Generated by All in One SEO v4.9.0, this is an llms.txt file, used by LLMs to index the site. # Silver Ring Splint Beautiful, durable sterling silver and gold splints ## Sitemaps - [XML Sitemap](https://www.silverringsplint.com/sitemap.xml): Contains all public & indexable URLs for this website. ## Posts - [Blog](https://www.silverringsplint.com/resources/blog/) - [Hello and welcome to the SRS Blog!](https://www.silverringsplint.com/general-news/hello-and-welcome-to-the-srs-blog/) - This will be a space for monthly articles, Q and A’s with therapists, and guest writers to talk about splints, hand therapy, Ehlers Danlos and more. Check back soon for our first post! ## Pages - [Home](https://www.silverringsplint.com/) - [Resources](https://www.silverringsplint.com/resources/) - Resources What if my splint doesn't fit? All regular splints may be exchanged free of charge if they are in “like new” condition. We encourage patients to try out splints to make sure they fit properly. The silver from which the splints are manufactured is malleable and the angle between the rings may be manually - [How to Obtain Splints](https://www.silverringsplint.com/consumers/how-to-obtain-splints/) - How to Obtain Splints You will need a referral from your physician to an Occupational Therapist (OT), Physical Therapist (PT), or Certified Hand Therapist (CHT) who is familiar with splinting. If you need the name of a therapist in your community who is familiar with our products, please contact us. In order to make appropriate - [Shipping & Returns](https://www.silverringsplint.com/resources/shipping-returns/) - Shipping & Returns Shipping All new orders are shipped free of charge. We are located in Charlottesville, VA which is on the East Coast of the United States. We do everything we can to mark the packages as medical devices to avoid any duties or customs, but they will be the responsibility of the recipient. - [Contact](https://www.silverringsplint.com/contact/) - Have a question or comment for us? Fill out the form below! Looking for a therapist please click here. - [Insurance Coverage](https://www.silverringsplint.com/consumers/insurance-coverage/) - Insurance Coverage One of the most common questions we get: “will insurance companies cover our splints and what codes do I use?”. Yes, insurance companies do cover our splints but it depends on many variables. We have seen 100% coverage, partial and no coverage. We do not bill insurances so the first step is to - [Catalogs](https://www.silverringsplint.com/resources/catalogs/) - Please download the above PDF - [Warranty](https://www.silverringsplint.com/resources/warranty/) - Warranty The Silver Ring Splint Company stands behind its products and services. We will happily exchange for another size at no additional cost, or provide a full refund for any standard splint which has not been used or damaged. The Silver Ring Splint Company warrants its products against defects in material and workmanship for one - [Therapists in your Area](https://www.silverringsplint.com/consumers/therapists-in-your-area/) - Therapists in Your Area Find your perfect fit! We have thousands of trusted therapists across the United States and in many other countries, that can assist you in the splinting process. The following links will help you find certified hand therapists (CHT) or hand surgeons in your area. Find a certified hand therapist (CHT) in - [Ehlers-Danlos Syndrome (EDS)](https://www.silverringsplint.com/problems-addressed/eds/) - Ehlers-Danlos, Hypermobility and our Splints Silver Ring splints can be used in a variety of ways to help with the issues and symptoms of EDS and hypermobility. This FLYER is helpful summary of the information below for a patient or to take to a therapist when starting the process of measuring and ordering SilverRing TM splints. - [Thumb MCP Problems](https://www.silverringsplint.com/problems-addressed/thumb-mcp-problems/) - Hyperextension of the middle joint of the thumb beyond a neutral position may result in a painful and unstable joint, decreased power, and difficulty in grasping large objects. Without stabilizing or “blocking” the hyperextension, the joint can become dislocated resulting in a loss of function. - [Therapists](https://www.silverringsplint.com/therapists/) - Therapists We recognize that each patient you encounter has a unique set of needs. This is why we don’t mass-produce anything and instead encourage you and your patient to think of SilverRing™ Splints as a toolkit for creative, thoughtful and sometimes completely original approaches to splinting. As you think about splinting and the enormous variety - [Privacy Policy](https://www.silverringsplint.com/privacy-policy/) - Privacy Policy This privacy policy has been compiled to better serve those who are concerned with how their 'Personally Identifiable Information' (PII) is being used online. PII, as described in US privacy law and information security, is information that can be used on its own or with other information to identify, contact, or locate a - [EZ-Sizer Measuring Tool](https://www.silverringsplint.com/resources/ez-sizer-measuring-tool/) - SilverRing™ EZ-Sizer™ Measuring Tool Sizing has never been easier! The SilverRing™ EZ-Sizer™ Measuring Tool allows you to measure for SilverRing™ splints with ease and accuracy. Designed to match the patented elliptical shape of our splints, this specialized measuring tool ensures a perfect fit. The individual EZ-Sizers™ fit conveniently into the Holders to form “splints”, allowing - [Glossary](https://www.silverringsplint.com/resources/glossary/) - Glossary Abduction – spread apart Adduction – bring together Boutonniere - joint assumes a flexed (bent) position Bowstringing – pulling of the tendon away from the bone in the finger because of a disruption of the sheath which normally holds a tendon in place Contracture – joint assumes a flexed (bent) position Deviation – movement - [Printouts and Forms](https://www.silverringsplint.com/resources/downloads/) - Printouts and Forms - [Videos](https://www.silverringsplint.com/resources/videos/) - Videos Click on measuring instruction video's for in site on what splints are most appropriate and how to measure for them. - [FAQs](https://www.silverringsplint.com/therapists/faqs/) - Therapist Frequently Asked Questions - [Useful Tips](https://www.silverringsplint.com/therapists/useful-tips/) - Useful Tips - [Measuring Instructions](https://www.silverringsplint.com/therapists/measuring-instructions/) - Measuring Instructions Download all of the information that you need right here. - [FAQs](https://www.silverringsplint.com/consumers/faqs/) - Consumer Frequently Asked Questions - [Consumers](https://www.silverringsplint.com/consumers/) - Consumers The hand is a marvelous tool that performs both subtle, delicate movements and powerful sustained, or