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 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.  

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

With Aloha, Wendy

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