Doctor insights on:
Is A Splint Or Wrapping Better For A Tfcc Injury
I have a tfcc injury from hitting a heavy bag. Used a splint for 8 weeks, why is my joint hurting so bad now?
I have this tfcc injury. Had x ray, MRI. Kept it on a splint for 2 months but still hurts. Cant do surgery. I'm feeling hopeless, please help?
I have a tfcc injury. Used a splint for 2 months, most of the pain has gone but still hurts when I rotate my hand. Should I buy a wrist widget?
Size of tfcc tear,: Location, ie in the central avascular part or the vascular periphery, instability, whther it is acute (new) or chronic, anatomy differences all come in to play. Smaller acute tears in the periphery, not associated with instability lkely do the best. ...Read more
I had TFCC repair a couple of days ago. I am in a full splint and immobilized. While walking I felt a slight pop. Should I be concerned?
I would: Place a call to your surgeon....better safe than sorry ...Read more
3 month tfcc tear after being splinted and injected still is painful when bearing weight, what's next?
Test / Surgery: If no studies done, a routine x-ray followed by a triple arthogram with or without mri. If confirms clinical findings then an arthroscopic evaluation and debridement (shaving) vs. Repair should be entertained. It sounds like in your situation, that conservative care has been exhausted. ...Read more
The doctor told me I have tfcc, he gave a metal splint but now its hurting even more with it on. Is this a bad or a good thing? 3 days using the splint
Are you resting hand: TFCC is a tear of the cartilage between the distal end of the radius and ulna. Rotating the wrist or dorsiflexion of the hand can aggravate the pain. If you are wearing the splint and still doing things with your hand you can make the pain worse. Try resting the hand and wrist altogether, if pain doesn't get better go back to the doctor. ...Read more
My MRI showed a tfcc tear. I've had cortisone and used a splint for 2 months. The pain has decreased. Is the tfcchealed or is surgery still needed?
Healing: The improvement is encouraging and a step away from surgery. As long as immobilization and or injection (s) up to three have improved the condition than surgery is not warranted. The tfcc can be considered healed when asymptomatic. If rarely painful, fully functional, then surgery is not warranted regardless of MRI finding. 30% of people older than 30 have mris with tfcc changes w/o injury. ...Read more
Mri showed tfcc tear where blood supply is poor. 3 months later with splint and cortisone pain is gone. Did it repair itself or is tear still there?
Good question: Tfcc tears are repairable. So, o\if your treatment rendered a normal wrist there is probably a good chance some or all of the tear has healed. Continue to strengthen and time will tell. Good luck. ...Read more
I have tfcc, used a splint for one month but its not getting better. The doctor gave me another splint but now it hurts more. I am also using a gel called Grofenac three times a day.?
I have been diagnosed with tfcc tear. My doctor is suggesting ulnar shortening. & another doctor cortisone injection & 6 weeks in a splint.
Both might work:
Both are treatments for tfcc tear. There is no harm in trying an injection and splint, except that it might not work and you waste the time.
If your are significantly ulnar positive at the wrist or have evidence of lunate impaction on exam or imaging studies, than the injection is less likely to work and ulnar shortening may be necessary for pain relief.
Ask your surgeon to explain the choices. ...Read more
No: No. See a hand surgeon.Get a more detailed answer ›
Tfcc injured. After 2 months with a splint I can do pushups without pain. Is this a good thing? Still hurts when I rotate my hand to the limit.
Wrist injuries: The splint immobilized your wrist and allowed scar tissue to help heal it. Your wrist seems to be healing, based on your ability to do pushups. See your physician or physical therapy for further evaluation of the hand rotation. If the wrist is unstable but you don't want surgery, then the surgeon may put a cast on your wrist and forearm. Http://www. Orthobullets. Com/hand/6047/tfcc-injury ...Read more
Hi, I had arthroscopic assisted TFCC repair, my dr out my hand on long splint, but I'm not sure for how long, any idea?!
Hi. I've had prior wrist problems but recently heard it pop (causing me to drop a basket) & more pops & grating when I try to feel if it was dislocated. It didn't swell, but I wrapped it immediately after the injury. I've been inconsistent with wrapping o
What other than rest ice elevating and wrapping should be done for a big toe injury? I tripped over a rubber mat last eve. Toeswore/moves slightly
Evaluation: No way to tell without a proper exam and x-rays. Toe injuries are often under treated. See a podiatrist for a proper evaluation. If you fractured it #1you can still walk in it and #2 if not properly treated, it could result in a permanently painful toe. ...Read more
Wrist exercises: Physical therapists will teach you how to perform safe wrist rotation exercises that can be performed as your injury heals. Http://www. Orthobullets. Com/hand/6047/tfcc-injury, http://www. Toc. Md/exercises_wristhand. Htm ...Read more
Can scaphoid/tfcc/foosh injuries really be missed for 9 weeks? It's 10 now, could the E Danlos just be slowing healing time?
Missed injuries: Many injuries described can take several weeks to identify. This can be for a variety if reasons including: the nature of initial or subsequent presentation, anatomic variance, time to identifiable diagnostic findings, and evolution of the pathology or injury. Scaphoid fractures often have negative X-ray until several weeks after fracture. E Danlos can delay healing b/o Type and collagen need. ...Read more
2 - 3 months: Stable minor sprains in the tfcc can get better -- usually about 2, maybe 3, months. Unstable sprains or out-right tears usually need a surgery. From surgery, it is reasonably also 2 - 3 months. These can heal and can get better! It takes a good diagnosis and proper treatment by the doctor, and patience from the patient! ...Read more
Doubtful, but...: I diagnose TFCC tears daily with MRI and CT arthrogram studies, and work closely with a large group of well-trained Hand Surgeons and PTs. Every therapy you can think of has been tried, and none seems to work very well. Severe pain is usually treated with ulnar shortening or surgery at the attachment sites of the TFCC. Sometimes, the pain resolves without surgery. But, it never hurts to try US. ...Read more
Injection: If you are young and have a symptomatic TFCC tear diagnosed after a consistent history, physical examination and saline- enhanced MRI scan then arthroscopic repair or debridement (based on location) is the treatment of choice. If this is not available to you or you have to wait for surgery then an injection into this area w/ steroid/ Marcaine can be helpful until surgery can be done. Best of Luck ...Read more
TFCC: Initial management may include application of a muenster brace to immobilize the wrist and forearm. A cortisone injection may be helpful in conjunction. If symptoms persist, MRI arthrogram may be helpful. If tear is peripheral, wrist scope and repair. If tear is central, wrist scope and debridement. Many times, degenerative tear is associated with longer ulna. Shortening of ulna may be done too. ...Read more
TFCC is both: It is a carticalginous strucutre that blends into ligmants. That is why it has "fibro" like a ligament. "cartilage" and COMPLEX in its name. THe central disc part is cartilage that cushions but it has a thickened vascular rim that provdde ligamenteouis like structure, the ulnar ligmanets of hte wrsit and the tendin sheath of the ecu blend into this. Think of a sail with supports, rigging ...Read more
Yes: After proper initial treatment physiotherapy can help with recovery ...Read more