Kedley Combined Wrist & Thumb Splint – Right Hand – Support Level 6 Orthopaedic Wrist and Thumb Immobilisation for Carpal Tunnel Syndrome, De Quervain's Tenosynovitis, RSI, Wrist Sprain, Tendonitis & Weak or Arthritic Wrist and Thumb
Kedley Combined Wrist & Thumb Splint – Right Hand – Support Level 6 Orthopaedic Wrist and Thumb Immobilisation for Carpal Tunnel Syndrome, De Quervain's Tenosynovitis, RSI, Wrist Sprain, Tendonitis & Weak or Arthritic Wrist and Thumb
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Product Details
Kedley Combined Wrist & Thumb Splint – Right Hand – Support Level 6 Orthopaedic Wrist and Thumb Immobilisation for Carpal Tunnel Syndrome, De Quervain's Tenosynovitis, RSI, Wrist Sprain, Tendonitis & Weak or Arthritic Wrist and Thumb
The Kedley Combined Wrist & Thumb Splint is a Support Level 6 orthopaedic splint providing maximum simultaneous immobilisation of both the wrist and the first ray (thumb and carpometacarpal joint) — the highest level of wrist and thumb support available within the Kedley range. The palmar splint maintains the wrist in a neutral or slightly extended functional position, eliminating the nocturnal and sustained flexion/extension that loads the median nerve in carpal tunnel syndrome and the APL/EPB tendons in De Quervain's tenosynovitis. The thumb hole and dedicated thumb strap extend the immobilisation distally to the proximal phalanx of the thumb, restricting CMC and MCP joint movement that provokes first ray tendinopathy, basal thumb arthritis, and thumb sprain pain. The multi-strap Velcro closure (middle strap, top strap, thumb strap) allows independent tension adjustment across the wrist and thumb components for a customised and consistently secure fit.
This is the Right Hand version. The Left Hand version is separately available (both are SKU KED091). From the Kedley Orthopaedic range — manufactured using soft, comfortable materials with an ergonomic palmar splint design appropriate for daytime activity and nocturnal use. MHRA Class 1 Medical Device. Contains Latex — do not use if latex-sensitive. Materials: Cotton, Polyester, Foam, Spandex, Nylon, Latex. EAN: 6009547616181.
Important: This product contains Latex which may cause allergic reactions. Do not use if sensitive to Latex.
Palmar splint immobilises the wrist; thumb hole and dedicated thumb strap extend immobilisation to the first ray — both structures supported simultaneously in a single device at Level 6.
The highest support level in the Kedley wrist range — rigid palmar splint immobilisation appropriate for CTS nocturnal splinting, De Quervain's tenosynovitis, wrist fracture rehabilitation, and severe RSI.
Three independently adjustable Velcro straps (middle, top, thumb) allow precise tension calibration across each region of the splint for a consistently secure, comfortable, and therapeutically effective fit.
From the Kedley Orthopaedic range. Right hand specific. Left hand version separately available. MHRA Class 1 Medical Device registered.
- Support Level 6 — Maximum Wrist and Thumb Immobilisation: The Combined Wrist & Thumb Splint is rated Support Level 6 — the maximum support level in the Kedley wrist and thumb range. Level 6 in the Kedley system denotes rigid splint immobilisation: the palmar splint maintains the wrist in a neutral or slightly extended position, preventing the flexion-extension movement that is the primary mechanical driver of carpal tunnel syndrome symptom provocation and wrist tendinopathy loading. The thumb component extends this immobilisation to the first ray — restricting CMC and MCP joint movement at the base of the thumb that aggravates De Quervain's tenosynovitis, first CMC osteoarthritis, and thumb ligament injury. The combination of wrist and thumb immobilisation in a single device reflects the frequent clinical co-occurrence of wrist and first ray pathology, and avoids the need for separately applied wrist and thumb immobilisation devices.
