A couple months after M was born, I noticed a slight pain in my left wrist. Simple gestures such as turning a door knob or brushing my hair started to ache. Mr. Ice Cream and I were entering into a tough sleeping phase with M and were exhausted so I shrugged off the pain as something that would probably go away on its own. It didn’t.
A few weeks later, the pain, which had been uncomfortable at most, started to get intense and more debilitating. I started to google “new mom wrist pain” and was flooded by search results pointing to something called “mommy’s wrist.” Technically referred to as De Quervain’s syndrome, it is inflammation of the sheath that surrounds the tendons that control movement of the thumb.
I made an appointment with a hand and wrist specialist. In the meantime, Mr. Ice Cream lifted M as often as possible and I did my best to avoid using my wrist, a near impossible task. By the date of my appointment, it had been 2 months since my left wrist started to hurt and my right wrist was starting to show early signs of discomfort. My doctor examined my wrists and quickly diagnosed my condition as De Quervain’s syndrome. She explained that the treatment was a cortisone injection, which for most people is enough to cure the pain completely. When asked, she said there was nothing I could do to prevent De Quervain’s and wearing a brace would not make much of a difference when combined with a cortisone injection. It was frustrating to hear there was nothing I could do to prevent or minimize the possibility of a recurrence.
The cortisone injection hurt, but the pain was brief and relief followed immediately. Within 2 days both wrists felt great. However, by my 6 week follow-up appointment, the pain had come back in my right wrist. My doctor gave me a second cortisone injection and said that if the pain comes back the next step would be surgery. She explained that more than 2 shots in a 1 year period could cause permanent weakening of the wrist.
Four months later the pain in my right wrist came back and I scheduled the surgery. The procedure only took an hour, but the tough part was not being able to lift anything for 2 weeks post op. Luckily, this was around the time when M was starting to walk, so for the most part he didn’t want to be held. Here is a timeline of my post opt recovery:
As far as surgeries go, the recovery for this one was minimal. I wore a hulk-like cast for 1 week and was given oxycodone for the pain, which I barely needed. 1 week later I had an appointment with an occupational therapist where my cast was taken off and replaced with a removable hard brace fitted to my wrist. The therapist gave me a few exercises to increase my range of motion and told me to massage the scar with Vaseline a couple times a day.
During my 2 week post op follow-up, my surgeon examined my wrist and commented that she thought my range of motion would be fully restored in the next few weeks. She instructed me to take it easy and avoid heavy lifting for another 4 weeks. She explained that during the recovery period the danger was scar tissue forming on the tendon which could create pressure, inflammation and additional pain. I heeded her warning and now my wrist is completely back to normal.
It’s been a few months since my surgery and my wrists have continued to be pain free.
Did you develop “mommy’s wrist” during pregnancy or post kids?
pear / 1946 posts
Sorry you went through this. As a PT I’m surprised your doctor said there was nothing you could do besides injections and surgery. We see patients with DeQuervains who benefit from stretching, mobilizations, and exercises. I’m glad you’re doing better now
apple seed / 2 posts
I had “mommy’s wrist”. I had severe pain and limited range of motion in my right thumb/wrist. Doctor said to wait it out and see how it did. The pain eventually got better but the range of motion is still limited in my thumb. I never really followed up because I felt silly. Glad to know I’m not alone. Also, glad you’re having good results from surgery.
guest
I had it after my first (one of my doctors called it “Mama’s Thumb” instead). I didn’t know you could get it while pregnant, but was told that it’s very common in new parents because of the way you pick up kids (under their armpits, with your thumb and the rest of your fingers supporting the baby). I was nursing at the time so didn’t do the cortisone shot and wore a brace instead. The brace didn’t seem to help, though!
guest
I had it in both wrists after my daughter was born. There were times that it felt like someone was stabbing me in the wrist! I wore thumb stabilizer braces on both hands that limited thumb movement whenever possible, took advil for the pain and swelling and iced it. Between that and very consciously picking up my daughter differently, it went away on it’s own.
blogger / kiwi / 626 posts
Oh my gosh, I have had this with both pregnancies and on opposite wrists. I had electro therapy with steriods on both wrists and the pain eventually lessened after a few months. It was sooo uncomfortable and the occupational therapy was pretty tedious.
guest
Man. This (or something similar) happened to me, and I attributed it to holding my baby using awkward hand/wrist positions for hours on end while babysitting in those early days. I had it in both wrists, though one worse than the other. If I wore a brace, especially while sleeping, the pain was manageable. If I didn’t wear a brace and moved my thumb a certain way it was quite painful. After a few months of diligently wearing my braces it went away. Not something I had every heard about previously though!
