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Wrist Splint for Carpal Tunnel

Dr. Z • Nov 01, 2021

How to Choose a Wrist Splint for Carpal Tunnel

Choosing the wrong wrist splint for carpal tunnel syndrome can actually make your condition worse. For instance, do you wear a splint at night but wake up with intense symptoms in your fingers and hand? If so, chances are you're wearing the wrong splint for this condition.


This article shows you what to look for in a wrist splint in order to properly treat carpal tunnel syndrome. Just as importantly, it shows you which wrist splints to avoid.


where are carpal tunnel symptoms

First, are you sure you have carpal tunnel syndrome?

Wearing a wrist splint for carpal tunnel syndrome at night (called "nocturnal wrist splinting") is one of the best ways to treat this condition. But before you waste time and money treating carpal tunnel, make sure you have this progressive condition in the first place.

carpal tunnel syndrome

Symptoms of carpal tunnel syndrome

Carpal tunnel syndrome has very specific symptoms. In fact, you can perform this simple self-test which doctor use to determine if you have it.


The symptoms of carpal tunnel syndrome occur ONLY where the median nerve distributes to the hand. The image (above) illustrates where on the hand the median nerve provides sensation.


Carpal tunnel syndrome is all about abnormal sensations from the median nerve. The most common carpal tunnel sensations you feel from this area of the hand and fingers are:


  • Numbness
  • Tingling (or pins-and-needles)
  • Pain
  • Burning
  • Shooting electric shocks
  • Itching
  • Loss of hot or cold sensations


Also, this part of the hand and fingers may feel weak or clumsy. Often, it's difficult to tie a shoelace, button a shirt or pick up coins.


Symptoms usually first appear while trying to sleep. In fact, this differentiates carpal tunnel syndrome from wrist tendonitis. In its beginning stages, wrist tendonitis usually is painful or numbing when your hand is working. In contrast, carpal tunnel syndrome starts off showing symptoms while your hand is resting.


 Take this Quiz by Dr. Z to see how severe your CTS really is:

wrist braces

2 rules for wearing a wrist splint for carpal tunnel

If you have carpal tunnel syndrome, it means you don't have an ordinary hand problem, like a sprain. Therefore, you must treat it specially. The following are the 2 rules for wearing a wrist splint if you have carpal tunnel syndrome.

Rule 1: Only wear a certified carpal tunnel wrist splint

A certified carpal tunnel wrist splint means it is specific for treating this condition and nothing else. Also, orthopedic doctors have approved them for wearing when you have carpal tunnel syndrome.


Drug stores like CVS, Walmart, Rite Aid or Walgreens do not stock certified carpal tunnel wrist splints. They can only be purchased from approved online suppliers (see list below).

What makes it a "certified" wrist splint for carpal tunnel?


Such splints are designed ONLY for carpal tunnel syndrome. That means:


  1. It does not contain a palmar spine (the flat metal stabilizer on the palm side of the splint).
  2. The splint stabilizes the wrist with a "lateral" or "dorsal" spine.

Rule 2: Only wear the splint at night, never during the daytime

A wrist splint for carpal tunnel syndrome should only be worn at night, when you're sleeping. You should never wear one during the daytime.


The reason is because of the way carpal tunnel syndrome occurs. It begins due to stressed tendons in your wrist joint. The stress usually results from repetitively straining your fingers and hand. This causes irritation and (in time) swelling along he tendon. That tendon swelling is what causes the abnormal problems with your median nerve - and the symptoms of carpal tunnel syndrome.


So performing your regular hand and finger activities during the day is stress enough. But if you also restrict your hand's movement, it doubles the work your hand has to do to overcome the restriction. That's even more hand stress, which adds to the tendon problems you already have

bad wrist brace for carpal tunnel

What's wrong with drugstore splints?


If a splint's packaging says it's great for wrist sprains, arthritis, fractures, bursitis, fasciitis, joint swelling, repetitive strain injury.... and carpal tunnel syndrome... then it's a lie.


The truth is, NO wrist splint is designed to treat ALL of these conditions. It's impossible; like designing one tire for every motorized vehicle.


Drug store splints (those available from CVS, Walmart, Rite Aid, Walgreens, etc.) are not certified for carpal tunnel syndrome. These stores don't carry certified splints for carpal tunnel because they're not nearly as popular as ordinary wrist splints.


Ordinary conditions like sprains and arthritis can be treated with ordinary splints. But carpal tunnel can't. So be sure to choose a splint that's "certified" for treating carpal tunnel syndrome.

Wrist splints to avoid

The most popular splints people (wrongly) use for carpal tunnel syndrome are listed below. These are NOT designed for carpal tunnel syndrome and should be avoided. Using them can cause more harm if you have this condition.

wrist splints to avoid

Certified wrist splints for carpal tunnel syndrome

The splints listed below are the only ones (known as of this date) to be certified for carpal tunnel syndrome. That means they're designed to treat carpal tunnel, and nothing else. Their approximate prices (high to low) are as of November, 2021.


For full disclosure, this author (Dr. Z) designed and invented the CarpalRx product below.

AliMed Dorsal Resting Splint

AliMed Dorsal Resting Splint

$138.00

website

BSOS dorsal splint

BSOS Dorsal Splint

$99.99

website

Comfy Dorsal Hand Orthosis

Comfy Dorsal Hand Orthosis

$97.75

website

LEEDer Dorsal Orthosis

LEEDer Dorsal Orthosis

$84.99

website

CarpalRx Night Brace

CarpalRx Night Brace

$49.95

website

RCIA Dorsal Splint

RCIA Dorsal Splint

$48.00

website

Conclusion

Wearing a certified wrist splint for carpal tunnel syndrome is a good first step toward treating this condition. Being careful to avoid what caused the problem (like repetitive hand stress) and wearing the splint at night will make mild cases of carpal tunnel disappear within a few weeks.


At all costs, avoid using drug store splints. They are not designed to treat carpal tunnel syndrome and can actually make your condition worse.


If your carpal tunnel symptoms are more severe, simple night splinting will not be enough. You must combine it with

specific carpal tunnel stretching exercises and myofascial release massage in order to see symptoms dissolve.

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