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Comparison with Other Kedley Wrist and Thumb Products:
Product Level Mechanism Best For Active Elasticated Wrist Support 2 Elasticated compression sleeve Mild wrist ache, overuse, mild tendonitis Pro-Light Neoprene Wrist Support 4 Neoprene compression + thumb loop + Velcro strap Moderate RSI, mild CTS, wrist sprains Aero-Tech Advanced Wrist Support (KD048) 5 Neoprene + thumb loop + power wrap band RSI, CTS, wrist instability, tendonitis with compression Aero-Tech Wrist Splint (KD027) 6 Neoprene + malleable palmar metal splint (fits both hands) CTS nocturnal splinting, RSI, wrist immobilisation — wrist only Aero-Tech Advanced Thumb Brace (KED018) 5 Neoprene + dual removable metal stays + thumb loop + wrist band De Quervain's, thumb CMC OA, UCL sprain — thumb and wrist base Combined Wrist & Thumb Splint Right (KED091) — this listing 6 Soft orthopaedic materials + palmar splint + thumb hole + multi-strap Velcro — Right hand specific Maximum combined wrist and thumb immobilisation — CTS, De Quervain's, wrist fracture rehabilitation, severe RSI, thumb arthritis The key clinical distinction between the Combined Wrist & Thumb Splint and the Aero-Tech Wrist Splint (KD027) is thumb coverage: KD027 immobilises the wrist only and fits either hand; KED091 immobilises both the wrist and the first ray, and is hand-specific. The Combined Wrist & Thumb Splint is the appropriate choice when both structures require simultaneous immobilisation — particularly De Quervain's tenosynovitis concurrent with wrist tendinopathy, first CMC OA with wrist involvement, or post-scaphoid fracture rehabilitation requiring both wrist and thumb rest.
- Contains Latex: Material content includes Latex which may cause allergic reactions. Screen patients for latex allergy before recommending. Do not use if latex-sensitive. Elevated latex sensitisation risk in patients with history of multiple surgical procedures, rubber glove allergy, or fruit-latex cross-reactivity (banana, avocado, kiwi).
- Right Hand Specific: This listing is for the Right Hand version only. The Left Hand version is separately listed (same SKU KED091). Selecting the correct hand is essential — the palmar splint and thumb hole are anatomically configured for the specific hand and cannot be reversed.
- MHRA Class 1 Medical Device: Registered with the Medicines and Healthcare products Regulatory Agency — confirming compliance with UK medical device regulatory standards.
| Condition | Key Clinical Features | Combined Wrist & Thumb Splint Right Appropriate? |
|---|---|---|
| Carpal tunnel syndrome (CTS) | Nocturnal hand pain, numbness and tingling in the median nerve distribution (thumb, index, middle, and radial half of ring finger); worse at night; symptom relief with wrist shaking (Flick sign); may have thenar wasting in severe cases | ✓ Yes — wrist neutral position splinting is the first-line conservative treatment for mild-moderate CTS. Level 6 palmar splint maintains the wrist in neutral throughout sleep, preventing the extreme flexion that maximally elevates carpal tunnel pressure. Most effective when used consistently for nocturnal splinting. GP referral recommended for nerve conduction studies if symptoms are severe or unresponsive. |
| De Quervain's tenosynovitis | Radial wrist pain at the first extensor compartment (APL/EPB); positive Finkelstein test; worse with pinch, lifting, and thumb abduction; common in new mothers (postpartum), racquet sport players, and keyboard users | ✓ Yes — combined wrist and first ray immobilisation reduces APL/EPB tendon sheath loading at the first extensor compartment. The thumb component provides the first ray immobilisation required for De Quervain's management that a wrist-only splint does not deliver. Most effective in the acute and subacute phase alongside anti-inflammatory analgesia. |
| Repetitive strain injury (RSI) — wrist and thumb | Chronic wrist and thumb pain from sustained repetitive hand activity (keyboard, mouse, manufacturing, retail scanning); diffuse aching; worse during and after activity | ✓ Yes — Level 6 immobilisation during peak loading periods reduces cumulative tendon loading. Ergonomic assessment alongside splint use improves outcomes. |
| Wrist sprain — significant | Significant wrist ligament sprain; wrist instability; radiocarpal joint tenderness; following fall on outstretched hand (FOOSH) | ✓ Yes following exclusion of fracture — GP or A&E assessment to exclude distal radius fracture, scaphoid fracture, and TFCC tear before pharmacy-only management. Level 6 splint appropriate for confirmed moderate wrist sprain rehabilitation. |
| Scaphoid fracture post-cast rehabilitation | Following cast removal after scaphoid fracture; wrist stiffness and radial-sided pain; needs continued protection during early mobilisation | ✓ Yes as directed by fracture clinic — combined wrist and thumb splint provides appropriate continued protection during the early post-cast phase. Confirm with fracture management team before recommending. |