repetitive work. We depend on our hands to convey our feelings, receive information and interact with our environment. When disease or injury interrupts the balance of the muscles, ligaments or joints, it has great impact both physically and - [Testimonials](https://www.silverringsplint.com/about/testimonials/) - Testimonials We love to hear success stories! Submit a Testimonial - [About](https://www.silverringsplint.com/about/) - About Us In 1974, occupational therapist Cynthia Garris was forced to take a new look at splint therapy – in that year, she was diagnosed with Rheumatoid Arthritis. She had long believed in the value of splinting, but soon realized that none of the existing technologies addressed the long-term use of splints. While plastic splints - [Triggering](https://www.silverringsplint.com/problems-addressed/triggering/) - A nodule or inflammation and “thickening” on the flexor tendon may cause irregular movement of the finger. The finger feels “locked” in the bent position and when it is straightened, there is a painful snap. Repetitive activities aggravate this condition and pain starts limiting function. Splints may be used to limit bending of the finger - [Thumb IP Problems](https://www.silverringsplint.com/problems-addressed/thumb-ip-problems/) - Hyperextension of the end of the thumb beyond the neutral position may result in a painful joint, decreased power when pinching and difficulty picking up or manipulating small objects. Without stabilizing or “blocking” the hyperextension, the deformity can become progressively worse, ultimately becoming stuck in the hyperextended position, making it impossible to pick up objects - [MP Deviation](https://www.silverringsplint.com/problems-addressed/mp-deviation/) - Instability of the joints at the base of the finger (the knuckle joints) may allow the fingers to stray to the side or cross over or under each other, making it difficult to hold objects or work on a computer. If a finger cannot actively be brought into alignment with the adjacent finger, it may - [Flexion](https://www.silverringsplint.com/problems-addressed/flexion/) - Flexion is the inability to actively straighten a finger joint to the neutral position which may result in a painful joint, the inability to open the hand wide enough to grasp objects or difficulty when putting the hand in a pocket or putting on gloves. This deformity can result from juvenile rheumatoid arthritis, osteoarthritis, or - [Lateral Instability](https://www.silverringsplint.com/problems-addressed/lateral-instability/) - Sideways deviation of a finger may result in a painful joint, disrupted normal movement, and an unstable finger, which crosses under an adjacent one. It is accentuated when force is applied during pinching or lifting. This deformity can be the result of injury, or lax ligaments due to joint replacement or disease. - [Hyperextension](https://www.silverringsplint.com/problems-addressed/hyperextension/) - Hyperextension of a finger joint beyond the neutral position may result in a painful joint, decreased power when pinching and a delay in being able to bend the finger. Without stabilizing or “blocking” the hyperextension, the deformity can become progressively worse. In addition to looking very abnormal, severe hyperextension can ultimately result in a loss - [Problems Addressed](https://www.silverringsplint.com/problems-addressed/) - Problems Addressed - [Splint Store](https://www.silverringsplint.com/splint-store/) - Shop Splints Click on products to learn more about each splint and its function and order online (when available). - [Your Location](https://www.silverringsplint.com/choose-location/) ## Testimonials - [Kelly Yangula Asfour](https://www.silverringsplint.com/testimonial_cpt/kelly-yangula-asfour/) - I cannot recommend these enough. The splints are great and the customer service is absolutely phenomenal! - [Mila Johns](https://www.silverringsplint.com/testimonial_cpt/mila-johns/) - My Silver Ring Splints are a lifesaver! There are a 'must' for anyone with EDS. - [Jodi Neerings-Byam](https://www.silverringsplint.com/testimonial_cpt/jodi-neerings-byam/) - I have been wearing your ring splints for 4 years as a nurse doing blood draws and IVs. I love them! They stabilize my joints even under my gloves!!! - [Vickie Keeling-Shelton](https://www.silverringsplint.com/testimonial_cpt/vickie-keeling-shelton/) - I’m an occupational therapist with Rheumatoid Arthritis. I’ve been wearing a Swan Neck Splint on each finger for more than a year. It is difficult to accept the diagnosis of a life-long debilitating disease, but I have found that explaining the purpose of my "beautiful rings" has helped me with the healing process. - [Paulette Yager](https://www.silverringsplint.com/testimonial_cpt/paulette-yager/) - Your SilverRing Splint concept is great. An O.T. can make almost anything for the hand with splint material and Velcro, but most patients would rather just bear the deformity than look conspicuous. - [A Music Educator](https://www.silverringsplint.com/testimonial_cpt/a-music-educator/) - A 14-year old girl who came to me for guitar lessons had the loosest finger joints I had ever seen and great difficulty playing. Two weeks after going for an evaluation, she returned with your ring splints on every joint… and a huge smile! - [Flip Breskin](https://www.silverringsplint.com/testimonial_cpt/flip-breskin/) - How can I tell you what a difference your splints have made in my life? For nearly 10 years, I hardly picked up my guitar. Within months of beginning to wear your splints, the pain eased. Music is again the center of my life. Thank you. - [Mary Leifheit](https://www.silverringsplint.com/testimonial_cpt/mary-leifheit/) - It is rewarding to have patients come back excited about how much easier it is to do things and how good their hands look doing it. - [Stephanie](https://www.silverringsplint.com/testimonial_cpt/stephanie/) - Your Silver Ring Splints are the real deal, and people need to know that, especially with all the ‘gimmicks’ out there for solving everything from cancer to hang-nails. When it’s an ailment such as those serviced by your product, people need to understand that the simple support of one Silver Ring Splint will out-do all - [Stephanie M. Marchi](https://www.silverringsplint.com/testimonial_cpt/stephanie-m-marchi/) - I wanted to let you know that I’ve been using two different Silver Ring Splints for several months now. They are ridiculously amazing and I can’t tell you how much they’ve helped me in everyday life. In addition to stabilizing my fingers while I’m writing, painting and performing tasks that require uninhibited small motor skills, ## Downloads - [Order Form](https://www.silverringsplint.com/resources/downloads/order-form/) - [Spanish Version](https://www.silverringsplint.com/resources/downloads/current-catalog-spanish/) - [English