How to Perform a TFCC Evaluation:Real patient, real injury! 

Thank you Paul! These videos are very helpful during my DPT studies!

What kind of treatment for this I have this issue partial tear of ligament what should do

What is the course of action for this injury?

Hey doc, i have all the tests done, and all hurt exept for the pushing out off the chair test, is that possible??

mine is at the joint where the my thumb meets my wrist, I feel pain when moving or stretching my thumb and there are a lot of clicking sounds

How long does take to repair tfcc by self

Thanks for the video, I just got my MRI results back and the main issue being TFC, I cannot push off the chair at all, and 50% hand rotation. Have an appointment to see hand surgeon but I am always very curious and like doing my own homework and your video was spot on. BTW I have lifted weights for 35+ years and it was heavy dumbbell press that began making my wrists sore, before it tore, so for anyone working out do not ignore the wrist pain, rest it and protect it.

How do i treat TFCC? Please help! Thank you.

1:24 was the first test a combined MMT or elbow/wrist flexion?

And then when i rotate it it has clicking sounds and its painful

the diagonosed me with a torn tfcc but im not sure they got the diagnoses like in the pinky muscle and one side of the writst from keyboard games and controller games the part in the wrist hasent gone away in months but doesnt really react to much except pushing down with thumb over and over or typing too long othewise it just kinda aches on the right side of the wrist all the time

Hi doctor. Greetings. I am experiencing the exact kind of wrist pain since my dog pulled me of when leashed. It's been two months. I have constantly rolling wrist using crepe and splint during night sleep. I feel bit of pain when i perform these exercises. Do u suggest me to continue with exercises or not. And any other type u got for my case? Thanks

Hello, Sir. My right hand has just been injured for a week. Is it necessary for conservative treatment for a month? Is it necessary to start rehabilitation after conservative treatment?

Does TFCC require surgery?

Hello doctor, You said this patient had ulnar variance? Can you tell me if it's positive or negative ulnar variance please? I have pain in the same area and I have been struggling with it for 6 months and I can't work anymore. Some doctors said I had negative ulnar variance which caused the problem but negative ulnar variance should cause in the radius part of the wrist, right? the last doctor I've seen said it's not ulnar variance and you can't diagnose ulnar variance from an MR. He said it's something with the tfcc. I used to sculpt and paint everyday which is why I had pain in my wrist, I am 24 years old and I just wonder if I will ever get my hand back to normal?

I am a boxer I have tfcc injury doctor say after surgery you don't play boxing please tell I play or not

I have tfc proplem and i train crossfit should i keep working out with wristband

I have the same issues when I overwork the area..it gets painful for a few days and makes it hard to do anything...but if I stop using it for a day or so it all goes away. A few days ago those tests would be painful, but today the tests you just did didn't bother me. The pain all comes from that Ulnar area. EDIT: Actually 5 minutes after doing those tests I just had some pain come back in my left hand. Have had issues with both hands.

I have the pains but I also have a hard lump that feel like stone in my wrist

Hai sir. I am also facing same issue last two months onwards. Now what to do to relieve pain .

I've been dealing with this for 2 years. Felt completely hopeless since every doctor couldn't figure out what was causing it. Is surgery the only long term fix?

Hi, Thank you for your video! It's very helpful for me to test myself. I get injured my wrist six month ago, and even now, I can feel pain when I do piano test and can't pass chair press test. I think my wrist getting better a little bit over times. However, it's 6 month while I stop all exercise and rest my wrist, But I did not feel wrist completely fine. Do I have to do get surgery? or it can be healed without surgery by doing physical therapy like stretching? Please help me Thank you in advance

Thanks for a very good video. I have the pain in the same hand positions/movements (outer position when rotating my hand and when I lean on/press with the hand). The pain is not unbearable. For example, I have no (or only very light) pain when I use a hand gripper in a neutral hand position. Will this exercise help the healing process? (Maybe because of more blood flow.) Or can you recommend other exercises that help the healing process?

