Go to a doctor when you can. The short answer to this question is “Maybe”, but there is some new research out that gives us clarity on this topic. By reproducing symptoms they can get an understanding of which structures are injured. Now 4 months post up, I have full range of motion and can do my average daily … TFCC Tear Repair Protocol. Type I tears are caused due to any trauma to the wrist region such as falling on an outstretched hand or excessive wrist or arm rotation. "Dull achy pain still remains after 3 month old tfcc tear where blood supply is poor. Many doctors will inject the area for two reasons. We typically see TFCC tears related to high impact activities such as tennis and weight lifting. Dr. In the short term you will become a worse climber, grumpier and generally a bit of an ass. but it hasn't gone away and the pain is just as bad. A 51-year-old female asked: Can a steroid injection cure a TFCC tear? Can't deal with the catch position as it causes intense pain. TFCC tear was detected in 24 cases, and remaining 23 cases had no TFCC tear. If you sustain an injury to this part of your wrist, it can cause pain along the outside of the wrist as well as a limited range of motion in your hand. In 100% of the cases I have seen, every TFCC tear presented with painful and diminished weight bearing tolerance. Tfcc tear: If you have not responded to conservative treatment you should see a hand surgeon about possible arthroscopy and/or surgery. My wrist feels a lot weaker too, and I can't put a lot of pressure on. Instability as a result of complete or near to complete ligamentous tears requires surgery as soon as possible to repair the damaged structures. Classically, TFCC tears are associated with athletes, but many older adults experience degradation or wearing away of TFCC cartilage and subsequent pain and discomfort. Surgery. TFCC injuries can cause mild to severe pain depending on the severity of the tear. Examination & Evaluation. A TFCC tear can also occur overtime as a degenerative-type injury. Sometimes the wrist will feel unstable. No: Be careful with steroid injections. Treatment of a TFCC injury depends on the severity of the damage and the structures involved. Troy Ross answered. Secondly, the injury can occur with an acute traumatic event extending the wrist dramatically, which can be associated with a fracture. He also says that he feels as though he wouldn`t be able to repair the TFCC again. These symptoms are generally accompanied by pain along the knee joint line and a joint swelling. Injury to the TFCC can be debilitating. Once inflamed, it can be take a while for the TFCC area to heal. If you feel pain in your wrist when gripping something tightly or pushing on your hand to get up from your chair you may have a triangular fibrocartilage complex (TFCC) injury or tear. Becoming weaker is a natural consequence of injury. Possible Reasons for Wrist Arthroscopy Treatment of Ligament Injuries/Instability . Tears can be associated with a "long ulna" caused by an ulna putting pressure on the TFCC, a condition known as Ulnar Impaction Syndrome. The timeframe for healing really depends on the severity of your issue. Finally I had arthoscopic debridement of a Partial Peripheral Tear and fraying of the ECU Sheath. And while TFCC tears are relatively common wrist injuries, diagnosis and treatment can be somewhat trickier. However, degenerative meniscus tears can gradually present with signs and symptoms. Your wrist is an intricate and complex body part, and the TFCC is no exception. I play a lot of tennis, it has been getting worse and worse. It is painful/bothersome and can impact quality of life. Depending on the nature of the injury, surgery may be prescribed as the best form of treatment. It seems to be getting worse, so I went to see an ortho to get some insight. Pain that gets worse with simple gripping and rotation movements (opening a door or using a can opener) It normally does not swell. They all show changes with the tape or WristWidget®. It is treated by cutting the ulnar bone down to appropriate length. Is it healed or is pain masked by cortisone only to return later?" Answered by Dr. Pavel Conovalciuc: Fracture: I am not sure why cortisone was used. So, I tore my TFCC in my wrist, and it's very painful. No TFCC tear, just overuse. TFCC tears are a common wrist injury that can make daily tasks difficult. Depending on the severity, damage to the TFCC can lead to early arthritic degeneration. Rotator cuff tears are generally degenerative in nature, meaning that the tear occurs over time from wear. Did a weight bearing test (positive for tfcc injury) - also purchased the wrist widget and have been wearing it 24/7. I don't consider anything TFCC to be 'minor'. My mum is the kind of person who says it'll go away, it isn't broken etc. MY QUESTION: He says that the tear is pretty bad. This is not the case for tendonitis, fractures, UT tears and much more. TFCC tears may not show up on MRI's. The pain is worse with twisting movements, such as opening a door handle or using a screwdriver. From my understanding, the TFCC does not get a ton of blood, so it does not heal quickly. even turning doorknobs and putting my shoes on causes pain. I since have done a lot of my own research and concluded that its a TFCC injury, I get sharp pain that area particularly when I rotate my wrist inwards pushing my pinky up towards the sky, I found the wrist widget website and did the load test. “My wrist has been bothering me for a long time now. Repetitive pronation (palm down position) and gripping with load or force through the wrist are risk factors for tissue degeneration. And in January, I was in a cast for about a month, then it felt fine and I started playing softball, just a while after I got my cast off. Thinning soft tissue structures can result in a TFCC tear with minor force or minimal trauma. After a series of xrays, MRIs, and