TFCC Injuries
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- Опубликовано: 25 дек 2024
- The team at Flex Physiotherapy take you through TFCC Injuries, what it is, how it is injured, diagnosis and treatment
If you think you have a TFCC injury, please contact us at Flex Physiotherapy, or search online for a reputable hand therapy provider near you
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I believe its spot on. I injured myself 2 plus years ago falling. They called it a simple sprain and said 2 weeks to me over the phone again, and again. They said they can't do physical therapy until its completely healed and there is no more pain. I have exercises to do involving resistance bands and weights, but I can't do them because they cause pain and some swelling. II recently found a widget on Amazon which seems to be helping, but I definitely need help picking exercises that won't aggravate it. I really want to go back to working out. I've gained 30 lbs and am eating to cope. I also have IBS so this is very bad for me. 😮💨
Hi Christina - what a frustrating injury it can be 😕. Your wrist definitely needs some good rehab - if possible try to find a local physio with lots of experience treating wrist problems. There is no exercise which is guaranteed to work - it is a process of gently trying some different things, figuring out what your wrist tolerates, and then ramping them up in a steady manner. Getting back to your workouts will be great - good for your wrist and arm, and good for your IBS!
real
You can still work out with an injured wrist... Just gonna limit the exercises you can do. Machines for leg day, machines that let you move weight by attaching somewhere on your forearm for upper body. Might even be able to wrap your wrist and do neutral grip exercises with bands and cables.
How about boxing?
@@iandowley8059 heyy sir can you please help me ....
I injured myself 7 years ago and i still have pain whenever i carry weights
I have tfcc too but i don't know will it heal again or its permanent because it is untreated for too long
What am trying to say is that
Will my ulna bone rejoint if i re injure and treat it?
It was almost 3 months ago when i finished a set of bench press with dumbbells and then the pain started on this side of the wrist. Doctor said that i had injured tha ligaments of the wrist and that i need rest. Actually i braced it twice for 2 weeks (my own decision) but evey time i had gotten way better i tried to exercise and i ended up making it worse again . Now i am better than ever but the a trace of pain remains in some spesific movements like radial deviation , lifting up a dumbell or pushing myself putting up my weight mostly on the specific side of the wrist.
Sounds like you've done a really good job of settling your TFCC sprain down. The process of building it back up again can be really hard to find your way through, because the wrist moves in so many different planes of motion and subtle twists or angle changes can completely change the irritability of the tissues. Please persevere! I'm sure you will get there
So I should start building up its strength now. Thank you so much. I appreciate your help. Either way I will pay a visit to the doctor just in case. You helped me very much though calming my mind.
Thank you for this. My physio suspects I have this but my X-ray and ultrasound was inconclusive (no MRI yet). Though I still have pain which is getting better slowly and my strength testing is improving. I did have the wrist widget but now have a thermo plastics splint
Hi there Elle. Very typical for Xray and US to be normal with a TFCC injury. I wouldn't rush to get an MRI - as long as you are improving, the MRI won't add anything to your management. Down the track, if you are feeling completely stuck and your rehab keeps stalling, then an MRI can help you decide if surgery may be a good option. In the mean time, settle it down with the splint as needed, and build it up with graduated exercises as able. And be patient - it can take a while! All the best.
go for ultrasonic therapy
I JUST GOT DIAGNOSED with this injury after landing flat on my hand. It's good information, infact my orthopedic Dr did that exact diagnosis with the flexibility in my hand. I was Windsing pain. My brace helps, but there's pain in everyday light use. I'm going for an MRI just as my doctor prescribed, just like at the end of this vide recommend 👌.
Hey Zach, thanks for the props! Good to know the info we have put together is accurate and helpful. Here's to a brilliant recovery for you and your TFCC 😊
I have been dealing with this since April 2022 it will get better sometimes it takes a lot though
why my tear was a bit more extreme here was my treatment
1. braced for 12 weeks
2. casted for 6 weeks
3. cortisone injection (helped pain for 3 months but came back)
4. surgery (this is for worst cases and i recently had this done but praying it helps)
it gets better and i hope no one else goes through the amount of pain I have
September 2023 update:
I was doing great but we are a little concerned with some wrist pain. Getting back into weights so it may be overuse.
@@nds9441 they did a full repair! I had a cortisone shot and it worked for about 3 months. My doctor said that’s how we knew surgery would work! it was painful at first but now i am in a cast to fully heal. When they took my arm out of my sling/temporary cast the other day it felt amazing and such a relief. try the cortisone shot and if it wears off i’d talk to your doctor
@@nds9441 also did they try a cast?
I injured my wrist last year and took lots of medicine. Later i got 2 steroid injection which didn't show any improvement. Now the problem is i have clicking and grinding sensation every time i rotate my hand and pain increases due to it. I have to pop or crack my wrist to get some relief. Just want to know did you have any grinding sensation like I do??
@@anishjoc7653 i never had a clicking or grinding. just the pain on the right side of my wrist. ig would hurt to rotate though.
@@nds9441 maybe try a cortisone shot because that’s how they new surgery would fix it. Also maybe a cast?
Food to be taken while recovering for a tfcc injury. I have this injury currently been 1month. Need proper nutrition for proper recovery. So please can you suggest me with some food items?
Hi Keshav, thanks for getting in touch. I am not aware of any special diet to boost healing from an injury - the most important thing is to ensure you have a healthy, balanced intake of all the major food groups, especially fresh fruit and vegetables so you are getting a broad spectrum of vitamins and minerals your body might want to use for the healing process. If your diet doesn't include much of this, you may want to take a broad-spectrum multi-vitamin? All the best!
