to surgery.

Exercises:

  1. Stretch your arm out to the side of your body and point your fingers down to the floor. Now take your ear towards your opposite shoulder. Bring the head back up and repeat.
  2. Wrist circles and making your hands into a fist, then extending the fingers into a star (think twinkle, twinkle little star).
  3. Place your arm out to the side, with fingertips on the wall. Glide your palm down so the whole palm in in contact with the wall. Work from fingers to palm a few times.
  4. Bring your right ear to your right shoulder, drop the left arm and shoulder away from you, this should stretch and release in your left side.

After Baby it is time to Nourish YOU.

Being a mum is amazing, it teaches you so much about yourself, it challenges you the furthest you have probably ever been challenged. There can be moments of joy, fear, hilarity, excitement, frustration and annoyance all in one hour. Your little ones are the most amazing gift and a true miracle to watch them grow.

Pilates with Priya: Newborn Baby in sling

So it is not surprising that in the midst of all the hard work of mummy hood that YOU, the mummy, can be the one that gets forgotten. Perhaps you don’t have time to eat properly, you aren’t getting proper sleep, you don’t have the time to look after yourself and there is very little You time.

The problem is your body is in recovery. For 9 months it has carried and nurtured a growing baby. That’s a lot of work. Your body has provided nutrition, your muscles have been stretched and strained by carrying the extra weight, your breathing has even adapted and your blood flow. Your hormones have been altered. Then you have given birth. No small feat, in fact a massive achievement and a massive ordeal for the body to then recover from. Mums are expected to spring back to full form in a  matter of weeks – but it can take the body a good 9 months to a year to recover nutritionally, hormonally and in strength.

So how can you help yourself?

Nourish yourself with nutritious and delicious food. It can feel like the last thing you have time to do but the inside of your body is your powerhouse. If you are not sustaining yourself then you will not be able to look after anyone else well.

almond heart

Base your meals around: good lean protein sources, wholegrains and fruit and vegetables. Plan your meals out, there is nothing worse than being starving hungry, having little time to cook and now having a clue what you are going to make.

Meal plan like a goddess: I like to meal plan on a Sunday and then bulk cook – cooking 2-3 meals in one hit works for me as it means it can all be done in a hour or so, I do all the mess, chopping and clearing up at once and can stock up my freezer too. For example today I have made a large batch of minced beef : half for a lasagne, half for the freezer, then a chicken soup using the chicken carcass and some roasted vegetable pasta sauce. So I have meals for Mon, Tues and Wed then on Thurs we may eat a meal from the freezer and Friday is a relaxed affair in our house so may be baked sweet potatoes with tuna and salad.

Stop the chocolate cake: Snack instead on proteins (nuts, seeds, yoghurt, hummus, egg muffins) and fruit/veggies. It can be hard to break the habit but it will make you feel better. Find a system that works for you – make up snack boxes ahead of time, buy in ready made snack boxes, bulk bake healthy snacks such as healthy oaty bars or my Cocao Power Balls. For that sweet treat switch over to a little bit of dark chocolate, you won’t eat as much of it and it is packed with antioxidants.

Cocao Power balls text

Move away from the caffeine and sugar rush club. It can make you feel better initially but it really doesn’t give you long lasting energy or health. Eating protein and low glycaemic index foods such as oats will lead to you having more sustained energy levels, more stable mood and will help regulate your appetite.

Sleep is the queen. Having had 2 babies who did not sleep well I know what a nightmare sleep deprivation is. Literal torture, your brain doesn’t function properly, your appetite steps up a gear, you are cranky and still have a whole day to get through. Find a way to get a decent nights sleep in, see if you can take it in turns with your partner or have a family member help in the day so you can nap. That magical work, nap!

Wine o’clock. Maybe this should be whine o’clock?! You know that 5/6pm moment when it’s all just too much and you wish bedtime would hurry it’s ass up? That’s the point I want a glass of something. I don’t see anything wrong with a glass of wine now and again, but it’s remembering that it is also a toxin and when your body is trying to recover you don’t want to overload it with other work to do. So enjoy that glass of wine, but don’t go OTT.

Relaxation Hour. Well you may not have an hour, but building in regular time for you to unwind and relax is vital. When your stress levels are high you respond to things differently. Try using a meditation app such as Headspace, go swimming, get your nails done, read a new book, go for a walk – whatever you can manage. Just do something that calms, chills and centres you.

Pilates with Priya: Take time to look after you

Mummies, you are amazing. Your bodies are amazing. Go love them, nourish them and enjoy your babies.

Look out for my next post on postnatal nutrition – the micro’s and macro’s.

3 Moves to think about with Diastasis

 If you have abdominal separation, or are pregnant, here are 3 moves to stay clear of…
1. Sitting up from Lying
It’s such a simple everyday move but sitting up in bed is something to modify. Why? It puts pressure on your rectus abdominus or “six-pack” muscles. These muscles you want to look after. They have to stretch and make room for your growing bump and can separate. This can be a normal part of pregnancy but also something you can help lessen the risk of. Avoid any exercises like sit ups or curl ups or sitting up from lying on your back will help with this.
2. Lifting heavy weights which puts strain on your back, core and can affect your posture.
This can be hard to avoid if you have another young child. Try training them to walk or use a scooter more. Bring in the idea of sitting down for a cuddle rather than walking around holding them. I still have to carry my toddler but he now goes in a sling on my back which helps my posture and distributes the weight more evenly.
Lifting also puts extra pressure on your pelvic floor which is already working harder than normal.
3. Sitting in a bucket seat in the later stages of pregnancy.
Sitting on a sofa or almost any comfy chair can lead to your pelvis being tilted so you are not seated in the best position for either your lower back or to allow your baby to descend into your pelvis. Sitting on an exercise ball or a high backed chair will help you sit up tall so that baby can get into position easier.
Diastasis Recti

Embrace the mummy tummy.