Version](https://www.silverringsplint.com/resources/downloads/current-catalog-english/) - [Beauty is an option - Stone Brochure](https://www.silverringsplint.com/resources/downloads/beauty-is-an-option-stone-brochure/) - [Letter of Medical Necessity template](https://www.silverringsplint.com/resources/downloads/letter-of-medical-necessity-template/) - [Swan Neck Splint keeping a finger in forced flexion](https://www.silverringsplint.com/resources/downloads/swan-neck-splint-keeping-a-finger-in-forced-flexion/) - [Swan Neck Splints worn on PIP and DIP of one finger](https://www.silverringsplint.com/resources/downloads/swan-neck-splints-worn-on-pip-and-dip-of-one-finger/) - [Swan Neck PIP and Boutonniere DIP worn in Tandem](https://www.silverringsplint.com/resources/downloads/swan-neck-pip-and-boutonniere-dip-worn-in-tandem/) - [Stable Thumb plate options](https://www.silverringsplint.com/resources/downloads/stable-thumb-3-model-comparison/) - [Lip Width: Regular vs. Extra Strength vs. Extra Wide](https://www.silverringsplint.com/resources/downloads/lip-width-regular-vs-extra-strength-vs-extra-wide/) - [Care Instructions](https://www.silverringsplint.com/resources/downloads/care-instructions/) - [SilverRing™ EZ-Sizer™ Measuring Instructions](https://www.silverringsplint.com/resources/downloads/silverring-ez-sizer-measuring-instructions/) - [Price List](https://www.silverringsplint.com/resources/downloads/price-list/) - [Useful Tips](https://www.silverringsplint.com/resources/downloads/useful-tips-dl/) - [Return Form](https://www.silverringsplint.com/resources/downloads/rma-form/) - [Adjustment Flyer](https://www.silverringsplint.com/resources/downloads/adjustment-flyer/) ## FAQs - [How does one order gold splints? How much does a gold splint cost?](https://www.silverringsplint.com/faqs/how-does-one-order-gold-splints-how-much-does-a-gold-splint-cost/) - Gold splints are special order splints and cannot be returned. Gold splint prices are based on the market price of gold on the day the splint is ordered. For example, when the market price of gold is $2,800: Swan Neck splints range between $800-1,100 based on size. The size and fit and angle of the - [How do I return a splint?](https://www.silverringsplint.com/faqs/how-do-i-return-a-splint/) - Splints that are unused or returned in new condition may be exchanged free of charge. Used or damaged splints may not be returned for exchange, credit or refund. Any modification to or repair of the splints by anyone other than the Silver Ring Splint Co. voids our warranty. Splints that are damaged, badly scratched, etc - [Are there codes for billing insurance companies?](https://www.silverringsplint.com/faqs/are-there-codes-for-billing-insurance-companies/) - Will insurance companies cover the splints and what codes does one use? Yes, insurance companies may cover our splints but it depends on many variables. We do not bill insurance so the first step is to contact the provider and check what process one may need to follow to get the splints covered. The provider may - [What if the splint does not fit?](https://www.silverringsplint.com/faqs/what-if-the-splint-does-not-fit/) - All regular splints may be exchanged free of charge if they are in “like new” condition. We encourage patients to try out splints to make sure they fit properly. The silver from which the splints are manufactured is malleable and the angle between the rings may be manually changed to adjust the fit of the - [What kind of splint do I order?](https://www.silverringsplint.com/faqs/what-kind-of-splint-do-i-order/) - Consult with a therapist or another medical professional that understands hands and is familiar with our splints to evaluate your hand function and make recommendations on whether our splints are right for you. If you need the name of a therapist in your area who is familiar with our products, please contact us. In order to - [Should I order regular strength, extra strength or wide splints?](https://www.silverringsplint.com/faqs/should-i-order-regular-strength-extra-strength-or-extra-wide-splints/) - We no longer offer regular strength splints. Extra strength splints have become our standard for all our products so as to provide the best quality and durability. Wide splints are made from the same gauge wire as extra strength splints, but have an increased lip width to help disperse the pressure on the dorsal surface - [What are Non-Returnable Splints?](https://www.silverringsplint.com/faqs/what-are-special-order-splints/) - Non-Returnable Splints are splints that are unique and not part of our normal product line. Gold splints and splints with precious or semi-precious stones are Non-Returnable Splints. Non-Returnable Splints may not be returned for size changes, refund or credit. Because Non-Returnable Splints may not be returned, there are specific steps that are followed in the - [How does one order a splint with a precious or semi-precious stone? How much does a splint with a precious or semi-precious stone cost?](https://www.silverringsplint.com/faqs/how-does-one-order-a-splint-with-a-precious-or-semi-precious-stone-how-much-does-a-splint-with-a-precious-or-semi-precious-stone-cost/) - Splints with stones are “special order splints” and cannot be returned. Before you call us, please consider your choices. You will have to choose either gold or silver, a kind of stone (i.e. Ruby, Sapphire, Peridot, etc.), a stone quality (i.e. genuine, lab grown or synthetic) and a stone size. All these factors will affect - [What happens if I step on my splint? Can I get my splint reshaped?](https://www.silverringsplint.com/faqs/what-happens-if-i-step-on-my-splint-can-i-get-my-splint-reshaped/) - We do offer reshaping of older splints for a nominal fee. The splint must be free of cracks and will need to be returned to us for evaluation. At this time we can determine the splint integrity and will contact you to discuss the options. Please provide contact information, including a telephone number, and payment information - [Are SilverRing™ splints covered by insurance?](https://www.silverringsplint.com/faqs/are-silverring-splints-covered-by-insurance/) - Some insurance companies and insurance programs such as Medicare have covered SilverRing™ splints in the past. Coverage is dependent on variables such as the type of insurance policy and the medical necessity of the splint. Typically a facility or patient orders the splints and submits the invoice to insurance to be reimbursed. Please visit our - [What is the warranty on SilverRing™ splints? Can I get a broken splint repaired?](https://www.silverringsplint.com/faqs/what-is-the-warranty-on-silverring-splints-can-i-get-a-broken-splint-repaired/) - The Silver Ring Splint Company warrants its products against defects in materials and workmanship for one year. Should any