Excellent help. Thank you.
I was sure I had this as all the signs pointed towards it. However I had an MRI and the doctor said it looked fine? I'm getting a second opinion, but I can't believe it. It's been 8 months now and it still hurts
Hi - thanks for reaching out. There are a couple of possibilities here:
1. Could be a TFCC injury but for some reason the MRI isn't showing it. This isn't very likely, but certainly possible - no scan is 100% accurate or reliable. Or,
2. Could be some other cause of ulnar sided wrist pain which is mimicking a TFCC injury. This seems more likely to me, as there are many possible causes of pain in that area, including some that won't show up on any scan (like irritation of the ulnar nerve; or I've even had patients with wrist pain that has been from nerve root irritation in their neck!).
It can be a very long and frustrating process trying to get a clear diagnosis and then to make sure you are on the right treatment pathway... and even when you get everything right, the human body can still be very slow and gradual in the way it improves and recovers. Don't give up, though - you can do this! I really hope you get the very best of advice and support throughout your recovery process.
Been dealing my injury for 6 months not healing now they gave me in a cast get it off Friday but I don’t think it has healed may have to get surgery soon
Sorry to hear it, Tom Cat. They can be really tricky injuries to get on top of sometimes. Here's to a full recovery in the end for you!
Thank you I appreciate it this has been a very stressful time for me quit working out over it now it’s starting to affect my job I’m starting to lose hope
@@tomcat6918 Never lose hope! The human body has a truly remarkable capacity to heal, to adapt, to remodel, to toughen and to improve. Hang in there
One question plz reply. For how long i should use my brace on wrist ? I already kepr it from last 3 days.?
So sorry, Mukul, but once again I am unable to give you a specific reply. There are too many variables at play. I have seen patients with TFCC injuries who require no bracing or splinting at all; and I have seen TFCC patients who need to be splinted almost full time for several weeks. The overarching principle is that you:
a) splint it as much as necessary to avoid flare-ups and enable the wrist to keep settling and improving; and
b) splint it as little as possible to avoid the issues of stiffness and weakness that will eventually develop.
Hope this helps!
- Ian
@@iandowley8059 thankyou 😊 but the thing is i feel relief when i tape my wrist.and when i Remove it starts paining
@@mukulkhola4566 When the tape is on and your pain is less, use that time to work on wrist strengthening exercises. Hopefully, over time, you will become less and less dependent on the tape 😊
I want to ask how long it will take for a tfcc injury to heal
A good question, Farhad, but not an easy one to answer. It depends what you mean by 'heal'. From a basic tissue healing perspective many TFCC injuries never fully - there will always be some evidence of damage if you were to scan it later. However, most TFCC injuries . That is, the pain resolves and the person returns to full functional capacity. The human body is highly resilient, and has a truly remarkable capacity to continue functioning well even when some parts of it have been damaged along the way.
Even the question 'How long will it take for a TFCC injury to recover' is hard to answer, because it is sometimes very quick (within days), other times takes weeks or even months, and in some cases never completely recovers at all. It depends on the severity of the injury, the age of the patient, how it is managed, what sort of activities the patient is trying to return to, various underlying medical conditions, and a whole range of other variables.
Hope this helps a bit!
@@iandowley8059 thank you for the response because I was hit by this injury
@@farhanadhi2452 how are you,
@@Bandana928 opo
@@farhanadhi2452 surgery krwa liya apne
Can anyone share updates on their healing journey from a TFCC injury? Specifically:
How long did it take to recover?
What precautions helped speed up recovery?
Great idea - anyone out there with a story, please share it!
I would be happy to share my insights from 30 years of treating TFCC injuries, but it is always good to hear the individual stories from the perspective of the patient
Thanks for a very good video.
I have the pain only in certain hand positions/movements (outer position when rotating my hand and when I lean on the hand). For example, I have no (or only very light) pain when I use a hand gripper in a neutral hand position. Will this exercise help the healing process? (Maybe because of more blood flow.)
Hi there Tommy, glad you found the video helpful. A sprain of the TFCC is very much like a soft tissue injury in any other part of the body - recovery is all about adding progressive load and challenge to build tissue tolerance and muscle strength. It is not just the added bloodflow, your body loves to be used and worked and loaded. This is just as true for injured/recovering parts of the body, but we just need to be a bit more careful and deliberate about choosing the right types of exercise so we don't cause re-injuries or flare-ups. So, keep expecting more from your wrist, but build it up in a steady, graduated manner. Hope it goes really well!
@@iandowley8059 Thank you very much for a good and very quick answer 🙂
Hello i am going through the same condition ..i feel pain in the exact position as yours position..so now your pain has gone or not..or what i should do?if u know anything please tell me because its been 4 months since i had this kind of pain..
Did your pain go away?
If yes then how..please tell me because i dont fell relaxed or comfortable due to this pain..and its been 4 months and at first it happens in every hand position now it happens in the exact same position u mentioned
@@Indianzjourney Hi. After about 6 months it seems to have slowly disappeared. I didn't do anything except using my wrist as little as possible.
I'm still not sure what caused the pain. Recently, I was diagnosed with IBD that (among other things) can cause arthritis. I suspect that might be the reason. Two months ago, I suddenly had a strong pain in my knee which lasted two days. And my shoulder also hurts - which it has never done before.
What if you injured it over and over again starting with gymnastics ending with a ceiling fan and I never got diagnosed and have been left untreated for over 30 years?
