From Dr. Z - Carpal tunnel syndrome specialist
Updated January 2025: What's the best carpal tunnel brace you can get? Ask any group of carpal tunnel doctors and chances are each one will have a different opinion.
There at least 230 companies worldwide selling or manufacturing wrist braces. Each one manufactures or sells 5-10 models of braces. A good proportion of them are labeled “for carpal tunnel syndrome”. And the price range is from $10 to $700.
So how can you tell which is the best carpal tunnel brace without going broke?
It’s important to realize that there are no FDA standards which regulate the design of wrist braces. In other words, any manufacturer can create a brace and say it’s “for carpal tunnel syndrome" (or any other disorder).
Some even go so far as to claim it’s the best carpal tunnel brace you can buy - without a second thought about what carpal tunnel syndrome really is or how to treat it.
That's why the vast majority of such braces actually cause more harm if you already have carpal tunnel syndrome.
(Hint: Do you wear a night brace but it causes even worse symptoms in the morning? Then you're wearing one of these harmful braces.)
On the flip-side, there currently are only 9 companies (see below) which manufacture "certified carpal tunnel braces". Essentially, doctors designed them to maximize the benefit of wearing a brace without causing additional harm to the wrist joint.
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All certified carpal tunnel braces simply help you avoid over-bending your hand to cause pain. However, they will not cure carpal tunnel syndrome.
That problem is that carpal tunnel syndrome has no cure whatsoever. Even surgery is not a cure for it. You can only manage the symptoms so they don't bother you anymore.
The best certified carpal tunnel brace manufacturers understand this problem well. Therefore, they build into their braces some key features needed to help heal (although not cure) this terrible hand problem. Those are the ONLY braces you should use.
Above all, the best carpal tunnel brace will NOT have a permanent spine or “stay” on the palm side of the hand (or palmar side). This is called a palmar spine - see image above.
If the brace has a palmar spine, then it's NOT a certified carpal tunnel brace.
Keeping the palmar spine away from this area is crucial if you have carpal tunnel syndrome. That's because the spine presses on the wrist, causing pressure inside the joint.
Carpal tunnel syndrome is a disease caused by pressure inside the wrist joint. So if you’re wearing a brace that contains a spine over the palm area, then every time you bend your wrist the spine will push into the wrist joint. Such pushing increases the pressure underneath, deep inside the wrist joint. And that’s very bad if you have carpal tunnel syndrome.
I'm a Physiologist, Biomedical Engineer, medical device inventor, and brace designer. I know about braces. And I always tell my patients, “If a brace has a spine on the palm side, then it’s NOT a certified carpal tunnel brace.”
Instead, the best carpal tunnel brace will have its spine located on the top or on the side of the hand. A hand brace with this design prevents the spine from pushing into your carpal tunnel space. That would be bad for a wrist joint that’s already in trouble already.
Several years ago I invented a carpal tunnel brace with all this in mind. In fact, it was recognized by the Southern Orthopedic Association as the "best carpal tunnel brace available today". There are even scientific articles written about it. This brace is unique because it has movable spines so you can avoid adding pressure on your palmar surface.
Above all, the best carpal tunnel brace will NOT have a permanent palmar spine. Other major things to look for in a carpal tunnel brace are the following:
Consequently, be wary of braces and their claims. Braces are not a product where “expensive” means “good”.
You don't need to spend a fortune buying the best carpal tunnel brace available. I've listed the 9 major brace manufacturers here. Full disclosure, Carpal Pain Solutions (my affiliation) is one of them.
You won't go wrong with any of the following certified carpal tunnel braces:
(In spite of their claims, they're NOT made for carpal tunnel syndrome.)
You should be cautious when considering buying a carpal tunnel brace. Certainly, be careful buying online or in one of the many retail outlets like CVS, Walgreens, Rite Aid or Walmart.
In fact, it's best to stay clear of braces sold on “brace sites” and medical product sites. They are usually expensive and you get nothing in return. Actually, you’ll notice how similar they all are. Moreover, all of them have a palmar spine!
Furthermore, look out for the relatively expensive braces below. They claim to be the “best” carpal tunnel brace you can buy. But now you know better!
They all fall very short of having the features you require, as I've discussed above. In other words, they're not certified carpal tunnel braces.
So if you have carpal tunnel syndrome, stay away from these:
Of the hundreds of braces you can buy, only very few are certified carpal tunnel braces. Unlike generic braces with a metal spine over your palm, the best carpal tunnel brace you can get will avoid putting added pressure on your wrist joint. It will also have other important features that make it superior to generic wrist braces. Remember, just because the package says it's a “carpal tunnel brace”, be suspicious. It usually doesn’t mean it’s made specifically for carpal tunnel syndrome. In fact, it can actually harm you.