product fail to perform for either of the above reasons, the Silver Ring Splint Company will repair or replace the product at no charge. Repairs by anyone other than the Silver Ring Splint Company voids our - [How does one order the EZ-Sizer measuring kit and SilverRing™ splints?](https://www.silverringsplint.com/faqs/how-does-one-order-the-ez-sizer-measuring-kit-and-silverring-splints/) - Facilities, therapists and medical offices may place an order for the EZ-Sizer™ measuring kit and for SilverRing™ splints by submitting our order form, either by fax at 888-456-8828 or email. Our EZ-Sizer™ can also be purchased through North Coast Medical and Performance Health. There is no credit application to submit and our terms are net 30 - [When can I expect my splint to arrive?](https://www.silverringsplint.com/faqs/when-can-i-expect-my-splint-to-arrive/) - We strive to get all SilverRing™ splint orders processed and shipped out in 2-4 business days. Special order splints (those splints noted as special order on our price list), gold splints and splints with stones can take 2-4 weeks for us to manufacture. Shipping times will depend on the method chosen at the time of - [Can I order or reorder splints without going through the facility?](https://www.silverringsplint.com/faqs/can-i-order-or-reorder-splints-without-going-through-the-facility/) - If you are ordering for the first time you must have been evaluated and measured by a therapist. You should have received an order form from the therapist with the splint type and your sizes listed. This order form will have a customer number at the top, which we will use to store your information. - [How much do SilverRing™ splints cost?](https://www.silverringsplint.com/faqs/how-much-do-silverring-splints-cost/) - The Price List is available online. You may also call the company to get a quote on a splint. - [The bracelet with my thumb splint is too long. How can I get it shortened?](https://www.silverringsplint.com/faqs/the-bracelet-with-my-thumb-splint-is-too-long-how-can-i-get-it-shortened/) - The bracelet that is ordered with the splint is a standard eight inch length. During fitting and evaluation, we suggest using a safety pin, twist ties or dental floss to adjust the bracelet to a comfortable length. This adjustment can be tried and changed over several days as the patient gets used to the splint. - [How do I obtain a splint?](https://www.silverringsplint.com/faqs/how-do-i-obtain-a-splint/) - To obtain a SilverRing™ splint, you will need to be seen by a therapist who can evaluate your hand function and recommend whether finger splints will improve your hand function and/or decrease pain. SilverRing™ splints are custom fit for your fingers. In order to obtain custom fit SilverRing™ splints, your fingers will have to be measured - [Why do special order splints have a multi-step ordering process?](https://www.silverringsplint.com/faqs/why-do-special-order-splints-have-a-multi-step-ordering-process/) - Special order splints often have a multi-step ordering process to ensure that special order splints fit and function properly and keeps splint costs lower. We first send special order splints unfinished for fitting and function purposes and for size verification. The thermoplastic splints or plaster molds can be useful in understanding shape, but cannot always be duplicated - [Why does one need a customer number?](https://www.silverringsplint.com/faqs/why-does-one-need-a-customer-number/) - Records for each patient are kept under the customer number of the facility or office where they were measured for splints. This number has nothing to do with billing and insures that the patient was seen by someone with our custom tools. It is required for all orders. With the customer number, we can locate ## Video - [How to measure a SilverRing™ Boutonniere Splint for lateral deviation](https://www.silverringsplint.com/resources/videos/how-to-measure-a-silverring-boutonniere-splint-for-lateral-deviation/) - [How to measure for a SilverRing™Lateral Support Splint](https://www.silverringsplint.com/resources/videos/how-to-measure-for-a-silverring-lateral-support-splint/) ## Instructions - [SilverRing™ Thumb MCP Splint for Hyperextension of MCP Joint with Active Flexion at the MCP and Abduction at the CMC Joint](https://www.silverringsplint.com/therapists/measuring-instructions/silverring-thumb-mcp-splint-for-hyperextension-of-mcp-joint-with-active-flexion-at-the-mcp-and-abduction-at-the-cmc-joint/) - [SilverRing™ Boutonniere Lateral Support Splint for Hyperextension with Lateral Deviation](https://www.silverringsplint.com/therapists/measuring-instructions/silverring-boutonniere-lateral-support-splint-for-hyperextension-with-lateral-deviation/) - [SilverRing™ Boutonniere Lateral Support Splint for Flexion with Lateral Deviation](https://www.silverringsplint.com/therapists/measuring-instructions/silverring-boutonniere-lateral-support-splint-for-flexion-with-lateral-deviation/) - [SilverRing™ Boutonniere Splint for Hyperextension greater than 20°](https://www.silverringsplint.com/therapists/measuring-instructions/silverring-boutonniere-splint-for-hyperextension-greater-than-20/) - [SilverRing™ Boutonniere Splint for Flexion Contractures less than 25°](https://www.silverringsplint.com/therapists/measuring-instructions/silverring-boutonniere-splint-for-flexion-contractures-less-than-25/) - [SilverRing™ Boutonniere Splint for Deviation less than 25°](https://www.silverringsplint.com/therapists/measuring-instructions/silverring-boutonniere-splint-for-deviation-less-than-25/) - [SilverRing™ Lateral Support Splint for Lateral Deviation less than 20°](https://www.silverringsplint.com/therapists/measuring-instructions/silverring-lateral-support-splint-for-lateral-deviation-less-than-20/) - [SilverRing™ Spiral Splint for Thumb IP Hyperextension or Triggering Thumb](https://www.silverringsplint.com/therapists/measuring-instructions/silverrring-spiral-splint-for-thumb-ip-hyperextension-or-triggering-thumb/) - [SilverRing™ Trigger Splint for Recurring Flexor Tenosynovitis of Index-Little Fingers](https://www.silverringsplint.com/therapists/measuring-instructions/silverring-trigger-splint-for-recurring-flexor-tenosynovitis-of-index-little-fingers/) - [SilverRing™ Stable Thumb Splint for Flexion of MCP Joint](https://www.silverringsplint.com/therapists/measuring-instructions/silverring-stable-thumb-splint-for-flexion-of-mcp-joint/) - [SilverRing™ Stable Thumb Splint for Hyperextension of MCP Joint with CMC Joint Involvement](https://www.silverringsplint.com/therapists/measuring-instructions/silverring-stable-thumb-splint-for-hyperextension-of-mcp-joint-with-cmc-joint-involvement/) - [SilverRing™ Pulley Ring Splint for Bowstringing of A-2 Pulley](https://www.silverringsplint.com/therapists/measuring-instructions/silverring-pulley-ring-splint-for-bowstringing-of-a-2-pulley/) - [SilverRing™ Buddy Ring Splint for Adduct Fingers or Abduct Fingers](https://www.silverringsplint.com/therapists/measuring-instructions/silverring-buddy-ring-splint-for-adduct-fingers-or-abduct-fingers/) - [SilverRing™ 2½ Buddy Ring Splint for MP Joint Alignment and Support or to Prevent Scissoring](https://www.silverringsplint.com/therapists/measuring-instructions/silverring-2½-buddy-ring-splint-for-mp-joint-alignment-and-support-or-to-prevent-scissoring/) - [SilverRing™ Dorsal Extension Splint for Flexion or Deviation greater than 25°](https://www.silverringsplint.com/therapists/measuring-instructions/silverring-extension-splint-for-flexion-or-deviation-greater-than-25/) - [SilverRing™ EDS Splint for Hyperextension of MP Joints](https://www.silverringsplint.com/therapists/measuring-instructions/silverring-eds-splint-for-hyperextension-of-mp-joints/) - [SilverRing™ Swan Neck Splint for Hyperextension less than 20°](https://www.silverringsplint.com/therapists/measuring-instructions/silverring-swan-neck-splint-for-hyperextension-less-than-20/) - [SilverRing™ Long Boutonniere Splint for Deviation when extra length is needed](https://www.silverringsplint.com/therapists/measuring-instructions/silverring-realignment-splint-for-deviation-when-extra-length-is-needed/) - [SilverRing™ Long Boutonniere Splint for Flexion when extra length is needed](https://www.silverringsplint.com/therapists/measuring-instructions/silverring-realignment-splint-for-flexion-when-extra-length-is-needed/) ## Tips - [Understanding the 15° and 30° slots in the Boutonniere Holder](https://www.silverringsplint.com/therapists/useful-tips/understanding-the-15-and-30-slots-in-the-boutonniere-holder/) - The Boutonniere holder has two slots which allow the splint to be measured for a shorter or longer splint. The 15° slot in the Boutonniere Holder makes the splint shorter and the 30° slot makes the splint longer. If the SilverRing™ Boutonniere Splint is too long, the proximal ring rests too close to the volar - [Understanding the proximal volar extension (PVX) and why it is needed](https://www.silverringsplint.com/therapists/useful-tips/understanding-the-proximal-volar-extension-pvx-and-why-it-is-needed/) - When splinting the MCP joint, the web space prevents thumb splints from going far enough proximal to support the joint. The PVX curves along the volar aspect of the thumb to support under the head of the metacarpal joint and gives better alignment at the CMC joint. It can be adjusted by bending it in - [Correcting PIP joint hyperextension greater than 20º with the SilverRing™ Boutonniere Splint](https://www.silverringsplint.com/therapists/useful-tips/correcting-pip-joint-hyperextension-greater-than-20o-with-the-siris-boutonniere-splint/) - When using the SilverRing™ Boutonniere Splint to limit hyperextension, the “spacer” positions the rings farther apart which increases the length of the splint. This extra length allows the splint to fit around an enlarged joint and/or be positioned to avoid Bouchard’s Nodes. It is also a good choice if there is limited range of motion - [Deviated joints with enlargement](https://www.silverringsplint.com/therapists/useful-tips/correcting-lateral-deviation-with-the-siris-lateral-support-splint/) - The SilverRing™ Lateral Support Splint can be used to correct lateral deviation if the joint can be passively corrected and is not enlarged. It allows full flexion and is a good choice for early osteoarthritis, before there are significant joint changes. It will not be effective on failed arthroplasties because of the enlarged joint, if - [Choosing double extra-strength splints (XXS)](https://www.silverringsplint.com/therapists/useful-tips/choosing-double-extra-strength-splints-xxs/) - For hands requiring a heavier duty splint, we offer a double extra strength (XXS) splint. Since this splint is not easily adjustable, confirm the fit in extra strength (XS) and adjust the angles of the rings (if necessary). Return this splint and request us to duplicate the angles in XXS. SPECIAL ORDER SPLINT - [Wearing time](https://www.silverringsplint.com/therapists/useful-tips/wearing-time/) - When splinting mild, reducible deformities, many individuals wear their splints twenty-four hours a day because of the increased comfort, support and protection they provide. Individuals with fragile skin or flexion deformities may require a “wearing schedule” specified by the therapist to suit individual needs and tolerances. - [Indentations](https://www.silverringsplint.com/therapists/useful-tips/indentations/) - Skin indentations can occur from wearing glasses, socks, watches and splints. The indentations from wearing splints are normal and useful for keeping splints in place. This helps reduce the likelihood that splints will be lost. It is important, however, that an indentation does not develop into a pressure sore. Some splints, such as the SilverRing™ - [Splints that are too tight or too loose](https://www.silverringsplint.com/therapists/useful-tips/splints-that-are-too-tight-or-too-loose/) - If a splint cannot be made to fit by adjusting the angle of the rings (see Adjustment Flyer), the overall splint size should be increased or decreased by at least a whole size. Use the return instructions on the back of the packing slip or invoice to exchange the splint. How tight should splints be? - [Adjusting splints](https://www.silverringsplint.com/therapists/useful-tips/adjusting-splints/) - Sterling silver and gold are both malleable and durable. Small adjustments will not damage the splints. The rings can be gently spread apart or squeezed together to tighten or loosen the fit of the splint on the finger. Generally, one can increase or decrease the fit of the splint by ½ size with this adjustment. - [Evaluating the fit of a splint](https://www.silverringsplint.com/therapists/useful-tips/evaluating-the-fit-of-a-splint/) - Hold the finger in extension with the splint in place and gently push one side of the splint against the finger. Check for space between the ring and the finger on the opposite side. Normally there should be minimal or no space, however, if the joint is enlarged or has a contracture, there may be - [Choosing a size](https://www.silverringsplint.com/therapists/useful-tips/choosing-a-size/) - Finger size can vary from morning to afternoon, day-to-day, season to season and with activity level. Choose an average size that will fit well most of the time. Note that when people use splints consistently, their edema may decrease. - [Understanding where the lateral support goes](https://www.silverringsplint.com/therapists/useful-tips/understanding-where-the-lateral-support-goes/) - Three points of contact are needed to correct deviation. The lateral support is the center point (the fulcrum) and goes on the side of the joint opposite