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Safety guides

Cuffs and Handcuffs: Avoiding Wrist and Nerve Injuries

Narrow metal cuffs press on nerves that lie just under the skin of the wrist. Choose wide, padded cuffs and never let them carry body weight.

Key points

  • Wide, padded leather or neoprene cuffs spread pressure far better than metal handcuffs
  • Cuffs restrain; they are not built to hold body weight
  • You should be able to slide a finger between cuff and skin
  • Keys or a release tool stay within reach for the whole scene
  • Numbness or tingling means the cuffs come off now

In detail

  • Nerves run close to the surface at the wrist. Pressure on the thumb side can numb the back of the hand and thumb for weeks
  • Ratcheting handcuffs tighten further when the wearer twists or pulls. If you use them, set the double lock so they cannot close any further
  • Novelty handcuffs often have weak locks and flimsy keys. Keep a spare key and learn the quick-release latch beforehand
  • Never suspend a person by wrist or ankle cuffs, and never pull hard on a cuff that is attached to a fixed point
  • Hands cuffed behind the back strain the shoulders. Keep this position short and avoid lifting the arms upward
  • Every 10 to 15 minutes, check skin color and warmth, and ask the person to wiggle their fingers
  • Struggling against cuffs causes many injuries. Agree beforehand whether struggling is part of the scene

Warnings

  • Tingling, numbness, weakness or a cold, pale or dusky hand: remove the cuffs immediately
  • Numbness or weakness that lasts more than a day, or a hand that cannot be lifted at the wrist, needs a medical check
  • Never leave a cuffed person alone
  • Do not cuff anyone who is drunk, high or very tired

Resources and next steps

  • Safety shears that can cut through leather and webbing
  • A first aid course from the Red Cross or a similar organization
  • Your doctor if any numbness or weakness persists after a scene
  • The guide on rope bondage and nerve damage on this site

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