an EMG, I was diagnosed with a positive ulnar variance and a (suspected) TFCC tear. This can be done either with arthroscopic or open surgery, depending on individual circumstances. Ligament injuries of the wrist can be difficult to assess without visually inspecting the ligament. The first is a repetitive injury to the wrist such as with gymnastics, push-ups or bench press. Will my rotator cuff tear get worse if I don’t have surgery for it? Clinical assessment may expose tenderness along the knee joint line. There are two causes of TFCC injury; Traumatic Injury. There are also some other conditions that can be well addressed by arthroscopic wrist surgery. Degenerative Injury. The best way Doctors can diagnose it is by examining it and your symptoms. What are the symptoms of a TFCC tear? If you continue to abuse it, it will get to a point where it will never heal. 0. Type II TFCC tears are more chronic and occur over a period of time due to degeneration of the ligaments. If you want to climb for the rest of your life, take the time to rest it. The Weight-bearing test must be performed by every patient with a diagnosis of a TFCC tear. Type II TFCC tears are more chronic and occur over a period of time due to degeneration of the ligaments. The TFCC tear can occur from a fall or any other impact to your wrist. Pushups, any type of press, etc. Wrist rotation can make the pain worse; Cracking and grinding may come from the wrist; Swelling; Weakness; Instability; Causes. Damage to the TFCC can cause pain, swelling and instability within the wrist joint. Many people injure their TFCC and are not immediately aware of it. Smaller TFCC tears can be trimmed, while larger TFCC tears will usually be repaired. (TFCC) tears can also occur with degenerative changes. If a TFCC tear is suspected, visit a doctor, who will examine your wrist for signs and symptoms. This time though the TFCC tear seems way worse and was very painfull to the touch when he examined it. You will achieve the best rehab outcome if you follow up surgery with a matching course of rehabilitation. I tried conservative treatment for 8 months, which didn't work. TFCC tears may or may not heal, but like most cartilage injuries, they tend to settle down and life goes on until your next impact injury. A tear can be associated with pain on the ulnar side of the wrist, sometimes with painful clicking or snapping. Send thanks to the doctor. Poor blood supply and repetitive wear and tear is enough to cause injury to the TFCC. Through the intervention of a cortisone injection the affected individual can get back to his or her daily activities quicker and with less pain. TFCC problems can be caused by falling on an outstretched hand, from overuse or with age as the cartilage in your wrist wears down. First, to identify the source of the pain (confirm the TFCC tear is causing the symptoms); and second, to deliver medications to the area for treatment. TFCC tears can be classified as two types, namely type I and type II. Injury: Triangular Fibrocartilage Complex Tear (TFCC) TFCC injuries typically occur from two primary mechanisms. An MRI can be helpful to see the cartilage and ligaments that form the TFCC. Any type of clean, forget it. Jan 5, 2018 ... based on my wrist anatomy it seems this type of pain isn't going away and has the potential to get worse over time, so I see this as a preventative move to avoid arthritis/chronic wrist pain for the next 20-30 years before needing the surgery anyway. TFCC Tear. 0 thank. Degenerative changes in the TFCC structure also increase in frequency and severity as we get older. So I got a Wrist widget, which has helped most the time. You may have reduced grip strength because of the pain. Symptoms of a Meniscus Tear. 23 years experience Occupational Medicine. The MRI cannot confirm a tear but it shows swelling in the region which could be the result of a tear (or not – I hate the uncertainty). The TFCC, or triangular fibrocartilage complex, is a structure in your wrist. They will perform some manual tests which place stress on the complex. Diagnosis. 0 comment . The thing is, I did it in January, and it is now October. I went to my doctor, he referred me to the orthopedist, I had a nerve test and an MRI and everything came back pointing to a Triangular fibrocartilage complex tear. I tore my TFCC bench pressing. One thing you can do at home is … Learn more about how to treat them and the recovery time involved. I'd appreciate any answers on whether you think it's a TFCC tear or something else and if … Consult your physician for an exam and to get an x-ray (depending on your location this may take 1-3 weeks!). Repetitive pronation (palm down position) and gripping with load or force through the wrist are risk factors for tissue degeneration. It may not be from typing alone, but from a combination of small movements that cause 'microtears' to develop which get worse over time. Such as getting your hand & wrist caught in a door or under a heavy object. You might also experience clicking, popping, or locking of the knee. All symptoms are inline with a TFCC tear. TFCC tears can also occur with degenerative changes. 0. TFCC tears can be classified [2] as two types namely type I and type II. The below outlines recommendations of your rehab over the first 3 months following your procedure; Overview; Post Operative Rehab; Pre-Surgery Preparation. However. Type I TFCC tears are caused due to any trauma to the wrist region such as falling on an outstretched hand or excessive wrist or arm rotation. I get very very mixed emotions from him as though he maybe feels as though he isn`t capable of repairing the wrist. However, a fracture or other injury can accompany a TFCC tear if there is swelling. An injury or tear to the TFCC can cause chronic wrist pain. After the season was over, it started bothering me again. I heard that it can take a long time to heal. Advertisement .