the direction of deviation. For example, if the end of the finger is deviating in an ulnar direction, the support goes on the radial border of the joint. - [Wearing splints at night](https://www.silverringsplint.com/therapists/useful-tips/wearing-splints-at-night/) - Since fingers tend to swell at night, it is not advisable to wear splints at night until one knows how the fingers respond. The type of splint, the severity of the deformity and individual preferences will determine whether splints are worn at night. It is generally not advisable to wear splints for flexion deformities overnight. - [Over-adjusting splints](https://www.silverringsplint.com/therapists/useful-tips/over-adjusting-splints/) - Frequent repetitive bending of the splint will gradually work-harden the metal and ultimately cause it to break. If one needs to frequently adjust the splint due to changes in edema or seasonal changes, having a second set of splints may be desirable. Shifting splints to different fingers on either hand may reduce the need to ## Solutions - [2 ½ Buddy Ring Splint](https://www.silverringsplint.com/problems-addressed/solutions/2-½-buddy-ring/) - Use the SilverRing™ 2 ½ Buddy Ring Splint, which has two rings connected by a one-half ring, to align fingers that are abducting, crossing or have an extension lag. This type of deviation may arise following trauma, post polio or from tendon transfers. SilverRing™ 2 ½ Buddy Ring Splints can be compared to Relative Motion splints - [Long Boutonniere Splint On Large Finger Joints](https://www.silverringsplint.com/problems-addressed/solutions/on-large-finger-joints/) - Use the SilverRing™ Long Boutonniere Splint for enlarged or fusiform-shaped PIP joints. The orientation of the spacer between the two rings holds them farther apart for better leverage at a more comfortable angle. - [Boutonniere For Lateral Instability With Limited Range of Motion](https://www.silverringsplint.com/problems-addressed/solutions/for-lateral-instability-with-limited-range-of-motion/) - Use the SilverRing™ Boutonniere and SilverRing™ Long Boutonniere Splints, worn with the spacer on the side of the joint, to provide the greatest leverage for correcting joint deviation. Order these splints when flexion of the joint is limited to less than 45 degrees, but not for a finger, which has full active flexion since the splint - [Realignment For Tenosynovitis in the Fingers](https://www.silverringsplint.com/problems-addressed/solutions/for-tenosynovitis-in-the-fingers/) - Use the SilverRing™ Boutonniere or SilverRing™ Long Boutonniere Splint to restrict flexion of the PIP joint when flexor tendon tenosynovitis occurs in the proximal or middle phalanx. - [For Thumb MCP Hyperextension](https://www.silverringsplint.com/problems-addressed/solutions/for-thumb-mcp-hyperextension/) - Use the SilverRing™ Thumb MCP Splint to block hyperextension of a MCP joint. Use on thumbs that can actively abduct; do not use on thumbs that are adducted. A bracelet is available to secure this splint on the thumb and can be worn multiple ways. Try crisscrossing bracelet to secure bracelet better around the wrist. - [Thumb MCP Splint with PVX](https://www.silverringsplint.com/problems-addressed/solutions/thumb-mcp-splint-with-pvx/) - A proximal volar extension is frequently added to fit under the head of the metacarpal joint for additional stability. This is good if the MCP hyperextends more than 20 degrees. - [Buddy Ring For Adduction or Abduction of the Fingers](https://www.silverringsplint.com/problems-addressed/solutions/for-adduction-or-abduction-of-the-fingers/) - Use the SilverRing™ Buddy Ring Splint to “buddy up” a straying finger with a neighboring finger. It is appropriate when there is stability in an adjoining finger, but not for ulnar drift of all digits due to rheumatoid arthritis. Buddy Ring Offsets Order the SilverRing™ Buddy Ring Splint with no offset, half offset or full offset - [Pulley Ring Splint](https://www.silverringsplint.com/problems-addressed/solutions/pulley-ring/) - Use the SilverRing™ Pulley Ring Splint to manage bowstringing at the A-2 pulley. To determine the width of the ring, measure proximal to the PIP volar crease to allow full flexion. If a Pulley Ring will not fit tightly enough due to a large PIP joint, feel free to contact us about the Hinged Pulley - [Thumb IP For Mild to Moderate Hyperextension](https://www.silverringsplint.com/problems-addressed/solutions/for-mild-to-moderate-hyperextension-2/) - Use the SilverRing™ Swan Neck or SilverRing™ Spiral Splint for mild to moderate hyperextension (less than 30 degrees) of the IP joint of the thumb. This will greatly improve power and prehension of the thumb by stabilizing the joint without limiting flexion. - [Thumb IP For Severe Hyperextension](https://www.silverringsplint.com/problems-addressed/solutions/for-severe-hyperextension-2/) - Use the SilverRing™ Boutonniere Splint, worn with the spacer under the IP joint, for more severe hyperextension (greater than 30 degrees). This splint allows full flexion while positioning the two rings farther from the joint for better leverage at a more comfortable angle. - [For General IP Instability](https://www.silverringsplint.com/problems-addressed/solutions/for-general-ip-instability/) - Use the SilverRing™ Spiral Splint to treat hyperextension and very mild lateral instability of the IP joint of the thumb. This splint allows full flexion and can be adjusted for enlarged joints. The spirals can be loosened or tightened, they can be spread apart or compressed to change the length, and the entire splint can be - [For IP Lateral Deviation](https://www.silverringsplint.com/problems-addressed/solutions/for-ip-lateral-deviation/) - Use the SilverRing™ Lateral Support Splint for lateral deviation of an IP joint that is not enlarged. Use the SIRIS™ Boutonniere Splint, worn with the spacer on the side, for lateral deviation of an enlarged IP joint. - [For IP Extension](https://www.silverringsplint.com/problems-addressed/solutions/for-ip-extension/) - The SilverRing™ Spiral Splint is a comfortable way to hold the IP joint in extension. When the center of the splint is positioned on top of the IP joint, flexion is blocked. This is one of the best solutions for Trigger Thumb. - [For Extension](https://www.silverringsplint.com/problems-addressed/solutions/for-extension/) - Use the SilverRing™ Stable Thumb Splint when extension at the thumb MCP joint is needed and the MCP joint has the ability to be passively corrected to neutral. A bracelet comes standard and links can be removed for optimal fit. The bracelet keeps the splint from migrating and is attached with a clasp (standard) or - [Stable Thumb For Hyperextension and Flexion](https://www.silverringsplint.com/problems-addressed/solutions/for-hyperextension-and-flexion/) - Use the SilverRing™ Stable Thumb