kiwi / 635 posts
I had this too. I am also surprised by what your doctor said. I developed it in both wrists eventually but initially just the right. I was given a hard brace to wear for a month to see if symptoms improved, then cortisone shot plus was encouraged to continue to wear the brace while sleeping. Mine got worse after it got bumped, but not debilitating just occasional minor pain, so I stuck it out and avoided motions that led to pain. At some point around a year later, the pain very gradually disappeared completely. With baby #2 I was very careful about how I picked him up and my hand positions while nursing and I didn’t get mommy thumb again.
coffee bean / 35 posts
I had this with my first baby in both wrists. I did PT, the cortisone shots, and used braces. By the time the cortisone shots wore off, the little guy was a toddler and I was picking him up differently. With baby #2 (3.5 years later), I was just more aware of how I was picking him up so it wasn’t as bad – just slight pain from time to time. I do feel like I have some weakness in my grip from it though.
pear / 1547 posts
I had it terribly in my right wrist and got a steroid injection and it was good for a month but then came back full vengeance. I actually had the surgery booked I was so debilitated but once I night weaned LO my pain mysteriously disappeared and I cancelled it! I had heard anecdotes about weaning improving things so I’m glad I waited although I have no idea if it was actually related or a coincidence.
guest
I’m so sorry you had to go through all that! I am a physiotherapist and I had De Quervain’s in both wrists. It pretty much lasted for my daughter’s entire first year because she wanted to be held all the time. It’s disappointing you’re doctor did not refer to a physiotherapist because we could have definitely helped you! I wore a thumb spica splint on both wrists ALL the time, even sleeping. I did gentle range of motion exercises, was super careful picking up my daughter, as even the smallest aggravation would set me back weeks. For any moms out there it’s better to act early if you experience wrist pain!
hostess / wonderful apple seed / 16729 posts
Wow! Thanks for posting your experience.
I was diagnosed with that last month but only given a wrist brace and 14 day course of ibuprofen. Sadly, I’m not good at taking my pills so I still have pain. I need to get on this because the shots and the surgery sound painful. But good to know what your experience is like and gives me an idea of what will happen if it gets continues.
kiwi / 511 posts
I had this and I just used a brace on wrist as much as possible during the day and overnight. My DH did most of the lifting for about two weeks, and then he ended up getting the same issue on the opposite wrist that I did. It was pretty crazy but diligently using the brace, some pain reliever/anti-inflammatory, and doing more getting down with the kids rather than picking them up helped a lot.
blogger / apricot / 250 posts
Thank you for all your comments! It’s really interesting to hear that there are therapy options to deal with this condition. I specifically asked my doctor at several appointments if there were options and she told me no without hesitation each time. However, that being said, surgery was minimally invasive with a fairly easy recovery period and now the pain is totally gone.
blogger / kiwi / 675 posts
wow this is so interesting, I am positive I had this with my last pregnancy but had no idea what it was. Fortunately mine has dissipated and my wrist only feels weak on and off and random times. The things pregnancy does!
guest
I had this pain too. I never made the connection between it starting and being a new mum so went to our local minor injuries unit (I’m in UK) and asked for an x-ray. It was obviously clear and I was referred for some physiotherapy. I had massage done weekly and had laser treatment (which just involved holding a laser beam of some sort over the injury) and done some exercises at home and it healed completely within about 8 weeks. I was never aware of injections or surgery as an option! I’m so glad the pain is over for you now!
grapefruit / 4089 posts
Glad your surgery went well! I’ve worked on this issue with clients (I’m a RMT), usually in combo with physiotherapy, and had great results. Surgery is generally a last resort! Were you referred to a physiotherapist post-surgery for rehab?
blogger / apricot / 250 posts
@Synchronicity: hi! I saw a hand therapist a week after my surgery to get a hard removable brace made but I was told I didn’t need any additional therapy so I didn’t have any. From the comments here, I was surprised to hear that there are options other than cortisone injections and surgery because my doctor didn’t convey any of that.
guest
I got “mommy thumb” while working as a nanny. I recognized what it was in the early stages and got a brace and some exercises and was able to get my hand back to normal. It flared up a few times but I was always able to get it back to normal by wearing the brace, being careful about how I picked up the baby and doing stretches and range of motion exercises. So sorry that you Dr. Said steroids and surgery were the only option.
guest
Thank you for sharing this post. I had such a severe case of this at the end of pregnancy it has stopped me from wanting to be pregnant again. I couldn’t wash my hair or change a diaper, it was excruciating. I had cortisone shots that did offer relief but the pain returned until the end of our breastfeeding journey. What a wild ride!