How we select an appropriate thumb arthritis splint

There are many factors that go into choosing an appropriate thumb splint. Key considerations such as the significance of the thumb pain, degree of arthritic change and when the splint is to be worn will aid a therapist and their decision making process. Splints for the thumb can be categorised into ‘functional’ splints or ‘resting’ splints.

A functional splint will be more flexible or allow function whereas a resting splint is designed to immobilise or significantly reduce movement. Splints can come in many forms and will be either ready-to-fit or custom-made. A variety of materials can be used to fabricate a custom splint including thermoplastics, neoprene or leather.

Thumb arthritis commonly produces an aching pain. Repetitive pinching and gripping are normally aggravating factors and will make the pain worse. Occasionally acute sharp pain might occur during specific movements such as opening a jar or holding a small object like a pen.

The purpose of considering a splint in the first place for thumb arthritis is to reduce pain and assist with the anatomical alignment of the carpo-metacarpal joint (base of thumb.) A better aligned joint will reduce micro-movement and improve thumb stability.

When might a ‘functional’ splint be needed?

A working splint normally is selected based on the type of activity someone might need to be doing or prioritising. If there is pain during a specific activity, a splint might be needed that still allows someone to perform that activity with ease. For example, a nurse whom is routinely hand washing will need a splint that is easily removable with hygiene of the splint being a top priority. The Push thumb CMC brace would be an ideal option for this.

Older patients whom have fragile skin, might be better suited to a softer type of brace / splint. Heavy manual labouring could necessitate a very durable option such as a leather splint.

When might a ‘resting’ splint be needed?

A resting splint is often helpful at nights or for sleep if someone is waking in the middle of the night or wakes with pain. Another reason for selection of this type of splint might be in an acute situation where pain is usually un-relenting or after an acute injury. Resting splints are also used after surgeries.

There is a lot of clinical reasoning and decision making that goes into selecting the most suitable thumb arthritis splint / brace. If wanting specific advice for your painful thumb, book in with one of our team.

 

 

Sale!

Push Ortho CMC Thumb Brace

Original price was: $85.00.Current price is: $74.00.

SA Hand Therapy offers the Push® Ortho CMC Thumb Brace—trusted by hand therapists for stabilising CMC joint osteoarthritis while maintaining hand function.

Description

Push® Ortho CMC Thumb Brace – Trusted by Hand Therapists

At SA Hand Therapy, we have a deep understanding of anatomy and physiology and this brace takes into consideration several factors impacting people with thumb pain. The Push® Ortho CMC Thumb Brace is a clinically proven solution for thumb CMC osteoarthritis and instability, offering optimal stabilisation without restricting function.

It has been designed by a hand therapist to provide targeted support for individuals experiencing thumb carpometacarpal (CMC) joint  / basal thumb joint discomfort. This brace effectively alleviates pain and enhances pinch and grip strength without compromising overall hand mobility. It is easy to take on and off and can withstand wet environments and heavier activity. It can be worn under gloves if required.

The Push thumb brace is best worn during activities that involve pinching and gripping. It is important that the correct fit is achieved through gentle pushing of the metal insert at initial application. We find that this brace fits most of our clients with thumb pain but is not appropriate for everyone. If there is any doubt, we suggest a consultation with a hand and upper limb therapist to tailor the best thumb splint for you. See how we select an appropriate thumb splint here.

 

Wearing / General Tips:

    1. We like to recommend doing each strap up firmly and then once secured, go back to the strap closer to the wrist and adjust slightly more firmly than the strap closer to the fingers. This positions the CMC joint in a preferred anatomical posture.
    2. Use for activity rather than rest
    3. Wear the brace before during activity that is likely to stir up the thumb pain
    4. Always consider a targeted hand and thumb strengthening program in conjunction with thumb splinting to prevent long-term weakness.

 

 

Key Features:

  • Functional Stabilisation: Ensures optimal hand function by maintaining the thumb in a natural, pain-free position.
  • User-Friendly Design: The intuitive closure system allows for effortless self-application and adjustment, ensuring a secure fit.
  • High-Quality Materials: Constructed from durable, skin-friendly materials with rounded edges, the brace offers maximum comfort and longevity. It is antimicrobial, water-resistant, and easy to clean, making it suitable for daily wear during various activities, including work, household chores, and sports like golf or tennis.

 

Which size do I need?

measure around knuckles / palm of hand with a soft tape measure

SIZE Circumference (CM)
1 16 – 19.5
2 19.5 – 22.5
3 22.5 – 26

Endorsed by SA Hand Therapy

Why do we recommend this product?

  • We are very fussy about off-shelf splints. This is our favourite and most commonly prescribed rigid option. We have trialed many variations and nothing compares to the Push CMC joint splint / brace for its overall ease of use and comfort.
  • It’s an outstanding option for base of thumb arthritis, thumb pain and CMC joint hypermobility
  • The contouring sits well around the thumb when the correct size is selected.

 

(Note: Manufacturers’ instructions for use should be followed. Please seek personalised health advice/ follow your healthcare provider’s recommendations for product use, as indicated. If you would like a personalised hand therapy assessment, book here with telehealth available if required.)

Additional information

Size

Size 1, Size 2, Size 3

Side

Left, Right

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