Routine post-operative splinting of the wrist after the carpal tunnel release procedure showed no benefit in grip or lateral pinch strength or bowstringing. In addition, the research showed no effect in complication rates, subjective outcomes or patient satisfaction. Clinicians may wish to provide protection for the wrist in a working environment or for temporary protection. However, objective criteria for their appropriate use do not exist. Clinicians should be aware of the detrimental effects including adhesion formation, stiffness and prevention of nerve and tendon movement.
Sources:
American Academy of Orthopaedic Surgeons. Clinical practice guideline on the treatment of carpal tunnel syndrome [Internet]. 2008 Sep [cited 2014 Feb 20].
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Cook AC, et al. Early mobilization following carpal tunnel release. A prospective randomized study. J Hand Surg Br. 1995 Apr;20(2):228-30. PMID: 7797977.
Fagan DJ, et al. A controlled clinical trial of postoperative hand elevation at home following day-case surgery. J Hand Surg Br. 2004 Oct;29(5):458-60. PMID: 15336749.
Finsen V, et al. No advantage from splinting the wrist after open carpal tunnel release. A randomized study of 82 wrists. Acta Orthop Scand. 1999 Jun;70(3):288-92. PMID: 10429608.
Hochberg J. A randomized prospective study to assess the efficacy of two cold-therapy treatments following carpal tunnel release. J Hand Ther. 2001 Jul-Sep;14(3):208-15. PMID: 11511016.
Jeffrey SL, et al. Use of arnica to relieve pain after carpal-tunnel release surgery. Altern Ther Health Med. 2002 Mar-Apr;8(2):66-8. PMID: 11892685.
Martins RS, et al. Wrist immobilization after carpal tunnel release: A prospective study. Arq Neuropsiquiatr. 2006 Sep;64(3A):596-9. PMID: 17119800.
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Related Resources:
Patient Decision Aid: Carpal tunnel syndrome – treatment options