Custom Splinting 

At Bel Air Center for Plastic and Hand

Splinting the upper extremity is a unique and highly skilled responsibility of the hand therapist.  The provider that diagnosed you will write a prescription for a specific splint to promote healing.  The decision of splint type will be specific to the needs of your injury or condition.


Custom splints (orthoses) are fabricated using a light weight thermoplastic material.  There are a variety of types of thermoplast materials used for splints.  Your therapist will choose the material that best meets the needs of the splint he or she is making.   Custom splints are molded to the patient to accommodate for differences in anatomy, swelling, or wounds.  These custom splints can be remolded as swelling decreases or if there is any pain or skin irritation caused by them.  The splints should never cause redness or skin irritation and need to be adjusted if this happens by the therapist. 


Static splints have no moving parts.  An example of a static splint is a wrist splint that holds the wrist stable in a patient that has a wrist sprain.  The purpose of a static splint is to rest, protect, position, and immobilize.  This helps injuries heal and with pain reduction.  Sometimes these static splints are remolded over and over to increase motion and decrease tightness.

Types of splints:


Dynamic splints have moving parts that stretch joints or allow controlled exercises when you are wearing the splint.  The skill of the hand therapist is necessary to ensure the amount of force applied in these splints is appropriate.  If the force is too high this can cause skin breakdown.

Static Dynamic

Static progressive splints apply an adjustable force/stretch to a tight joint.  The part of the splint that stretches the joint can incrementally increase the stretch as the stretch is easier to tolerate by the patient.  These splints often have to be adjusted frequently by the therapist to make sure the angle of the stretch is correct.  The primary goal or these splints is to improve motion of a stiff joint.

The staff at Bel Air Center for Plastic and Hand are always happy to address any of your questions.  We understand that every patient is unique, and specifically aim to cater our care to reflect our patients' needs.  



Bel Air South Professional Center

2012 South Tollgate Road, Suite 100

Bel Air, MD 21015

Ramon A. DeJesus, M.D., FACS

Mathew A. Thomas, M.D.

Eric Davies, PA-C

Rachel Pigott, OT, CHT

Stefanie Stevenson, OT, CHT

Affiliated with:

University of Maryland Upper Chesapeake Health

University of Maryland

Johns Hopkins University

Office Hours:

M-F  8:00am - 4:00 pm