A hand brace, or orthosis, is a specialized medical device designed to support, stabilize, or gently immobilize the wrist, hand, or fingers. They are frequently used following an injury, surgical procedure, or to manage chronic conditions like Carpal Tunnel Syndrome or arthritis. Proper use is paramount to achieving therapeutic benefits, such as reducing inflammation or preventing contractures. Understanding the correct application, wear schedule, and maintenance ensures maximum comfort and effectiveness.
Step-by-Step Application and Fitting
Before applying the brace, always ensure your hand and the interior of the device are clean and completely dry to prevent skin irritation or moisture buildup. Locate the stabilizing bar, often made of malleable metal or plastic, which should be aligned along the palm side of the wrist and forearm, placing the joint in a neutral, slightly extended position. This positioning maximizes the resting space for tendons and nerves, such as the median nerve within the carpal tunnel.
The application process involves correctly orienting the brace and securing the straps in the correct sequence. Begin by fastening the middle strap, which typically secures the wrist, before moving to the straps closer to the forearm and fingers. This method anchors the brace in the proper therapeutic alignment before the rest of the straps are tightened. Adjust the closures until the brace feels snug enough to prevent unwanted movement without compressing the underlying tissues.
A properly fitted brace should allow you to slide one finger easily underneath the straps, but no more than that. Immediately check for signs of neurovascular compromise, which indicates the brace is too restrictive and is hindering blood flow or nerve function. Symptoms like numbness, tingling, or a noticeable change in finger color (paleness or a bluish tint) mean the brace must be loosened immediately. Persistent redness that does not fade within twenty to thirty minutes after removal also suggests excessive pressure points that require adjustment.
Proper Wear Schedules and Activities
The duration for wearing a hand brace is variable and depends on the specific condition being treated and the prescribing healthcare provider’s instructions. For conditions like Carpal Tunnel Syndrome, a common recommendation is night-time use to prevent unconscious wrist bending during sleep. Post-operative recovery or acute injuries may require near-constant wear for several weeks to ensure complete immobilization and tissue healing.
Certain activities necessitate temporary removal of the brace to maintain hygiene and skin integrity. The brace should be taken off for showering, swimming, or when performing prescribed physical therapy exercises that specifically require movement. When the brace is removed, inspect the skin for any signs of chafing, blistering, or excessive moisture, which can lead to skin breakdown.
While wearing the brace, heed limitations on hand function to avoid compromising the device’s protective function or re-injuring the area. Avoid heavy lifting, strenuous gripping activities, or applying forceful pressure that could bend the internal metal stays. If you notice new areas of rubbing, increased localized pain, or persistent circulation issues that cannot be resolved with self-adjustment, consult your physical therapist or physician for a professional fitting adjustment.
Cleaning and Longevity of the Brace
Maintaining a hand brace involves regular cleaning to manage odor and prevent the buildup of bacteria, oils, and perspiration that can irritate the skin. Most non-rigid hand braces can be hand-washed using a mild soap or gentle detergent mixed with cold or lukewarm water. Avoid harsh chemicals like bleach or fabric softeners, as these can degrade the material and compromise the fabric’s structural integrity.
If the brace contains removable metal stays or splints, these components should be taken out before washing the fabric portion. After gently scrubbing the brace, rinse it thoroughly to ensure all soap residue is removed, which prevents skin irritation upon reapplication. The brace must be air-dried completely before being worn again, ideally laid flat and away from direct heat sources like radiators or direct sunlight.
Heat should be avoided because it can warp the plastic or thermoplastic materials often used in the rigid components of the orthosis. Regularly inspect the brace for signs of wear, such as fraying straps, weak Velcro closures, or cracking in the plastic components. A damaged brace must be replaced promptly, as a compromised device cannot reliably provide the required therapeutic support and stabilization.