Oh Lisa, you poor thing.... Sounds like your wrist has had a hard life! Any time a problem has been recurrent or persistent for that long there is a risk that it will always be present to some degree - but that doesn't mean there is no way to make it stronger or less painful. As always, your rehab pathway should start with a thorough examination by the most experienced upper limb physio or OT you can find - get some diagnostic clarity (with radiology imaging if needed) so you know what you are treating - it could be a TFCC, but may be one of several other problems in that area also. Most likely there will be nothing major identified, just a sensitised, grumpy TFCC with several decades of persistent pain to make it trickier. Graduated, targeted wrist strengthening would be suitable next. Plus, deliberately training your wrist to tolerate more load (bodyweight and carrying weights in different positions). With your history this is likely to be a slow process of gradual improvement with plenty of set-backs. But, over a 3-6 months period you will hopefully notice that you are doing a lot more with less pain. Good luck! - Ian
i have had a problem in both my wrist although one is not as bad, for years now keep getting fobbed off with 'its probably arthritis' but its ulna sided and pain raidiates up my arm when its really bad, use a brace when doing any activites golf, gardening etc. How do I get a doctor to take it further (UK).
Sorry to hear about your long term struggles with wrist pain ☹. I really can't comment on how to proceed in the UK health system, sorry. Here in Australia there are basically 2 options - 1. get your GP to refer you to a public hand clinic, sit on a waiting list for 6-12 months, and then see an orthopaedic surgeon who might send you for an MRI, or refer you for hand therapy, or maybe offer surgery; or 2. if you have private health insurance, you can go and see a private hand therapist (like me) who can assess your wrist, try some splinting or exercise treatments if they seem appropriate, send you for an MRI if needed, or arrange for you to see a surgeon if needed. How it works in the UK ... ??? not sure! All the best trying to find your way through the maze 😊👍
My doctor has suggested PRP (platelets rich plasma) of my own blood injected on the injury, is it effective?
To the best of my knowledge, the research on using PRP injections for TFCC injuries is very limited and with inconclusive results. In other words, there is no reason for anyone to say "you should do it" (because on average it makes no difference), but also no reason for me to say "you should not do it" - because on average it makes no difference, but there is a chance that you will respond well to it and get some benefit. I hope this is true for you, and that you recover very well!
My Dr told me that prp doesn’t always work, and it’s about $900.00 per treatment ( not covered by insurance) and he recommended 3 of these shots. Lot of $$ and may not work..
Do you have any information for a SLAC or SNAC wrist? (Scapholunate ligament tear with advanced collapse)
Hi Angela, Not sure if you are recommending a topic for our next video (great idea, BTW), or if you are dealing with some form of wrist instability / degeneration issue yourself. It's always tricky to give specific advice without being able to examine your wrist in person, but happy to give general explanations or responses to your questions. You can email them to: reception@flex.physio
I have been suffering from a TFCC injury in my right hand for about a week due to poor posture when performing bench press. I don't feel pain when I tilt my wrist toward the ulnar side of my arm, but I do feel a sharp pain when lifting or pushing a heavy object (such as pushing a dumbbell or holding a pan with one hand) or putting pressure on wrists as if in a push-up position. I also feel tension and pain in the ulna of my arm when I roll my forearm. Currently, I still practice conservative measures such as the RICE method and wrist immobilization at home. How long will it take for me to fully recover and should I see a doctor or continue treatment at home? (I'm sorry that my English is not good
:
Hello - thanks for getting in touch. Sounds like you are doing all the right things for the early stage of a TFCC sprain, using RICE and immobilisation. With a little care, it is likely to settle down very well in the coming weeks, just like any other sprain or soft tissue injury. Each week that goes by, you should need less immobilisation and you can return to doing upper limb exercises in the gym gradually. Taping/strapping your wrist can really help reduce the risk of flare-ups at the gym. Either use this technique for simple circumferential compression: ruclips.net/video/ufkemzfp53Y/видео.htmlsi=om3ZQyOaEF_t5Zpf or try this one if you are getting pain mostly with the palm-up rolling of the forearm: ruclips.net/video/HHOP-kzdipM/видео.htmlsi=HPfrqBwPtWOInD6S
All the best for your recovery!
@@iandowley8059 Many thanks for your active help. Currently, my symptoms are better, the dull pain has almost disappeared, but I still cannot perform exercises that put heavy pressure on my wrists like push-ups. Maybe I should still take a few weeks off like you said. Hopefully my condition is not serious enough to require surgery.
@@h_ngm4032That sounds really encouraging! Here's hoping for ongoing steady improvement, and eventually a full return to your usual gym workouts. Best wishes
Hi there just looking to get some sort of information, i fell on my wrist almost 4 years ago now and have been battling pain on my right wrist since, at first i didn't brace it or anything like that because i didn't think it was anything major and would go away with time, but after the pain wouldn't go away i started bracing it, and then afterwards i went to see a doctor at the clinic and they told me not to worry about it so i didn't, but the pain never went away, afterwards i have since ice it, physio therapy, stretching it, strength training and more, got a MRI done and saw a wrist specialist and was told that my TCF was rip off and that i have a small piece of bone the size of a rice in my wrist but that that should not be causing me any pain and that he wouldn't recommend surgery on it and that he dosen't have a clue why im still in pain, im kind of at my end of my rope with this injury because im honestly at a lost on how and what to do, the pain i experience is where my TCF is and its constant waves of pain just when im not using my wrist, its like contant inflammation and its not really using my wrist that's the problem but not using it i guess, sorry for the long message but any information would help a lot. Thank you,
Oh dear, that sounds like a really difficult process you have been going through. Any persistent pain is challenging, but TFCC pain can be especially confronting, because it is almost impossible to use your hand for normal activities without aggravating it further. After such a long time, there are two most likely explanations for your pain, with two different treatment pathways:
1. Maybe the structural injury/damage which the MRI hinted at is causing ongoing irritation and inflammation in the joint. The treatment pathway for this would be to have an exploratory arthroscopy, with repair and clean-up to be performed as needed depending on what the surgeon finds in there. MRIs are good, but nothing beats actually taking a look with a scope. It is possible there will be nothing major that needs to be fixed, but sometimes there is a lot more going on than the MRI seemed to indicate. Upside: diagnostic clarity; confidence to proceed with your rehab knowing that the TFCC is in as good a shape as it can be. Downside: further trauma from the surgery, plus all the usual surgical/anaesthetic risks, when it may actually not be needed.
