"A Revolutionary way to treat TFCC tears"

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Ulnar Impaction Syndrome (Ulnar Abutment), what does this mean?

Ulnar impaction syndrome (UIS) also has a couple of other names, all of which refer to the same issue. The other names are Ulnar abutment and ulnocarpal loading.

In a nutshell, UIS occurs when the ulna hits the lunate and causes damage to the lunate bone where they meet. 

Why a lower protein diet is important during TFCC healing

Since protein requires the highest energy to digest, it's important that the protein that is eaten during the healing process is easily digested - thus the move from red meat and whey to a plant-based, chicken, and fish diet.

 When I asked athlete patients to change their protein source and load, a dramatic change in their recovery time was noticed.   +

Naturopathic doctors consistently state that if all of your energy is being spent digesting food, then the extremities (feet and wrists) pay the price. 

Ulnar Variance- important things you should know.

Oftentimes when speaking with patients, they report that their doctor states that they have a positive ulnar variance.  They are discouraged as it sounds permanent and only resolved with surgery.  I have found that the interpretation of X-rays is highly variable amongst radiologists.  Anyone with this diagnosis should understand some important dynamics.

Why is the WristWidget® one size fits MOST?

Not every human body is the same.  Surprise!  There are all kinds of “anatomical variations” in the nervous system, boney structures, and tendons.  Not all Ulna heads are the same.  Over the past 10 years, I have looked at so many Ulna bones!  The variations are fascinating to me.

MRI's and TFCC tears

Over the past 12 years, I have had the incredible luxury of following thousands of cases.  One of the most frustrating aspects of this injury is the lack of reliable MRI results.   There have been so many positive MRI’s that show TFCC tears yet when surgically treated, later show no pathology to the TFCC.  

It is well known in the medical community that MRI’s have many false negative and false positive results. Add to this the variety of MRIs themselves.  MRI machines are not all the same. 

For the consumer, this is difficult to navigate.

Happy 10th Anniversary WristWidget®!

This month marks 10 years since the development of the WristWidget.  As I sit in awe looking back at the journey behind me, I am astonished at its success, the wonderful emails that I receive all day, every day, and the accomplishments I have made in changing what we know about the TFCC.  10 years ago, I was busy sewing each one, voraciously studying its effects and solving the many challenges to get it where it is today. 

I am grateful for the life that the WristWidget has afforded our family.  The WristWidget has allowed me time to spend following patients closely.  It allows me a balance of work, rest and play.  It brings our family great pride in helping so many people around the world.  It allows me the freedom to complete research and passionately proceed through my day.   Although I probably "work" too much, I am consistently excited about my work, knowing deeply that there is still extraordinary influence it has on so many lives.  

The Piano Key Sign- Understanding Compression of the Ulna head

I often receive emails from patients with TFCC tears who report wrist splinting (normal wrist extension/cock up) makes their wrist hurt more than without the splinting.  The Piano Key Sign is a common test performed by physicians as a part of the clinical assessment of the wrist.  Simply described, imagine the ulna head as a piano key.  The examiner would press on the ulna head and if painful, would indicate a positive Piano Key Sign.  A stable wrist would cause the ulna head to spring back like a piano key without pain.  You can read all about the test all over medical text books as an indicator of a TFCC tear or DRUJ (distal radial ulna joint) instability. 

TFCC- It is not just about the wrist. The Pronator Stretch, Shoulder and Neck.

After 11 years of looking at the TFCC full time, all day, every day, I have seen a dynamic in patients that is predictable.  I see many elite athletes who find that their TFCC injuries heal to about 90%.  The last 10% seems to take the longest to acquire.  I have long known this and started to closely examine the structures of the elbow, shoulder, and neck.  

Non-digital scale and wrist pain. A happy couple.

You phone the specialists and you have to wait 3-4 weeks for a consult.  Why don't you simply perform the test?   I found it incredibly accurate in assessing the wrist. This simple tool is available in every country.  It is cheap.  It is reliable.  The test does not require a prescription or insurance to perform. 

What is the TFCC?

If you are like most, you reached this site by searching TFCC on your search engine.  It is quite difficult, as a patient, to get a ton of information about the TFCC.  The internet is full of conflicting information with very little consistency, and non specific information.  If you are like most, you have already visited your physician and are searching for more information.  

The TFCC was not identified in medicine until the 1980's.  It is considered "the black box" and certainly deserves its name!  What you need to understand is that the TFCC is the most important ligament for stability in the wrist.  It is deep in the wrist.  When injured, it sends pain to the pinky side of the wrist with rotation, grip and weight bearing.  It typically does not swell.  It typically is injured in a fall, a twist or an accident.  This is not always the case, as some present for no reason at all.

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