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 Triangular Fibrocartilage Complex (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 Triangular Fibrocartilage Complex (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 requires a different protocol than peripheral tears.
Also, be aware of your protein intake. This is very important.
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With Aloha, Wendy