| First CMC osteoarthritis (basal thumb arthritis) | Pain at the base of the thumb (CMC joint); worse with pinch and grip; crepitus; common in middle-aged to older females; saddle joint involvement | ✓ Yes for activity-related symptom management — first ray immobilisation reduces arthritic CMC joint loading during pinch-intensive tasks. Level 6 combined splint appropriate for moderate-severe basal thumb OA with concurrent wrist involvement. |
| UCL sprain (skier's/gamekeeper's thumb) | Medial thumb MCP joint pain; pinch instability; following forced abduction injury; tenderness at MCP ulnar collateral ligament | ✓ Yes for conservative management of Grade I–II UCL sprain — thumb immobilisation protects the healing UCL. Grade III UCL tears require surgical assessment. Confirm grade before conservative management recommendation. |
| Tendonitis / tenosynovitis — wrist extensors/flexors | Localised wrist tendon pain; worse with resisted wrist movement; overuse aetiology | ✓ Yes — Level 6 wrist immobilisation during acute and subacute tendon inflammation phases reduces mechanical loading of inflamed tendon structures. |
| Suspected distal radius fracture | FOOSH injury; wrist deformity; point tenderness over distal radius; inability to load wrist | A&E assessment and X-ray required. Do not apply this splint to a suspected fracture without imaging. Pharmacy splint is appropriate only after fracture management plan has been confirmed by the treating team. |
| Trigger thumb | Thumb catching, locking, or clicking at A1 pulley; pain at volar thumb MCP joint; worse on waking | Trigger thumb is primarily managed through corticosteroid injection rather than immobilisation — GP or hand therapy assessment recommended before recommending this splint as the primary treatment. |
Pharmacist Guidance — CTS Nocturnal Splinting Protocol: For mild-moderate carpal tunnel syndrome, NICE clinical evidence supports neutral-position wrist splinting as effective first-line conservative management. Key clinical points for pharmacy CTS splinting: (1) The splint must maintain the wrist in neutral (0°) or slight extension — not in flexion, which increases carpal tunnel pressure; confirm the palmar splint achieves this for the individual patient's anatomy. (2) Nocturnal splinting is the evidence-based application — patients should wear the splint during sleep and remove it for daytime activity unless occupational loading is a primary symptom driver. (3) Bilateral CTS is common — if the patient has bilateral symptoms, both hands will require splinting; confirm whether the Left Hand version (KED091 Left) is also needed. (4) Severe CTS with thenar wasting or constant daytime numbness requires urgent GP referral for nerve conduction studies and surgical assessment — splinting alone is not appropriate for advanced CTS.
⚖️ Fair Balance — Splinting as Conservative Management: The Combined Wrist & Thumb Splint provides effective conservative symptom management for the conditions listed above, but does not address the underlying structural or occupational causes of wrist and thumb pathology. For CTS, carpal tunnel decompression surgery remains significantly more effective than splinting for moderate-severe disease. For De Quervain's tenosynovitis, corticosteroid injection has a higher short-term resolution rate than splinting alone. For RSI, ergonomic workstation modification and activity modification are essential adjuncts to splinting for durable recovery. Patients using the splint without improvement after 4–6 weeks should be reviewed by their GP for consideration of additional management — including injection therapy, physiotherapy, or surgical referral where appropriate.
- Step 1 — Check the size and confirm Right Hand: Check the size limit on the packaging and confirm this is the Right Hand version before application. The palmar splint and thumb hole are anatomically configured for the right hand — applying the right version to the left hand will result in an incorrect fit and compromised support.
- Step 2 — Slide hand into the support with the palm splint on the palm: Open all straps fully. Slide the right hand into the splint with the rigid palmar splint resting against the palmar surface of the hand and wrist. The wrist should be in a neutral or very slightly extended position — not in flexion. A wrist held in flexion within the splint increases rather than reduces carpal tunnel pressure, negating the primary therapeutic benefit.
- Step 3 — Insert thumb through the thumb hole: Pass the thumb through the designated thumb hole on the radial side of the splint. The thumb hole should sit comfortably at the base of the thumb without cutting into the thenar eminence or the first web space.
- Step 4 — Secure the middle strap, then the top strap: Fasten the middle Velcro strap (across the mid-wrist) first, then the top strap (distal forearm). Both straps should be firm enough to prevent the splint shifting during use but not constrictive.