2. Maybe the actual injury is relatively minor (the MRI seemed to indicate this), but your protective pain system has kicked into an overprotective state. This is incredibly common - it usually gets called 'chronic pain' or a 'sensitivity state', because the tissues (ligaments and cartilage) in your wrist, plus all the local nerve endings, plus various important protective parts of your spinal cord and brain are all on a bit of a hair trigger - they are jumping in with pain to protect your wrist long before it actually needs protection. This doesn't make you pain less real or less significant, just less appropriate 🙃. Upside: Common problem with lots of resources and expertise available to help with graduated desensitisation, progressively training your tissues and nervous system to tolerate more load/work/strain. Downside: No shortcuts to recovery - just a long, often frustrating pathway of self-education and targeted rehab - but usually with very good outcomes for those who persevere.
It can be genuinely difficult to differentiate between these two alternatives. Choosing a path depends partly on the quality of advice and care you can access. If you have a really good physiotherapist / hand therapist to guide your rehab, I would recommend trying option 2 for several months - if you keep hitting barriers to your recovery, then option 1 is still on the table. If good rehab guidance is hard to come by, maybe you have a good surgeon who you can trust to do as much as necessary and as little as possible while exploring +/- repairing your TFCC. And then, you are back on the rehab journey post-operatively anyway!
All the best with your decision-making, and with your eventual recovery.
Dr. Diagnosed it a month ago and asked me to wear brace, It's been a month with brace on, i still have pain in some movements so I'm keeping the brace on and pain on ulnar bone while knocking on it with finger. What should i do now?
In brief, the plan is to settle it down, then build it up. Sounds like you are feeling a bit stuck in the 'settle it down' phase (wearing braces, reducing or modifying activities etc). This can take a while, so don't be too anxious. Keep in mind that wearing the brace doesn't need to be full time - gradually wear it for fewer and fewer activities. The more heavy, risky or aggravating the activity, the longer you keep wearing the brace. And, of course, building it up is also a sliding scale of rehab exercises - so if you start with gentle loading and build it gradually, you could almost certainly start right now. Don't be concerned about every little bit of pain - mild soreness is normal and acceptable - just avoid the bad pains or the lasting flare-ups
All the best with your recovery!
My tfcc injury is 2 years old . No doctor was able to diagnose it and just kept giving me diclofenac for the pain . Now , i just went to sports injury clinic and they diagnosed it as tfcc injury. I bought a wrist widget but i wanted to know that should i remove the widget while doing physiotherapy or do physiotherapy while wearing it
Hello - thanks for your excellent question! The answer is... it depends 🙃. The Widget doesn't fix your TFCC, the compression just makes it feel safer, so it doesn't need to complain (hurt) as much. This means you never NEED to wear the Widget, but you should do so any time the activity/exercise you are about to do is likely to cause the wrong kind of pain. Mild pain, which settles down quickly afterwards, is absolutely fine to feel, and is probably a necessary part of your rehabilitation. But some pains are definitely to be avoided - the sharp, stabbing, severe kind; the kind that result in very prolonged aching or flare-up afterwards (for hours, not just a few minutes). So, use the Widget as much as necessary to avoid or minimise these bad pains, but take it off any time you think these pains are unlikely.
Hope this makes sense! Here's to a brilliant recovery for your wrist.
Broke wrist 30 years ago and it has healed with a very protruded ulnar, palm up rotation very painful as is gripping with pain on outer edge, physios and gps still not given diagnosis, also have contracture of pinky finger on same hand, wished someone had some ideas.
Sounds really awkward and painful, Jasper - sorry to hear it. Several possible causes (eg. malunion of the original fracture, DRUJ instability, high grade TFCC rupture), none of which have an easy fix. An MRI would shed some light on what is going on internally, if you can get one of those? If not, even an X-ray would show the position of the bones and joints. Your options for treatment are likely to include surgery, but any operation is not going to give you back the wrist you lost 30 years ago, sorry. Hopefully some pain relief, at least. All the best, Jasper.
Thanks for your input, you have explained more in that one paragraph than has been relayed to me in past 25 plus years. You are a top man and, obviously , very knowledgeable in your profession, much appreciated.
My tfcc is 9 months old , I can do hammer curls but not regular bicep curl. Should I stop doing it,??
This is a really common issue - the TFCC has much more tension and load placed through it when your wrist is in a fully supinated (palm up) position. I would suggest you try doing your curls with the dumbbell at 45 deg, halfway between the vertical (hammer) and horizontal (bicep) position. You can actually adjust this angle as much as you need - aiming to find that sweet spot where it is just a little bit sore, but not causing a significant TFCC flare-up. Over time, you should be able to gradually roll over towards a full bicep curl (and it may take months - be patient!)
