How do I keep my hand elevated at night?

Keeping your hand elevated during the day is usually pretty straightforward. Propping it up on pillows, or just having it up by your opposite shoulder are just two of the ways it can be done. But at night, it can be more challenging, since we have a tendency to move around in our sleep.

One device that was invented for night-time hand elevation is called the Carter block, or Carter pillow, which is named after Dr. Peter Carter, a hand surgeon. However, Carter pillows are difficult to find in Canada and cost upwards of $30.00, and are not covered under OHIP.

However, there is an easier way than ordering a Carter block from the United States. My preferred way to elevate the hand at night needs the following:

1) At least two pillows (not too thin)

2) Some electrical, duct or durable tape

First, fold one of the pillows over your forearm and tape all the way around to hold the shape. When you’re done with this set-up in the morning, you can just slide your hand out, and the next night, just slide your hand back in.

Second, put at least one pillow in front of the taped pillow on your bed. This keeps your hand from falling forward at night.

If you’re a side sleeper, put two pillows in front of your chest and your pillowed hand on top.

If having your arm out to the side is too uncomfortable, you can rest your pillowed hand on your tummy or chest.

Hand elevation is about 90% of your pain control strategy after surgery or after an injury. If you can keep the swelling down, you can reduce or even eliminate your need for pain medication!