Splint with Proximal Volar Extension (PVX) when there are significant CMC changes (very little or no motion at the CMC joint, a “step off” or subluxation at the CMC joint) or if the thumb moves predominantly in an adducted prehension pattern when grasping. This splint stabilizes the MCP joint dorsal - [Trigger Splint For Tenosynovitis in the Palm](https://www.silverringsplint.com/problems-addressed/solutions/for-tenosynovitis-in-the-palm/) - Use the SilverRing™ Trigger Splint to relieve chronic recurring flexor tenosynovitis in the palm by restricting MCP flexion. This will help avoid clicking or locking of the flexor tendon in the A1-A2 pulley, allowing swelling and inflammation to subside. Open, lightweight and durable, this splint will treat chronic, recurring triggering without the bulk and bothersome - [Spiral Splint For Tenosynovitis in the Thumb](https://www.silverringsplint.com/problems-addressed/solutions/for-tenosynovitis-in-the-thumb/) - Use the SilverRing™ Spiral Splint to block flexion of the IP joint of the thumb. Wear the splint with the center crossing diagonally over the dorsal surface of the IP joint. This is a very comfortable way to restrict flexion of the IP joint and limit irritation of the flexor tendon. - [Special Order Buddy Ring Splints](https://www.silverringsplint.com/problems-addressed/solutions/special-order-buddy-ring-splints/) - Aligning or stabilizing three or four fingers can be achieved with a Special Order Buddy Splint. These splints are designed to control the position of the MP joints in relationship to adjacent digits. Special Order Buddy Splints can be compared to Relative Motion splints which are used to align the MPs to regain PIP flexion - [EDS Thumb](https://www.silverringsplint.com/problems-addressed/solutions/eds-thumb/) - The THUMB. The majority of the time, the Stable Thumb 3D splint will offer the most correction and support for patients with EDS or hypermobility. This splint comes with multiple options that should be discussed between patient and therapist. The Stable Thumb 3D splint is better when MCP joint is more enlarged and offers lateral - [EDS - EDS Splint](https://www.silverringsplint.com/problems-addressed/solutions/eds-eds-splint/) - Use the SilverRing™ EDS Splint to correct hyperextension of the MP joints without blocking flexion. Typically only one EDS Splint located on the middle finger is needed. With the splint centrally located it can help block all fingers from hyperextending during most activities. If needed, the EDS Splint can be worn on adjacent fingers. If - [EDS - Boutonniere Splints](https://www.silverringsplint.com/problems-addressed/solutions/eds-boutonniere-splints/) - Some patients find the Boutonniere splint to be more comfortable with hyperextension greater than 20° or when subluxation of the joint is occurring. This splint is worn with the oval spacer under the joint to block hyperextension while allowing functional flexion. It positions the two rings farther from the joint for better leverage at a - [EDS - Swan Neck Splints](https://www.silverringsplint.com/problems-addressed/solutions/eds-swan-neck-splints/) - Use the Swan Neck Splint for mild to moderate hyperextension (less than 20°) of the PIP(joint closest to palm) or DIP(joint closest to nail). Worn on the finger or the thumb, the Swan Neck Splint blocks hyperextension without limiting the joint’s full range of motion. Both proximal and distal portions of the splint are individually - [Dorsal Extension Splint For Flexion greater than 25°](https://www.silverringsplint.com/problems-addressed/solutions/for-flexion-greater-than-25-degrees/) - Use the SilverRing™ Dorsal Extension Splint (DOE) for Flexion greater than 25° (but less than 50°), with the bar worn along the top of the joint. The Dorsal Extension Splint is a Special Order Splint so please call for fitting instructions. We are happy to make modifications to assist with the custom fit but Special Order splints - [Lateral Support Splint with Distal Extension](https://www.silverringsplint.com/problems-addressed/solutions/distal-extension/) - When additional leverage is needed to correct deviation, use an extension added to the distal ring of the SilverRing™ Lateral Support Splint. After initial fit verification, the distal extension is added on the same side that the finger is deviating. Note that the distal extension is not meant to extend out to correct deviation of - [Dorsal Extension Splint For Lateral Instability Greater than 25°](https://www.silverringsplint.com/problems-addressed/solutions/for-lateral-instability-greater-than-25-degrees/) - Use the SilverRing™ Dorsal Extension Splint (DOE) to correct deviation at PIP joint greater than 25° (but less than 50º) with the bar worn on the side of the joint. The Dorsal Extension Splint is a Special Order Splint so please call for fitting instructions. We are happy to make modifications to assist with the - [For Severe Flexion greater than 50°](https://www.silverringsplint.com/problems-addressed/solutions/for-severe-flexion/) - To treat a contracture of greater than 50° we generally recommend trying serial casting, dynamic splints, or gutter splints to reduce the contracture prior to ordering SilverRing™ Splints. SilverRing™ Splints can then be used to maintain the reduced contracture. If contracture is greater than 50° and not reducible, a hinged ring can be used for the - [Boutonniere Splint For Reducible Flexion](https://www.silverringsplint.com/problems-addressed/solutions/for-reducible-flexion/) - Use the SilverRing™ Boutonniere Splint to correct a reducible boutonniere or mallet finger deformity. The wearer can adjust this splint to hold the finger in position and provide varying degrees of extension mobilization. - [Boutonniere Splint For Mild to Moderate Non-Reducible Flexion](https://www.silverringsplint.com/problems-addressed/solutions/for-mild-to-moderate-non-reducible-flexion/) - Use the SilverRing™ Boutonniere Splint to correct a mild to moderate non-reducible boutonniere or mallet finger contracture (less than 25 degrees). When using the SilverRing™ Boutonniere Splint for a non-reducible deformity, the individual ring sizes must be larger than normal since the splint must accommodate the contracture. - [Boutonniere Lateral Support Splint For Lateral Instability With Limited Extension](https://www.silverringsplint.com/problems-addressed/solutions/for-lateral-instability-with-limited-extension/) - Use the SilverRing™ Boutonniere Lateral Support Splint to provide extension mobilization and correction of lateral deviation. The lateral support, which is the fulcrum point of the splint, is always placed on the side opposite the direction the finger is deviating. If the finger is bilaterally unstable, request a splint with support on both sides. - [Lateral Support Splint For Lateral Instability With Full