3 Tips for Treating a TFCC Injury

[@plantvera]

Can you make a video on dealing with long term chronic tfcc tear pain? Might help others too. I tore both mine 10 years ago, braced, therapy, taped, but they never improved. I've just gotten by with significant activity modifications. Love your other videos! Very clear and love the progression in treatments and the detail in how to do stretches properly.

[@ForwardTherapy]

Yeah that is tough!!! I definitely think activity modification is probably the most helpful thing, to help deal with pain

[@busy4thelord777]

Perfect timing! Just had this injury day before easter playing baseball with my kids. No surgery please!! 😂

[@shaikhakram2648]

Hi, I had a TFCC tear while working out in the gym. It has been almost 40 days. I got to know about it almost after 2 weeks from the injury. I was not wearing any brace during this time. Then afterwards I started to wear the brace. I wore it for two weeks after that then the doctor started the physiotherapy. Now it seems like I am back to square one. It hurts so much after the physiotherapy as it is the first day of the injury. I went to another doctor to get a second opinion, he is saying that I should have worn the brace or a proper cast for atleast 6 weeks before any physiotherapy. Now the chances of recovery are not the same as they were at first when I got injured and that now I have two options, number one is that I wear the cast for 6 weeks and try physiotherapy after that or I go for surgery right now. Please suggest 😭🙏🏼 Findings: -There is peripheral tear / rupture of the Triangular Fibrocartilage (TFCC) involving the distal lamina of ulnar attachment, showing high signal band disrupting its fibre with edematous changes. -There is abnormal hyperintense signal intensity on PDFS/STIR WIS along ulnomeniscal homologue & ulnar collateral ligament is slightly thickened with intrasubstance intermediate signal intensity associated with periligamentous mild interstitial edema and mild effusion of bright T2 fluid is seen at ulnotriquetral joint and peri-pisiform region. -Rest components of Triangular Fibrocartilage complex are still intact. -Normal MRI finding of scapholunate and lunotriquetral ligaments as well as the carpal joint spaces with no signal abnormality detected. -Normal scapholunate interval with no scapho-lunate dissociation. -No evidence of Dorsal or volar intercalated segment instability and both scapholunate and capitolunate angles are within normal limits -Normal distal radioulner joint with no dislocation or subluxation detected. -Normal appearance of flexor and extensor tendons with no peritendinous fluid collection could be detected. -The visualized flexor retinaculum, underlying flexor tendons, median nerve are showing normal signal pattern with no evidence of tendinopathy or carpal tunnel syndrome. No sign of ulnar impaction nor impingement syndrome detected. - -The examined bone of the wrist involving distal radius and rest of carpal bones show regular cortical bony outlines and normal homogenous medullary bone intensity, with no focal erosive or destructive lesions seen. -All surrounding muscles and soft tissue appear also normal, with no abnormal mass lesions or encysted collections. Impression: Peripheral tear / rupture of TFCC (Type 1B tear) with ulnomeniscal homologue and ulnar collateral ligament sprain & ulnotriquetral joint and peri-pisiform mild effusion with soft tissue edematous changes for clinical correlation. REPORT CONCLUSION: ABNORMAL

[@ForwardTherapy]

I can't provide direct medical advice, I would recommend discussing your question with your doctor! You can also always ask for a second opinion and see a second doctor to get their opinion as well.

[@shaikhakram2648]

@@ForwardTherapy doctors are saying that we can try the conventional method I.e stabilization and physiotherapy and see if it works or you could get a surgery right now