Maybe you can answer. I have a pain on the lateral side of my right hand that feels mostly in that area in my wrist and travels up the pinky side of my hand and into my pinky. Turning my wrist/hand on the side (you did a 'tfcc load test - I grimaced) gives me a slight pain (annoying but doesn't exactly stop me, for instance, if I am typing and need to turn my hand/wrist). Stiff when turning my hand up. (Not really painful but now it's almost a burning(?) feeling around my wrist like someone gave me -lack of a much better term- an 'Indian burn' in that area). No pain with pressure put on the area(s). I have no idea where it came from. I was fine and woke up after falling asleep with a sore wrist/hand. My other hand is starting to have what I would call 'annoyances' near/at the same area but nowhere as much. Any thoughts would be appreciated. I bought and am currently using a hand suppression glove that seems to help a little bit. Thank you for the video.

Pain is medial aspect not in lateral sir

i fell on the ulnar side of my right wrist from skating and now i cant pronate my hand entirely without my shoulder and bicep getting involved and doing the motion. Is this a case of tfcc?

I have a slight tfcc tear. I don’t feel much pain until I add a lot of stress on my pinky side. I bodybuild. Should I keep working out with a wrapped brace, like is it possible to heal even with me lifting or should I take the time off

Oh wow, I have the exact same tear from falling back and breaking the wrist , 4 months ago. I feel like I’ll never get to do some yoga and push ups again!

believe I have a TFCC. It hurts right under the pinkie like the TFCC do. It only hurts when I fully extend/stretch it vertically and horizontally. Do u think that means it's a self-fix or should I see a doctor. It have been hurting the same for 3 weeks now. I tiny but improvement I would say.

what's the difference between TFCC and tendonitis?

Hey doc. Im had wrist pain in left arm. Is tfcc also had symtoms like mild swelling in the area.

I just can’t move my hand to a push-up position or do a proper bench press, (basically a 90° angle both forward and backward) there’s only pain when I try to move it into that position but I can perform daily tasks perfectly fine. When can I expect to get a full heal? It’s been about 6 months since the injury and I stopped using a brace after about a month

Doc, what is ulnar variance?

I have injured my wrist during aikido training. Something popped . I did that tests not once no twice. I did MRI can it showed that I might have it but it’s not sure . Doctor said that I shoul to Arturo MRI but I didn’t actually. I had brace for 3 months and it didn’t help at all. I have some rehabilitation and exercises but it made it worse. It’s been 15 months since that but it still hurt a lot. Nothing works so I think sooner or further I will have to do arthroMRI and arthroscopy to fix it.

Along medial not lateral

hello first sorry for my English I can't speak well . please help me this pain made me depressed. I'm 17 and a boxer.5 months ago after punching a bag my TFCC was damaged. Early on, I couldn't lift a heavy think like a laptop, and the part you showed in the movie hurt.But now about 80 or 85 percent of my TFCC is fine and I can lift objects like a laptop Or a heavy object.But I still don't feel like I'm completely well. I did ten sessions of physiotherapy, but it didn't go well.I still have problems with some movements, such as push-ups, and they get less pain (the pain is very litte now but at the first 3 months it was a lot). ulnar bone protrusion at the wrist (the protrusion before TFCC tendons start) become a litte bigger . what i have to do for What do I need to do to be completely well? Do corticosteroids injections help?

My ulna bone clicks on supination and i have ulnar wrist pain. I’m currently resting my wrist and using a wrist widget. Does it sound like a tfcc injury? I am an avid gym goer and the pain mostly flares up when I grip something

I have tfcc injury from one year nd i didn't get better so cast is better or brace is better??? Does cast will repair my hand completely or its trail nd error method???

Sir i hurt my wrist by boxing in last 1 year before..my mri Report are normal but it is still in pain😭😭😭 help

No surgery?

I have this however i have swelling too.. i must have torn in :(

Would’ve been great to know the treatment plan not just how to diagnose. that being said I still love the video. Keep up the great work

Hey doc I appreciate the video I’ve had this same mysterious wrist pain for about 2 months now and after resting it feels the same if not worse. I play hockey and can’t shoot or handle any resistance on it. I was told it was a possible TFCC tear. There has never been swelling associated with the injury which is why I didn’t think it was a big deal at first but I can barley use it in normal daily routine things at this point. What course of action am I looking at? Will surgery fix the problem and how long is the recovery? Thanks for your time!

