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Wrist Splint for Carpal Tunnel

From Dr. Z - Carpal tunnel syndrome specialist

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. The best and worst wrist splints for carpal tunnel are listed below.



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. Here are the symptoms you should have.

Symptoms of carpal tunnel syndrome

Carpal tunnel syndrome has very specific symptoms. In fact, you can perform this simple self-test which doctors 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:



Weakness and clumsiness are more advanced symptoms. If you find it difficult to tie a shoelace, button a shirt, pick up coins, or drop things, then your disorder has progressed beyond the mild stage.


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 when your hand is working. In contrast, carpal tunnel syndrome starts off showing symptoms while your hand is resting.

wrist splints in a store

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 in a special way when it comes to splinting. 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. 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?


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


  1. They do not contain a palmar spine (the flat metal stabilizer on the palm side of the splint).
  2. They stabilize the wrist with a "lateral" or "dorsal" spine.

Rule 2: Only wear the wrist 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 daytime 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

What's so bad about drugstore splints?

Almost all drugstore splints' packaging says it's great for wrist sprains, arthritis, fractures, bursitis, fasciitis, joint swelling, repetitive strain injury, and carpal tunnel syndrome. This is a lie to get you to buy it.


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 wrist splints because they're not nearly as popular as ordinary wrist splints. 


Typical 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. See list below.

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 disorder.

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) may vary.


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

AliMed Dorsal Resting Splint

AliMed Dorsal Resting Splint

$138.00

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BSOS dorsal splint

BSOS Dorsal Splint

$99.99

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Comfy Dorsal Hand Orthosis

Comfy Dorsal Hand Orthosis

$97.75

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LEEDer Dorsal Orthosis

LEEDer Dorsal Orthosis

$84.99

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CarpalRx Night Brace

CarpalRx Night Brace

$49.95

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RCIA Dorsal Splint

RCIA Dorsal Splint

$48.00

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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.


Avoid wearing a wrist splint during the daytime. This only stresses your wrist more. And 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 resolve.

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