Range of Motion](https://www.silverringsplint.com/problems-addressed/solutions/for-lateral-instability-with-full-range-of-motion/) - Use the SilverRing™ Lateral Support Splint to correct lateral deviation and block hyperextension of a joint, while allowing full flexion. The lateral support, which is the fulcrum point of the splint, is always placed on the side opposite the direction the finger is deviating. For example, if there is ulnar deviation of the finger, you - [Swan Neck Splint For Mild to Moderate Hyperextension](https://www.silverringsplint.com/problems-addressed/solutions/for-mild-to-moderate-hyperextension/) - Use the SilverRing™ Swan Neck Splint for mild to moderate hyperextension (less than 20 degrees) of the PIP or DIP joint. Worn on the finger or the thumb, the SilverRing™ Swan Neck Splint blocks hyperextension without limiting the joint’s full range of motion. Both proximal and distal portions of the splint are individually sized and - [EDS Splint For MP Hyperextension](https://www.silverringsplint.com/problems-addressed/solutions/for-mp-hyperextension/) - Use the SilverRing™ EDS Splint to correct hyperextension of the MP joints without blocking flexion. Typically only one EDS Splint located on the middle finger is needed. With the splint centrally located it can help block all fingers from hyperextending during most activities. If needed the EDS Splint can be worn on adjacent fingers. If - [Boutonniere Splint For Severe Hyperextension](https://www.silverringsplint.com/problems-addressed/solutions/for-severe-hyperextension/) - Use the SilverRing™ Boutonniere Splint for more severe hyperextension (greater than 20 degrees) or when subluxation of the joint is occurring. This splint is worn with the oval spacer under the joint to block hyperextension while allowing full flexion. It positions the two rings farther from the joint for better leverage at a more comfortable ## Products - [Bracelet](https://www.silverringsplint.com/product/bracelet/) - Used to secure thumb splint. Magnetic Clasp add $26.00 - [Thumb MCP Splint with PVX](https://www.silverringsplint.com/product/thumb-mcp-splint/) - Block hyperextension of MCP joint. - [Stable Thumb 3 with PVX & Spiral](https://www.silverringsplint.com/product/stable-thumb-3d-pvx-spiral/) - Block radial deviation, flexion and hyperextension of MCP joint (similar to a Short Thumb Spica splint). ST4 (no spiral) $320.00 - [EZ-Sizer™ Measuring Kit](https://www.silverringsplint.com/product/ez-sizer-measuring-kit/) - Sizing has never been easier! The SilverRing™ EZ-Sizer™ Measuring Tool allows you to measure for SilverRing™ splints with ease and accuracy. Designed to match the patented elliptical shape of our splints, this specialized measuring tool ensures a perfect fit. The individual EZ-Sizers™ fit conveniently into the Holders to form “splints”, allowing you to visualize how the complete splints will conform to your patients’ fingers. - [Swan Neck Splint](https://www.silverringsplint.com/product/swan-neck-splint/) - Block mild to moderate hyperextension. Wide add $10.00 - [Boutonniere Splint](https://www.silverringsplint.com/product/boutonniere-splint/) - Block flexion, Block deviation or Block severe hyperextension. Wide add $20.00 - [Long Boutonniere Splint](https://www.silverringsplint.com/product/realignment-splint/) - Block flexion or Block deviation. Wide add $20.00 - [Lateral Support Splint](https://www.silverringsplint.com/product/lateral-support-splint/) - Correct lateral deviation and block mild to moderate hyperextension. Both side support add $30.00 Wide add $25.00 - [Boutonniere Lateral Support Splint](https://www.silverringsplint.com/product/boutonniere-lateral-support-splint/) - Reduce deviation while either blocking flexion or hyperextension. Both side support add $30.00 Wide add $30.00 - [Spiral Splint](https://www.silverringsplint.com/product/spiral-splint/) - Correct triggering or mild instability of thumb IP. - [Stable Thumb Splint](https://www.silverringsplint.com/product/stable-thumb-splint/) - Reduce flexion of MCP joint. - [Stable Thumb Splint with PVX](https://www.silverringsplint.com/product/stable-thumb-splint-with-pvx/) - Block hyperextension of MCP joint when more CMC issues are present. - [Pulley Ring](https://www.silverringsplint.com/product/pulley-ring/) - Hold flexor tendon in place when A2 pulley is ruptured. 10 mm Pulley Ring $95.00 - [Buddy Ring](https://www.silverringsplint.com/product/buddy-ring/) - Align and bring adjacent fingers together (buddy taping). - [2½ Buddy Splint](https://www.silverringsplint.com/product/2half-buddy-ring/) - Align and bring fingers together at the MP joint level - [Trigger Splint](https://www.silverringsplint.com/product/trigger-splint/) - Block MP flexion to reduce tenosynovitis in the palm. - [EDS Splint](https://www.silverringsplint.com/product/eds-splint/) - Block hyperextension of MPs of the fingers. Rocker Bar add $60.00 - [Dorsal Extension Splint](https://www.silverringsplint.com/product/dorsal-extension-splint/) - Correct extension lag or deviation if greater than 25° and/or contractor is not reducible to neutral. - [EZ-Sizers](https://www.silverringsplint.com/product/ez-sizers/) - Elliptical measuring tool (sizes 0.25 to 40.0) - [Round Ring Sizers](https://www.silverringsplint.com/product/round-ring-sizers/) - Round ring measuring tool (sizes 1.0 to 15.0) - [Forced Flexion Splint](https://www.silverringsplint.com/product/forced-flexion-splint/) - Hold PIP, DIP or IP in 30° to 50° flexion - [Hinged Pulley Ring](https://www.silverringsplint.com/product/hinged-pulley-ring/) - Hold flexor tendon in place when A2 pulley is ruptured and PIP is enlarged. - [Thumb MCP Splint with Bracelet, LS & PRX](https://www.silverringsplint.com/product/mcp-splint-with-ls-prx/) - Block hyperextension and radial deviation of MCP joint. - [Splints with Stones](https://www.silverringsplint.com/product/splints-with-stones/) - Add designs and/or stones to your splints. Splint size and fit must be verified first. These cannot be ordered online, please call for more information. - [Stable Thumb Plate Designs](https://www.silverringsplint.com/product/stable-thumb-plate-designs/) - Adding designs to your splints can make them even more beautiful. We have many plate options to suit different styles. We offer custom pierce work where you develop a design with our team. Before ordering a specialty plate, size and fit of splint must be verified. The specialty plate designs can be added to all ## Categories - [General News](https://www.silverringsplint.com/category/general-news/) ## Product categories - [Special Order Splints](https://www.silverringsplint.com/product-category/special-order-splints/) - [Measuring Tools](https://www.silverringsplint.com/product-category/measuring-tools/) - [Splints](https://www.silverringsplint.com/product-category/splints/)