An increase in weight-bearing tolerance and upper extremity use was evident immediately after donning the brace. After 12 weeks, the subject demonstrated a return to normal weight-bearing tolerance and normal DASH outcome measure scores. These improvements were still evident at a 1-year follow-up appointment. Other instances that may cause an acute injury or tear of your TFCC include falling on your wrist, twisting your wrist while weight-bearing, fracturing your wrist, and degeneration of the tissues as you age. These injuries and tears result in pain on the ulnar "pinky" side of your hand. If you think your TFCC is torn, see a healthcare provider immediately. Other TFCC conditions can have similar symptoms. But a professional can run tests to see if you have a TFCC tear or another TFCC injury. These examinations can include the following:‌

Rehab Solutions. What is the TFCC? How do you treat it? Retrieved from https://rehabupracticesolutions.com/tfcc-treatment/ Corticosteroid injections or platelet rich plasma therapy can also be utilized in recalcitrant cases. Physical therapy to prevent stiffness and gain range of motion is instituted once discomfort due to acute trauma or inflammation has subsided. Strengthening exesices are usually begun after 6 weeks of successful recovery. Surgical options should be a consideration if conservative treatment fails or if there is DRUJ instability. Surgical treatment will depend on the Palmer classification of the injury [11] Radiographs: may reveal avulsion of ulnar styloid, scaphoid fracture, distal radial fracture, volar tilt of lunate or triquetrum; ulnar variance. If your symptoms suggest that you have a TFCC tear then a MRI (Magnetic Resonance Imaging test) is the best type of scan to confirm and assess the diagnosis. An x-ray is a good first test to look for a fracture and to assess the relative length of your wrist bones.

Limited range of motion in supination and pronation. If TFCC injury is severe, a client may present with limited wrist flexion and extension At the end of the therapy, then move on to Strengthening exercises. The following exercises are all done with a weight in the hands or with a terra tire. [36] There are a number of different types of TFCC tears and the implications of a tear depend both on what type of tear you have and what types of activities you regularly do with your wrist. This small but complex structure can tear easily as a result of a sudden impact or twisting injury. TFCC tears also happen more often in older adults, as the tissues that make up your TFCC break down and become thinner with age. This degeneration leaves your TFCC more vulnerable to tears. What causes a TFCC tear? If a TFCC injury is severe, it may require surgical intervention. Often times patients will do a trial of hand therapy to see if this can improve symptoms before surgery. The goal of TFCC therapy is to reduce pain and inflammation along with improving wrist mobility while maintaining stability and strength (Rehab Solutions, 2018). If the TFCC injury is recent, hand therapists may create a muenster splint to limit supination and pronation or wrist mobility while the TFCC injury heals for the first 6-8 weeks (Barlow, 2016). During the wrist immobilization stage, the client should be instructed on the importance of gentle ROM of the digits to increase blood flow and decrease edema. Typical therapy regimes may include the following.

An interprofessional team of a nurse, physical or occupational therapist, and physician will provide the best follow-up care [2]. The surgical scar of the ulnar side of the wrist can get adhered to deeper tissues and become tender during the early stages of physical therapy.These injuries are managed initially by modification of daily activities to avoid aggravation of pain and injury, by complete abstinence from sporting/gym/yoga maneuvers which involve stressing the wrist joints, temporary splint or cast immobilisation are also used along with non-steroidal anti-inflammatory medication.