A sensitive topic. Mummy tummies and post baby bellies are something that I deal with on a regular basis. I know how much pressure mums can feel to lose the baby weight and get back into their skinny jeans. I felt it myself after my second baby especially. Social media and the media shows us how some celebs look like they’ve never had a baby just a few weeks after giving birth. There are posts of mums doing all kinds of crazy in order to lose weight and tone up. Whereas actually if your body has just had a baby doesn’t it need to rest and isn’t it perfectly natural and normal for your body to not ping back to normal after 9 months of stretching and carrying an extra person around inside it?

I’ve had 2 babies. I’m a Pilates teacher and a dietitian. So I eat well, I exercise and I didn’t put on too much weight with either pregnancy. Yet I still took 6 months to lose the baby weight. Here I am 4 weeks after baby with a definite bump still there.

Pilates with Priya: Post Natal Tummy Week 4
Pilates with Priya: Post Natal Tummy Week 4

Reasons to embrace the mummy tummy:

1. If you are breastfeeding then your body needs to have some reserves to make milk. Breastfeeding can help you lose weight but your body may not let you lose it all too soon. It’s a pretty sensible system really isn’t it. There is some built in protection for baby in those early months.

2. It’s taken 9 months or so to create a baby, you’ve done a stunning job of carrying baby around and feeding baby.  All of that takes a toll on your body, it uses your nutritional stores. Now your body needs to recover. 9 months on, 9 months off is the commonly said phrase and I agree with it. It may feel like a long time but it really isn’t in the grand scheme of life.

3. Obviously you don’t want your weight to stay higher than normal for ever, but initially it’s a rite of passage and a sign of mummyhood. Try to savour those early days. Spending time with your baby and looking after yourself is the most important thing.

4. Getting back into high intensity exercise too soon can be damaging. Your pelvic floor needs to be strong enough and any abdominal separation fixed before you start running, jumping or high impact workouts. Stick to swimming, postnatal classes or specialist pilates.

Look out for my next post for top tips on how to lose that mummy tummy.

The FIRST Pre/Postnatal Twitter Chat – Tues 12 Aug 2014 #ppnchat

How exciting is this? I’m working with Claire Mockridge (another fab pre/postnatal instructor) to bring you the first pre/postnatal twitter chat. A great chance for instructors to network, information share and learn from each other.
Twitter is a great place to meet others and pick up top tips. I’m regularly found taking part in twitter chats.
So… if, like me, you work with pregnant or postnatal women, pop this date/time in your diary:Beautiful pregnant woman.

 

  • Tuesday 12 August 2014
  • 2:30pm GMT (click here to calculate your timezone if you’re not in the UK/Europe)

 

 

Make sure you’re following me on Twitter here:

@pilateswpriya

Save this hashtag now: #ppnchat

The  will be centred around the word ‘community’.

It can be pretty lonely out there if you’re one of the only Pre/Postnatal Experts in your area. This is where social media can be a Godsend. I often ask advice and seek out others who I can learn from in this way. Community is important so come and build it with us.

 Don’t worry if you’re a complete novice when it comes to Twitter.

Follow us, send a Tweet beforehand and we will hold your hand through the process.

This Twitter chat is for ANYONE who works with pregnant or postnatal women, eg Reflexologists, Fertility Experts, Massage Therapists, Baby Yoga Teachers, Physios, Chiropractors, Osteopaths – you name it!

We will be encouraging people to introduce themselves, answer a few community-themed questions to get the conversation flowing and hopefully enable you to connect with others around you in similar fields of study or locality.

 

A FEW GUIDELINES…twitter

  1. Every tweet you send must contain the hashtag #ppnchat (otherwise you’ll be just talking to yourself)
  2. There will be 5 questions on the #ppnchat which will be numbered Q1, Q2, Q3 and so on, as follows:
    • Q1 – What products/services do you provide for pre/postnatal women and which city/area are you based? #ppnchat
    • Q2 – How important is it for pre/postnatal women to be introduced to other mums-to-be and new mums nowadays? #ppnchat
    • Q3 – How do you help your pre/postnatal clients find other women just like them? #ppnchat
    • Q4 – Do you find it lonely sometimes working in this specialist field? How do you combat that? #ppnchat
    • Q5 – What local businesses do you network with to help promote your products/services? #ppnchat
  3. When answering a question, please include ‘Q1′ at the beginning, followed by your answer eg Q1 I’m Claire, an Ante/Postnatal Fitness Expert running fitness and Pilates classes for pre/postnatal women in Nottingham#ppnchat
  4. Tweets must be fewer than 140 characters, so keep things short where
  5. Twitter’s tagline is ‘Join the Conversation’, so please don’t be shy!

 

And, there you have it!Claire-6

If you can’t make the FIRST #ppnchat on Tuesday 12 August 2014, don’t worry – just search the hashtag when you’re next online and connect with those who took part afterwards.  It won’t be a waste, I’m sure.

Please help spread the word about #ppnchat on Twitter, Facebook, Instagram or via your mailing list.

 

See you ‘virtually’ on Tuesday at 2:30pm!priya

 

Regards

 

Claire Mockridge and Priya Tew