Braces and splints are over-the-counter or custom-made supports, designed to relieve pain and stabilize and protect joints during periods of inflammation, when joints (especially those in the hands and wrists) are more prone to injury.

Braces and splints stabilize joints, giving them more structure. Because JRA can cause deformities, the gravity and pressure on the joints can change, and braces can reverse that change. By positioning joints correctly, braces can prevent joint deformity, while protecting them from further destruction.

Functional knee braces may be custom-designed and fitted especially for your child by a health-care professional who specializes in orthotics (the science of developing devices designed to help weakened limbs function better). A physician, orthoticist or physical therapist will take into consideration your child’s individual circumstances, as well as the part of the body affected by JRA before incorporating bracing into the treatment plan.

Splints should be lightweight and easy to remove, allowing for range-of-motion exercises, several times daily. Splints are most effective for the hands, wrists, or both. Working splints can help support a joint and relieve pain when writing or doing other hand tasks Splinting at night will help keep the wrist, hand, knee, and/or ankle joints straight, which may prevent pain, morning stiffness, and contractures.

Yet, prolonged or improper use of splints can increase stiffness and progressively diminish muscle strength and joint mobility. Some doctors believe that use of local treatments such as injections of inflammation-reducing steroids and appropriate physical therapy are preferable.