- Step 5 — Adjust the thumb strap, then readjust all straps: Secure the thumb strap to achieve comfortable first ray immobilisation. Once all straps are fastened, readjust each for the desired overall compression and security — final tension should hold the splint firmly against the palmar surface throughout the intended activity or sleep period.
- Step 6 — Check circulation: Confirm all five fingers have normal warmth, colour, and sensation. Any numbness, tingling, or colour change in the fingers or thumb requires immediate strap loosening and reassessment.
- Wearing schedule: For CTS — nocturnal use during sleep is the primary recommendation. For De Quervain's tenosynovitis and acute wrist tendinopathy — daytime use during activities provoking symptoms, with progressive reduction as the condition resolves. For RSI — during peak occupational loading periods alongside ergonomic review. Continuous 24-hour use is generally not recommended for sustained periods without clinical review.
- Washing: Hand wash in lukewarm soapy water, rinse thoroughly, and air dry completely before re-use. Do not machine wash, tumble dry, or iron. Store in a cool, dry place away from direct heat and sunlight.
Pharmacist Guidance — Confirming Neutral Wrist Position: The single most important fitting check for this splint — particularly for CTS management — is that the wrist is in neutral or slight extension, not in flexion. A wrist held in flexion by the splint (which can occur if the palmar splint is too short for the patient's forearm length, or if the straps are fastened with the wrist inadvertently flexed) will increase rather than reduce carpal tunnel pressure. At the point of dispensing, confirm the patient can achieve a neutral wrist within the splint before leaving the consultation, and demonstrate how the strap tensions affect wrist positioning.
⚠️ Important Safety Information:
- Contains Latex: This product contains Latex which may cause allergic reactions. Do not use if sensitive to Latex. Remove immediately and seek medical advice if any skin reaction, rash, or contact dermatitis develops at the splint contact area.
- Right Hand Specific: This splint is anatomically configured for the right hand only. Applying the right version to the left hand will result in incorrect palmar splint positioning and inadequate wrist and thumb support. Ensure the correct hand version is selected before dispensing.
- Circulation Check After Application: After fitting, confirm all five fingers have normal warmth, colour, and sensation. Numbness, tingling, pallor, or cyanosis in the fingers or thumb requires immediate strap loosening. If symptoms persist after loosening, remove the splint and seek medical advice.
- Suspected Fracture: Do not apply this splint to a suspected distal radius, scaphoid, or thumb fracture without prior imaging. Pharmacy splinting is appropriate only after fracture has been excluded or definitive fracture management has been confirmed by the treating team.
- Severe CTS: Patients with thenar wasting, constant daytime numbness, or significant weakness of thumb opposition have advanced CTS that requires urgent GP referral for nerve conduction studies and surgical assessment. Splinting alone is not appropriate management for advanced CTS.
- Prolonged Use Without Improvement: Patients using this splint for more than 4–6 weeks without meaningful symptom improvement should be reviewed by their GP for consideration of additional management options including injection therapy, physiotherapy, or surgical referral.
- Do Not Use over open wounds, broken skin, or active dermatological conditions on the hand or wrist.
- Discontinue Use if pain worsens, skin irritation, rash, or any latex reaction develops. Seek medical advice.
- Keep Out of Reach of Children.
| Specification | Detail |
|---|---|
| Brand | Kedley |
| Product | Combined Wrist & Thumb Splint |
| SKU | KED091 |
| EAN | 6009547616181 |
| Support Level | Level 6 (Rigid Palmar Wrist and Thumb Splint) |
| Hand | Right Hand Only |
| Size | Universal (One Size — check size limit on packaging) |
| Also Available | Left Hand version — separately listed (same SKU KED091, EAN to confirm with supplier) |
| Design | Palmar splint; thumb hole; adjustable multi-strap Velcro closure (middle strap, top strap, thumb strap) |
| Materials | Cotton, Polyester, Foam, Spandex, Nylon, Latex |
| Allergen Warning | Contains Latex — do not use if latex-sensitive |
| Regulatory Status | MHRA Class 1 Medical Device (registered) |
| Product Range | Kedley Orthopaedic |
| Intended Use | Wrist and thumb immobilisation; CTS; De Quervain's tenosynovitis; RSI; wrist sprain; tendonitis; thumb arthritis |
| Pack Contents | 1 Unit (Right Hand Splint) |
| Distributor (UK) | Paul Murray Plc (Murrays Health & Beauty) |
| Condition | New |
| Domain Product ID | UKM-KED091-R |
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