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Wrist Splints & Gloves
By: Ian MacMorran, M.D, Guest Columnist


There is a common misconception amongst computer users that they can heal their wrist or forearm pain by using a splint while they work. If activities involving the use of your hands cause discomfort or pain, you should immediately contact a qualified physician. Be sure to mention to your doctor that the symptoms occur when using your computer. As discussed below, there are proper ways for doctors to use a splint or glove to help correct your problem, but self-treating your ailment with a split or restrictive glove is likely to do more harm than good.

Splinting at work
At times, your doctor may prescribe a "cock-up" type splint or brace to wear during severe flare-ups to restrict your wrist from moving. Be sure to follow your doctor's instruction about the how long you should be wearing the device. Prolonged use may cause your muscles to atrophy, just like they would if you were wearing a cast after you break a bone. As a guiding principle, remember that when you are working with your hands (e.g. using a keyboard or mouse), your hands and wrists should not be restricted from being able to move freely and function fully. Wearing a splint while you work will cause you to overcompensate for the lack of motion in your hand or wrist, possibly resulting in additional problems in your forearm, elbow, shoulder and neck. Therefore, it is advisable to not wear a splint while performing work.

Splinting at rest and sleep
Rigid splinting should be primarily reserved for rest and sleep, as that is the time when your body heals itself. In choosing your splint, make sure that the one you choose is very comfortable so that you feel compelled to wear it. A proper rest and night splint keeps your hand, wrist and fingers in a neutral position. Such a splint should ideally also keep your fingers from wiggling or your hand from clenching as both of these activities increase the pressure in the carpal tunnel.

Using Gloves
Recently, several glove-type products have come on the market that are meant to provide comfort while using the keyboard and mouse, allowing your hands to function fully. Look for a glove that is really comfortable, provides wrist support, and preferably cushions and protects the undersurface of the wrist -- especially the often-sensitive pisiform bone. The pisiform bone is located on the outside of the undersurface of the wrist and is the bone you feel when you rest your wrist on a hard surface. Gloves that substantially restrict motion should be avoided for the same reason as splints.

Even if computers are part of your daily life, that does not mean you must suffer pain and discomfort while using them. Keep in mind that a proper ergonomic set up, learning good work habits, using appropriate accessories and protective tools, and taking regular breaks will make a big difference in your health and comfort



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