Proper Fit for a Night Splint

Night splints are special casts that are designed to be worn while you are asleep. They are generally made out of medical grade plastic, and use a combination of Velcro straps, buttons, snaps and ties to provide added support and flexibility to the calf muscles. Night splints are recommended for the treatment of ankle and foot conditions that include overly tight calf muscles, Achilles Tendinitis and heel spurs. Proper fit of a night splint is essential for effective treatment.

Proper Fit for a Night Splint

• Fit the night splint onto your foot and calf while you have your knee bent. This allows your foot to bend upwards toward your knee without as much resistance. Attach the middle strap of the night splint over your ankle; this holds the heel of the night splint in place. Adjust shin and foot straps so that they are comfortable and snug, but not tight enough to leave marks or interfere with circulation. Adjust any additional straps on each side of the night splint to set how far your foot bends up towards your knee.

  You may optionally use the toe wedge, which is designed to stretch muscles further by bending the toes upwards. Place the toe wedge in between the night splint's plastic backing and felt material, or nestle it directly underneath your toes.

  Sleep on your side when wearing night splints. A thin pillow placed between your feet may provide additional support and comfort. If you must sleep on your back, place a large pillow under the backs of your knees to provide additional support. If you must sleep on your stomach, place a pillow beneath your shins.

  Wear your night splints for the duration of the night for optimal success. If you are unable to tolerate wearing your night splints for the entire night, keep them on for several hours, then remove them so that you can sleep comfortably.

Tips

• Always read all instructions from the manufacturer of the night splints, and follow your physician's directions.

  Night splints should not be painful to wear. If your ankle or top of your arch hurts while wearing a night splint, loosen the straps so that they are not as snug and are subsequently providing less dorsiflexion (flexing of the calf muscles). Remember, some stretching of the calf muscles during the use of night splints is better than none at all.

  Speak to your physician if your night splints continue to cause pain, despite making adjustments.