My wrist is paining a lot when I am doing supination. I have TFCC injury since past 8 weeks. I'm using Splint Band from past 2 weeks. Can you please tell what to do now

Piano key doesnt hurt and the second test doesnt hurt, only the suprenation test hirt

Medial wrist. Not lateral.

Look up "kinesiology taping for carpal tunnel" because it's similar to what you'd do for Guyon's Canal Syndrome (look at wrist anatomy). And please make sure to get a good tape like KT Original, a friend to put the tape on you, and watch John Gibbons (osteopath) taping a wrist. What the taping does is provide some space to ease the pain. It will also, if applied correctly, remind you NOT to do certain motions. Look up occupational therapy for Guyon's Canal Syndrome, Carpal Tunnel Syndrome, and TFCC of the wrist "after" I hope, you see a hand specialist and get an MRI done to rule out serious tears, hairline or larger fractures, and so forth. I tape my wrist, the right one (I have tape on now) for nerve pain on the lateral side, because of a flare-up from nerve damage that accompanied a fractured pinky back in 2003 or so. The doctor (my PCP at the time) didn't even tell me it was broken, didn't mention the nerve damage, even though the pinky was bent and moved away from the ring finger, plus it hurt like hell (burning sensation). You'll need someone calm and caring to tape your wrist and take off the tape appropriately as it's a two-person job to do it right: Prep by cleaning it, using 92% or higher isopropyl alcohol to after cleaning it to make sure it's completely dry before applying the tape. Because you've never had tape there, you don't want to leave it on for more than 24-hours, have your partner in this put olive or some kind of similar oil to saturate the tape, letting it sit for at least five minutes, the s-l-o-w-l-y have the person peel the tape back "on to itself" as though laying down the tape that is being pulled up on top of what is still adhered, this will reduce the painful sensation of pulling up tape, although if you only leave it on the first time for 24-hours, it shouldn't hurt as much as it would (or will) if you leave it on for 3-5 days, and that's because the tape will have adhered REALLY well to your skin, and dried out (OUCH). After pulling some of the tape up, use PLAIN nail polish remover to the area to get up tape residue, using either cotton balls, or my preference--even though I don't wear makeup, which is the cotton rounds you'll find around the pharmacy area (ask someone about cotton makeup remover pads that are round, someone should know how to direct you to them). Once your partner has got the tape up using the olive oil and plain nail polish remover, have him or her hold your wrist and gently wash it with a mild soap, then apply some plain white vinegar (it's an anti-bacterial agent, cheap compared to what is sold as an anti-bacterial lotion or whatever), use the alcohol again to dry your wrist, pat it dry, and let air and gentle movement improve you circulation. BAD NEWS: This is not a "healing" method, but a "stabilizing" and "pain relief" method. If it works for you, and you already got an all-clear from your doctor, you can repeat this as long as necessary. For my wrist, and some other areas (knees, for instance) it'll be a lifelong method of stabilization and pain relief. Hope I've given you, or anyone who might wander in here, some information that might help you.

Please help! I have a question about tfcc. I injured my wrist over a year ago and left it untreated because I didn't think much of it more than just a sprain. But I went to the doctor a month ago and was told it was a tfcc injury. The doctor says the surgery is up to me but my problem is that my wrist only has a persistent clicking and popping but no pain or anything that interferes with my daily activities. A surgery I think is a bit overkill considering it is just the popping that is bothering me. But it has been over a year and the clicking doesn't seem to get any better. What is your advice on this? Thank you so much. Much love!

Hey Paul, I've had a tfcc injury for 6 months. I was a weightlifter which is what caused my injury. It has gotten alot better, I can do everyday things, however it still hurts to lift heavy objects. What is there that I can do for treatment? Do I need to consider surgery? Please let me know boss, thank you so much and keep up the great videos!

i'm so fucked just because of this injury 4 months now i can't work can't provide i'm literally fucked and seeing all this comments gives me no hopes anymore, can somebody do a video on what to avoid doing ? like typing in your pc.. or if allowed to type after a while in what position, what hand should be positioned like .. generally about hand positioning , do massage in spots avoid hot tubs or use this gel before sleep etc..