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Related Experiment Video

Updated: May 20, 2026

Metacarpal Small Incision for Carpal Tunnel Syndrome

Metacarpal Small Incision for Carpal Tunnel Syndrome

Published on: April 5, 2024

Splinting for carpal tunnel syndrome.

Matthew J Page¹, Nicola Massy-Westropp, Denise O'Connor

¹School of Public Health & Preventive Medicine, Monash University, Melbourne, Australia. matthew.page@monash.edu.

The Cochrane Database of Systematic Reviews

|July 13, 2012

Summary

Wrist splinting for carpal tunnel syndrome (CTS) may offer short-term benefits compared to no treatment. However, evidence on splint effectiveness, optimal use, and long-term outcomes for CTS remains limited.

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Screening of Axonal Degeneration in Carpal Tunnel Syndrome Using Ultrasonography and Nerve Conduction Studies

Screening of Axonal Degeneration in Carpal Tunnel Syndrome Using Ultrasonography and Nerve Conduction Studies

Published on: January 11, 2019

Area of Science:

Orthopedics and Sports Medicine
Neurology
Rehabilitation

Background:

Carpal tunnel syndrome (CTS) involves median nerve compression at the wrist, causing pain, numbness, and tingling.
Splinting is a common non-surgical treatment for mild to moderate CTS symptoms.
The efficacy and duration of benefit from splinting for CTS are not well-established.

Purpose of the Study:

To evaluate the effectiveness of wrist splinting for carpal tunnel syndrome.
To compare splinting against no treatment, placebo, or other non-surgical interventions.
To assess different splint designs and wearing regimens for CTS.

Main Methods:

Systematic review and meta-analysis of randomized and quasi-randomized controlled trials.
Comprehensive literature search across multiple databases (Cochrane, MEDLINE, EMBASE, etc.) with no time restrictions.
Inclusion of studies comparing splinting (various types/regimens) with no treatment or other non-surgical options for diagnosed CTS patients.

Main Results:

Nineteen studies involving 1190 participants were included.
Limited evidence suggests night splinting may improve short-term outcomes compared to no treatment (RR 3.86), though study quality was low.
Insufficient evidence exists for comparing different splint designs, wearing regimens, or splinting versus other non-surgical treatments; adverse effects were minimal.

Conclusions:

A splint worn at night shows limited short-term benefit over no treatment for carpal tunnel syndrome.
Insufficient evidence exists regarding the comparative effectiveness and safety of different splint types, regimens, or splinting versus other non-surgical interventions.
Further research is needed to determine the long-term effects and optimal use of splinting for CTS.