Central TFCC tears WILL heal!

Q:   I purchased my WristWidget because I was diagnosed with a slight TFCC tear. So far I am very pleased. My doctor said that the TFCC has no blood supply and will not fully heal; is this true?

Also, can you clarify if the healing of the central tear result in the tear naturally “suturing” itself together or is it that I should just not expect to feel pain any longer but the tear is still there? 

I have noticed significant improvement since I injured it about 8 weeks ago. Thanks! 

A: It has been described in the literature that central tears are avascular and do not respond to surgery.  This is well-documented.  It took me years to be able to define that central TFCC tears WILL heal with 100% confidence IF the protocol is followed. 

Do they scar down, are there collagen fibers at the tear point?  Unfortunately, in order to test this, one would have to perform a needle biopsy which patients simply won’t do because of risk.  I have had five cases retest with an MRI after one year of healing and they show no evidence of a tear.  But.. if you give 5 radiologists an MRI without patient data, they often do not agree on the results.  Because of the cost of an MRI, this is simply a poor research test to perform. 

Surgery on central tears is NOT recommended. 

Goal: normal function and load, no pain, normal weight-bearing tolerance.  

Spend some time on the TFCC group on Facebook.  You can see other people’s experiences with surgery.  

I really wish there were better surgical outcomes because so many can’t afford the 3 months of treatment the protocol demands.  Surgery is just not a good option at this time.  PRP is promising but I don’t see great results.  We have a long way to go in our diagnosis and management of TFCC tears.  The WristWidget is very effective but you need to follow the protocol for 3 months.  Every day you need to tend to your wrist. 

I am proud to report that my work has defined evidence of full recovery.

 

 

I have articulated a protocol for you to use as a guide to healing. 

Take special note of the pronator stretch of the elbow and diet. Central tears have more problems with supination with load which require a different protocol than peripheral tears. 

Please complete this form to send us your injury information. We are here to help guide you along your path to full, 100% recovery. 

Warm Aloha, Wendy