TFCC Treatment Protocol: Weight Bearing Test Results >65# (29kg)

Test results in this range indicate a mild injury.  

 Expected Recovery time in this phase: ~ 1-2 months

Congratulations! Being categorized, as ‘Mild Injury’ means your wrist is stable and you can load it for athletic endeavors. This has taken over 10 years of research to determine!

Don’t let this give you a false sense of security- you're not healed.  Beginning to exercise too soon will set back your healing process!

 

ACTION PLAN

Avoid bicep curls, push ups, pull ups, pull downs with the wrist supinated, and pectoralis strengtheningThese muscles need to be stretched! You need to elongate these muscles and strengthening does the opposite.

Your goal is to take 2-4 weeks to focus on the imbalances that this injury caused and there are many, especially when you have had the injury for a long time.

Strengthen instead: the triceps, the rhomboids, the lats and especially; start planks on your elbows, not your hands. Get your core muscles working together. Squats and ab work helps a ton.

This phase is important because often people think that they are healed and go back to normal functioning without the WristWidget. They fall back below 65lb / 29kg for weight bearing tolerance and symptoms resurface.

It is imperative to the healing process that you work to unwind all of the imbalances in your torso, shoulder, neck, elbow and lastly wrist. You need to stretch daily.

  • You should stretch the spine, neck, shoulder, and elbow ALL while integrating pronation and supination. Start with NO load and stretch everything. Then add a 1lb/.5kg weight.
  • Then a 2lb/1kg weight. etc.
  • You want all of your muscles to stretch equally and smoothly


 What you will notice: there are certain positions (without moving the wrist) where you can get your wrist to sublux. These are important to note.

Healing

In this healing phase, you should wear the WristWidget® until your weight bearing is normal (equal to your uninjured wrist) and there is NO clicking. You are not done with the healing process yet. 

This phase is important because often people think that they are healed and go back to normal functioning without the WristWidget®. They fall back below 65lb/29kg for weight bearing tolerance and symptoms resurface.

The main goal is to be pain-free and with equal weight bearing tolerance on the injured wrist compared to the uninjured side.

ACTION PLAN

  1. You need to wear the WristWidget® for ALL loading activities– essentially all day. IF your WristWidget should slide down over your ulna, you have a shallow wrist crease. Read about the cause and solution here
  2. You can remove it at night.
  3. Then on a daily schedule, start the 3 Stretches for TFCC Rehab & Recovery (Pronator Stretches)

4. Conduct Weight Bearing Test on your wrists every 7 days.  Record your results on the Weight Bearing Test Log

Diet & Exercise

It’s time to start/continue a clean diet: low sugar, low gluten, no processed foods, ++ dark veggies, + lean protein.

Limit your protein intake to no more than 30% of your daily macros (Protein / Carbs / Fats). Many patients report that this injury occurs in conjunction with eating a high protein diet.  Read why a moderate protein diet is important here

Add cardio for 20 minutes daily – increases the heart rate and helps the body to heal

Eastern Medicine

  • Eastern Medicine correlates TFCC injuries with gut/intestinal problems
  • Acupuncture 2-3 times a week is helpful in healing.
  • Many patients report improvement when Pure Turmeric paste is added to the diet.
  • Consider deep tissue massage to the bicep, extensor carpi ulnaris (ECU), pectoralis major and minor, and subscapularis.  These muscles often have imbalances. 

Support

Join the TFCC and Ulnar-Sided Wrist Pain Group on Facebook. This is a place where patients, therapists, physicians, alternative medicine practitioners can share their stories and experiences with the TFCC. Enjoy!

If you 'd like Wendy to advise on your case, please complete this form: https://bit.ly/ww-injury

 

GOAL

You should wear the WristWidget® when testing. Don’t test WITHOUT the WristWidget® until your injured wrist results are equal to your uninjured wrist.

Once a taped wrist matches the uninjured wrist, then remove the WristWidget® and continue the weekly testing until the results for both wrists are equal.

Congratulations! You now have a fully recovered TFCC injury. Appreciate your health because YOU have defied what we know in medicine to be the inability of these to heal. You have successfully healed your TFCC! Enjoy the process. The body is amazing.

For a handy printout of this healing protocol, click here: https://bit.ly/ww-healing