All the best!
felt a pain in my wrist after rock climbing no specific event caused it likely just overuse, next day i just seem to get a short burst of pain whenever i rotate my wrist palm down towards my pinky side (especially with any weight) this pain goes away straight after i stop or if i stay in the position for a while without weight, there seems to also be no pain if i wrap my other hand around my wrist and there is barely any pain at all in any of the tests in the video unless i suddenly load it. I have brought a wrist widget as i was training for a climbing competition and i think i can probably still climb with compression on my wrist, have you got any advice on a speedy recovery for my case?would be really helpful😁
Hello - thanks for making contact. And well done for trying to get onto the issue early. I treat a lot of climbers, and they are notorious for not seeking help until the problem has become very severe and very long-term! From what you describe, a minor TFCC sprain seems very plausible, and I would be reasonably confident it will recover well if you can simply avoid any major irritation or flare-up episodes over the next couple of months. The Widget will probably be very helpful with this goal during normal everyday or work-related activities, but for climbing you are likely to get better support (and better pain relief) using rigid sports strapping tape. You are looking for quite firm compression over the dorsum (back) of the wrist, and over the ulnar (little finger) side, while avoiding a tourniquet-style compression around the whole wrist. This video show one way you can achieve this: ruclips.net/video/ufkemzfp53Y/видео.htmlsi=NxJaYZbdsu6X8Skm
All the best! Feel free to reach out again if you have any further queries.
@@iandowley8059 thank you for the quick and informative response, really appreciate it😁
@@iandowley8059 managed to have a full climbing session today and climbed fairly hard without pain thanks alot for the taping method😁
@@iandowley8059 managed to have a good climbing session and climbed fairly hard with no pain, thanks alot for the taping method👍
mine is getting there but i have had it for 2 months now i have had to do every thing with my left hand ,
They can be SERIOUSLY annoying problems! Sorry to hear you are having so much trouble, Joseph. Here's to an excellent (eventual) recovery for you.
Thane for this video Mann i couldn't find such a video
Super informative thank you
5 month ago i got hairline frature at end of radius bone and also hyper intensity of tfcc shown by MRI but i didn't treat now what can i do
Don't fear! It sounds like the MRI was good news - hyperintensity of the TFCC is basically telling you that it was sprained, and this occurs in about 75% of distal radius fractures. It can result in persistent pain in the ulnar side (little finger side) of the wrist for some months after the injury, but long term outcomes are excellent. So, what can you do?
First - be confident that your wrist is going to improve 😊. Don't be afraid to use it, move it, stretch it or load it - within common sense limits.
Second - avoid MAJOR pain flare-ups. Don't stress about every little twinge of pain. These are a normal part of the recovery and rehabilitation process. Major flare-ups which leave your wrist aching for hours are not too concerning (they don't mean you have injured it again), but they don't help your recovery. If they happen, try to learn from them and plan how to minimise the frequency of them.
Third - deliberately challenge your wrist to do the things which are difficult or painful. This might be taking bodyweight on it; or lifting things in a palm up position, for example. Whatever it is, do it several times a day with just enough weight or pressure to cause mild pain, but avoid a big flare-up. Over time, you will train it to tolerate more load!
Let me know how you go - I am expecting good things for you over the next 3-6 months
Hi, my right wrist MRI shows I have a full-thickness tear of the styloid attachment of the TFCC is seen with retraction. Injured 3 weeks ago. Dr asked me to put on hand splint for 6 weeks of conservative treatment first. If it fails , then will consider surgery. After surgery, Dr says it takes about roughly 3 months to go back to work. I couldn’t work now, and the recovery sounds like will take very long time, why can’t the Dr do surgery now to repair it so to shorten the recovery process since it is a full thickness tear already? Pls help to answer my worries. Thank you so much 🙏
Hello - thanks for getting in touch. So sorry to hear about your wrist injury. I hear your frustration, but it sounds to me as though your surgeon is giving you good advice. Even with quite high grade TFCC tears there is a good chance that they will do very well without surgery; and there is no such thing as a guarantee of a good result if you do have surgery. So, it is sensible to see how your wrist responds to a few weeks of rest and protection. At that stage you might decide that surgery is the best option. But, you might feel as though it is already 50% recovered, and worth persisting with non-surgical treatment. Either way, it is worth the investment of a few weeks to see how your wrist responds. All the best, whichever pathway you end up taking!
Thank you for your prompt and helpful reply. Now I understand it’s worthy to invest these 6 weeks of resting in wearing the splint now. Hope I can have good recovery after 6 weeks. Thank you once again 🙏
After an accident there has only clicking sound on my right wrist,dr done the above elbow cast in supination position,after 6weeks of cast this sounds goes,but the pain comes now,and am unable to move freely my wrist what i hv to do now😢
Sounds like a tricky situation for you, sorry to hear it. Full immobilisation in supination might be necessary for a very high grade TFCC injury, or after a surgical repair, but as discussed in the video we usually try to keep the wrist moving as much as possible while preventing ongoing re-injury or aggravation episodes. You can be pretty confident now that your TFCC has had a good opportunity to heal, which means your wrist just needs some good rehab to recover from the stiffness, weakness and pain which are common after prolonged immobilisation. I hope you can find a good physiotherapist (or your local equivalent) to help you with this process. All the best!
