Q. A 25-year-old primigravida of 32 weeks gestation comes to the physician’s office for pain and numbness in both hands for the past 2 weeks. Initially, the pain used to be present only at night but it is now continuous throughout the day. She has disturbed sleep because of pain and recently she developed tingling in her hands. Her pain increases while working on the keyboard and relieves by shaking her hands. She has been diagnosed with gestational diabetes and she has been in regular antenatal care. Her temperature is 98.4°F (36.9°C), pulse is 88 beats per minute, BP is 120/76 mm of Hg and respiratory rate is 14/min. Her BMI is 31 kg/m2. Physical examination shows sensory deficits in both hands' first three digits and the lateral half of the fourth digit with normal muscle strength. The symptoms worsened when the patient was asked to bring the dorsal surfaces of the hands against each other with the elbows flexed. What is the best next step in her management?