Hey! Can i benchpress with this injury? pls answer
Hi Henrik, good question but no easy one-line answer! For some people bench pressing should be completely avoided, but for others it is fine - depends on how much it flares up your wrist. In general, it is great to stay fit and strong, and your body (even when injured) likes to have some load put through it. But this can certainly be taken too far 🙂. If you get pain while lifting, try to strap your wrist first, or modify your form to decrease the irritation. Try pressing dumbbells instead of a bar? Sometimes you can't find a way to make it ok, and you just need to avoid a certain lift for a few weeks - but keep the rest of you strong!
Good luck
@@iandowley8059 Ty for the well explained and informative answer my guy!
You need to seek advice from a therapist as to what exercises help to strengthen and what ones cause damage....I cant imagine a therapist has bench pressing as an approved exercise to strengthen an injured TFCC. If you have not immobilized your wrist for a certain period, it would be a good place to start, then get some good advice from a medical professional....
Can you please help me in answering my doubt ? I injured my wrist 2 years back, after few weeks it was not painful normally but it never healed fully. Now while doing pushups I am having pain.
What should I do ? Brace it for few weeks or it has become chronic and will never heal anymore?
Will I ever be able to hit the gym?
Hello Subham. Pain when doing push-ups might be from several different causes - some are likely to do well and some are more serious. Unfortunately I cannot make a diagnosis without a thorough examination of your wrist. If possible, find a good physiotherapist in your local area who can give you some advice tailored to your specific injury. If this is not possible, you may need attempt a cautious, graduated wrist strengthening program. Start with light lifting and gripping exercises that are pain free, then gradually add more weight and reps. Discomfort and fatigue are good to feel - pain is good to avoid! All the best. Ian
@@flex.physio Thank you very much Ian. I will visit a good physiotherapist
Same here bro ,
Did you recover ?
Same for me. I can't do pushups, lat pull-downs and lateral raises.
It's been 2 weeks it kinda healing but my wrist pronation and supination is unable to go fully it hurts if i try and gripping
Is going back
Should i go to a doctor?
great vid, I hit myself on that side of the tfcc- wrist on the 5 months ago, the first day I couldn't move half of my arm but now I can do push-ups without pain, although twisting oddly the wristhurts, or lift something heavy (+6kg) with palms down.
This means i'm at the range of motion stage of rehab or strenghtening? I can do flexion and extension, radial dev., ulnar dev. without pain w/2kweigh but pronation and supination are unconfortable
Glad you found the video helpful! Sounds like you are doing really well with your recovery - 5 months might feel long, but it is really common for it to take MANY months for our body to fully recover from a nasty injury. Seems range of motion is not your issue now, and even strength might not be the main thing. I would suggest your focus should be on gradually building your tolerance to increasing load in the positions where it is challenging and uncomfortable. This might be with dumbbells, or with bodyweight, doesn't really matter - the key is regular, deliberate loading of the tissues to the point of discomfort but avoiding any major flare-ups along the way. Strength should improve steadily too, as you do this. Good luck!
- Ian
@@iandowley8059 Ian, thank you and god bless you for sharing life changing info. Can I ask, if I never splinted it at the beginning it's useless doing it after 5 months in? also can boxing or just connect a couple punches if feeling as good as pre-injury can really re-injur/worsen the tfcc?
@@villegalf2236 Splinting is never , it is just sometimes helpful. You should only immobilise or support the TFCC as much as necessary to ensure it settles down, while continuing to use it and move it as much as possible without flaring it up excessively. This is true 2 weeks after the injury, and it is still true 6 months after - although hopefully by 6 months you need much less support and are doing much more. Boxing is a good example of the 'regular, deliberate loading' I mentioned last time. If you are trying to introduce a new activity, do it in a careful, planned, graduated manner. Your body appreciates consistent, regular loading which is increased in many small increments. So, give the boxing a go, but strap your wrist first, and start with short sessions of light impact then build it up gradually over several weeks. All the best!
I need suggestions plz..i have tfcc injury from last year and some people suggest me that brace your hand and some says me to do stretching and strengthening exercises...what should i do..after 1 year is it helpful to bracing or doing exercises is better option? Plz reply ❤️❤️❤️
even i had this wrist pain fore 5+month can even do pushups
Use a widget bracelet
Is it possible to cure this without surgery?
In many cases, definitely possible. Every case is different, so I can't say for sure about your particular situation, but in my experience 80-90% of TFCC injuries make an excellent recovery without needing surgery. I hope your wrist goes very well!
@@iandowley8059 @karstendees8076 I am 23 year old bodybuilder ,before 7 months i got this injury ,my doctor suggested me to wear brace,but i don't properly weared it,i used that hand for so many works,but after 2 months,i visited the doctor he told me it's cured,and the pain continued for another 4 months and now I visited the doctor he told me to take a MRI ,and after that he scolded me for not wearing the brace properly for 45 days,and I have a click sound while twisting the wrist in left side its my left wrist ,and there was an inflammation and the forearm bone won't attached with my wrist,there is an inflammation there,and doc suggested me for surgery,but I asked for alternative so he told me to wear the brace and immobilize the hand for several days,now I am wearing the brace properly with proper rest,is it possible to cure this with the Braces itself?please tell me if I give a proper rest will this work ?
@@iandowley8059r u there?
I experienced the same thing as this. it's been 1 year. Can this be cured as before?
No guarantee, Jamzuri, but you can certainly still be hopeful that it can make excellent progress. The human body is a truly remarkable thing, and it has a wonderful capacity to strengthen and improve if we keep working on it 😊. Keep trying to make your wrist a little bit stronger every week. All the best!
@@iandowley8059I'm so sad, I can't do workout
Hanging on the bar and doing pull ups due this injury ? Yes or no?
Depends on the individual injury. Often very different with palms towards you or palms away - try both positions and see if one causes less pain. OK to work to the point of discomfort and challenge, but try to avoid sharp pain or big flare-ups. Good luck! Ian
I injured my wrist last year and took lots of medicine. Later i got 2 steroid injection which didn't show any improvement. Now the problem is i have clicking and grinding sensation every time i rotate my hand and pain increases due to it. I have to pop or crack my wrist to get some relief. Just want to know did you guys have any grinding sensation like I do?? If so does this grinding sensation ever go? Currently I am on acupuncture treatment .
Hi Anish, sounds like you have had a very difficult time with your wrist 😢. Clicking, grinding, cracking, crunching... these sensations are pretty common for patients to experience, and they can be quite distressing, but in most cases they do not indicate anything scary or concerning going on within the joint. I have had patients whose clicking has resolved over time, and I have had patients whose wrist continued to click as long as I knew them, but in either case it didn't usually correlate with pain, and didn't stop them from eventually getting back to their usual activities. I am glad you are trying to get help with your wrist, but it strikes me that all of the things you describe (medication, cortisone injections and acupuncture) are quite passive treatments - in other words you just sit back while the treatment is done to you, and you hope that it is going to help. I would encourage you to focus more on ACTIVE treatment, where you work on making your wrist stronger, more controlled, smoother, more flexible, more adaptable. This takes effort, takes time, and might sometimes result in pain flare-ups along the way, but is definitely worth it in the long run. All the best to you, Anish!
The main problem is it hurts and creates grinding while doing supination and i had my MRI taken 6 months ago which stated only edema was swollen. Beside that everything was alright.
@@anishjoc7653 Same problem bro , any updates on ur injury
Can anyone help me here? Im from Philippines, i have a healed broken wrist. Ive been covering my broken wrist(deformed) through a watch since 2013. After removing my watch, my wrist hurts a lot and come even to a point I cry due to pain. Please help! We dont have a financial capability to do a surgery here in the Ph
Try writing a letter to your local Barangay captain or mayor or councilor for medical assistance to diagnose it, and eventually treat it
My right hand wrist are very painful and sound as cut cut so I want to know that this injury are tfcc injury
Same problem and doctor said it's tfcc and will get better on its own. What happened with ur problem?
Bro I literally do all of that like the cobra stretch push up and my wrist hurts
bro i have tfcc injury from last year and now mri report came normal but it still hurts 😭😭🙏..plz give me suggestion..how many you did stretching and strengthening exercises
Hello Mukul - sorry to hear about your painful wrist.
The wrist is a very complex part of the body, and even with pain that is very focal to a specific part of your wrist there are many possible causes. Ulnar sided wrist pain has several common causes (eg TFCC, ECU tendon, DRUJ, ulnar nerve irritation), plus a range of less common ones. If nothing showed up on the MRI, at least you can be confident to proceed with desensitisation and strengthening strategies (basic rehabilitation) confident that you are doing no damage. That doesn't make your pain less severe, less real or less limiting, but it means you can be active in how you work on it rather than passive.
If possible, I would encourage you to find a good physio (or equivalent) in your area.
Good luck!
- Ian
@@iandowley8059 tnkyou very much for reply for me❤️❤️ ❤️ god always bless you...i going to start my strenghthing and stretching exercises.
@@mukulkhola4566 As you exercise, keep in mind that it is rarely helpful to push through pain - try to avoid significant flare-ups. However, if you never push hard enough to feel discomfort you will probably not make any progress! Discomfort is your friend, pain is your enemy : )
- Ian
Same problem h mujhe🥺🥺🥺🥺 MRI me normal h but hum Weight nhi utha pa rhe us hath se kaise sahi hoga??
@@DeepakRajput-tv6rk kbb se hh
My son is an amateur boxer and has won multiple championships and is looking to make a career out of boxing. He has a Bilateral tfcc tear (both wrists 😢) and the doctor told him his career is over and he wont be able to box again. He is only 16 and has devoted his life to boxing since he was 7 years old.
He is due to have cortisone injections and the doctor doesnt want to do surgery as his bones are still growing and she said it was a complex surgery too.
Its a bitter pill to swallow and our family is heartbroken for him.
Im finding it hard to just write his dreams and aspirations off. Surely he cant be just told that its over for him?
Does anybody have advice or has had similar, i would be really appreciative of any feedback thanks.
Hi there, thanks for getting in touch. Your son sounds quite remarkable, and anyone with that level of commitment and determination should never be written off! He has clearly taken a lot of impact through his wrists during some very formative years, but this is not all bad - yes, it sounds like there is some tearing of the TFCCs, but there will also be lots of adaptive changes making his wrists much tougher than the average.
I haven't seen his scans, so I can't say for sure that he won't need surgery, but in most cases when TFCC tears become painful, the tear isn't the problem - the pain is the problem. With correct load management, the pain can often be brought under control - hopefully eliminated - and the tear remains as a 'scar'. I have had heaps of patients over the years who have made full recoveries to high levels of sporting activity after very painful TFCC injuries.
This process may involve a significant de-loading of the wrists for a period, sometimes splinting is needed and sometimes cortisone really helps too (but not just as a temporary fix so he can keep training!). Once the wrist pain has settled, he can re-load in a careful and graduated manner. I hope you can find a good physio to help guide you!
Here's to a brilliant recovery, and a full return to boxing for your son 😊
Thank you so much for replying, it's greatly appreciated and offers some hope for my son and I can't wait to show him your message as I know it will lift his spirits. I've subscribed to your channel and hope it grows.
You have a fantastic channel and so informative and again I greatly appreciate your reply.
I hope you and your family have a fantastic Christmas my friend and wish you nothing but the best for 2024.
Been dealing with this since sept 2021, I’m still hurt, had my MRI, not sure what to make of it, I’m on Workers comp
So sorry to hear it, River. They can certainly be very frustrating injuries, and having it tied up in a Workers Comp situation just makes everything more complex. Here's to some ongoing improvement for you in the coming weeks.
just ty for the video
It's so painful I am suffering from it
2.5 yrs ago I found that I had a tfcc injury. Got it during my workout session.
I gave my wrist support through wrist bands and it even helped me
But few days back my wrist suddenly started paining with click sound (same sound as previous) though the sound was there throughout without any pain and now there is a tickling sensation with click sound 😭and now I am tensed . What to do now having no clues.
Hi there - thanks for getting in touch. From your description, it sounds as though there was no recent re-injury episode - you injured your wrist 2.5 years ago, but recently it just started hurting again without a new injury episode of note. This is really good news. Your wrist was able to settle down and become pain free after your initial, more severe injury; so it is very likely to be able to settle down again now after a minor flare-up. Treat your wrist with a little extra care to help any inflammation to settle down - back off on your workouts by 10-20%, be more diligent with using the wrist bands or supports that helped you 2 years ago. If needed, be more cautious with certain movements (eg supination - palm-up twisting - can be aggravating for many TFCC injuries). But don't stop exercising! Keep your wrist and hand strong, and as the pain eases again, build back up to your normal loading in a steady, gradual way. It might take a few weeks, but the likely outcome is very good. All the best!
I got an injury in my left wrist since 8 months while playing cricket .whenever i play cricket my left side are paining.i went to d physiotherapist as well as i try home remedies but nothing will happen .this injury is very painfull . Can u plz tell me what can i do?
How long did you rest after the injury? I sprained my wrist 2weeks ago, and I am thinking of going back to golf this week, with sports tape.
Hi Mayur - sorry to hear about your ongoing wrist problem. It is clearly a very difficult problem for you.
Unfortunately, it is also very difficult for me to help you 😥.
During our COVID lockdown periods I have tried to assess and help patients via video link, and it is REALLY hard! The wrist is really complex, and there are so many possible causes of pain. To figure out what is causing the pain I need to be able to poke, press, stretch and manipulate the wrist.
All I can suggest is that you try a different physiotherapist. Hopefully you will find someone who has more knowledge of the wrist and can be more helpful for you.
Good luck!
- Ian
Very good video, thanks so much for it!
For me I get the strongest symptoms from doing the mouse movement like in this video at 1:33
My questions:
1. Is it possible to TEAR your Tfcc from using computer/mouse too much this way? From doing this movement too often ?
2. My wrist starts to hurt like hell if I do the movement at 1:33 BUT there is a catch. It doesn't hurt immediately. Instead the pain gradually builds up and the real pain usually sets in after a 2 hour DELAY. Is this common/uncommon for a tfcc injury ? That the aggrevation starts to hurt after a DELAY ?
3. Is there any way to test whether my pain is coming from an inflamed tendon OR the Tfcc ? I need to know because this decides whether I do TFCC surgery.
Thanks in advance I REALLY need some answers!!
This honestly does not sound like a TFFC injury. Sounds more like you have inflamed tendons to me.
But your attending physician should be able to give you a clear diagnosis. As mentioned in the video, they'll do an MRI to determine the cause of the pain.
I have tfcc injury but I don't have any pain only the clicking sound use to come I even able to lift 70kg benchpress with pain....so In these case can i have to go for surgery to remove that clicking sound? Pls help
Hello Satyam, that's a really good question. Clicking sounds in joints are very common, and can be really annoying, but are rarely something to have surgery for. There are many possible causes of clicks and clunks in our joints, and most of them are totally harmless and can be ignored. The only ones we should ever worry about are the ones that are consistently associated with severe and persistent pain. Seems to me that your wrist is going really well! Keep up the gym workouts - well done. - Ian
@@iandowley8059 Hi Ian, I have the same sound as Satyam after lifting an overweight object and this sound I hear is when twisting my wrist. Also, I have numbness in my fingers when leaving for a while. So, is this a serious injury and what kind of exercise can I do? because two times I have seen doctors and they prescribed just vitamins and a cream. Thanks
@@alial-balhawi862 Hi Ali, sorry to hear of the problems with your wrist. As with Satyam the clicking sound is probably not a major concern. The finger numbness indicates some kind of nerve irritation or compression. This might be carpal tunnel syndrome (median nerve compression in the wrist, with numbness most often in thumb, index finger and middle finger), or cubital tunnel syndrome (ulnar nerve irritation at the elbow, with numbness most often in little finger and ring finger), or a range of other diagnoses. Wearing a brace or splint on the wrist or elbow while you sleep can sometimes help relieve these problems. This video explains carpal tunnel syndrome diagnosis in more detail: ruclips.net/video/L6MqUc8LzWw/видео.html
Regards, - Ian
@@iandowley8059 many thanks for your reply. Kind regards
Ali
Mri kra lo.
My tfc tear,it can be replaced by artificial tfc?
No u can just get joing replacment with a metal ulnar bone dw and for instability u can have wiring
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