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Introduction
- Ulnar-sided (Pinky finger side) wrist pain often limits grip, push, and rotational activities. One common yet overlooked reason is a TFCC injury.
- At Elite Physiotherapy and Sports Injury Centre, we specialize in precise diagnosis and advanced physiotherapy-led recovery.
What Is the Triangular Fibrocartilage Complex (TFCC)?
- On the ulnar side of the wrist, the TFCC is a strong fibrocartilaginous structure.
- When the forearm rotates, it keeps the distal radioulnar joint stable.
- Additionally, it relieves pressure between the carpal and ulna bones.
- As a result, it is essential to wrist performance and stability.
Causes of TFCC Injury
- Trauma or degeneration are the causes of TFCC damage.
- A fall on an outstretched hand is one of the common reasons.
- The TFCC can also be harmed by sudden wrist twisting when playing sports.
- Risk is increased by repetitive loading in weightlifting, wrestling, and gymnastics.
- Furthermore, compressive stress is increased by positive ulnar variance.
Types and Classification of TFCC Injuries
- TFCC injuries are broadly classified into two groups.
- Traumatic TFCC Tears
- These result from acute injury.
- They are common in athletes and active individuals.
- Degenerative TFCC Tears
- These develop gradually with age or repetitive stress.
They are common in manual workers and veteran athletes.
Clinical Features and Symptoms
- Patients typically complain of ulnar wrist pain.
- When squeezing or rotating the forearm, pain intensifies.
- It’s typical to report clicking or catching feelings.
- Reduced load tolerance and wrist weakness are common symptoms.
- In acute situations, there may be swelling.
Special Physiotherapy Tests for diagnosis
- TFCC Compression Test:
- Ulnar deviation with axial loading reproduces deep ulnar wrist pain.
- Supination Lift Test:
- Pain occurs when lifting against resistance with supinated forearm.
- Press Test:
- Pain appears while pushing up from a seated position.
- Positive findings guide targeted physiotherapy planning.
Physiotherapy Management of TFCC Injury
- Physiotherapy is the cornerstone of conservative TFCC management.
- Our approach is personalized, progressive, and evidence-based.
Phase 1: Pain and Inflammation Control
- Our first goal is to lessen pain and swelling.
- The healing TFCC is protected by activity modulation.
- External support is provided by wrist bracing or tape.
- High Intensity Laser Therapy accelerates tissue healing.
- It reduces inflammation and improves microcirculation.
- Super Inductive System (SIS) decreases pain and muscle guarding.
- It also improves neuromuscular activation safely.
Phase 2: Mobility and Stability Restoration
- Controlled mobility starts as soon as the discomfort subsides.
- We progressively regain range of motion in the wrist and forearm.
- Painless movements are emphasized.
- Exercises for stabilizing the distal radioulnar joint are presented.
- Joint awareness and control are enhanced by proprioceptive training.
Phase 3: Strengthening and Load Progression
- Strengthening focuses on forearm rotators and wrist stabilizers.
- Eccentric and isometric exercises are carefully progressed.
- Grip endurance training restores functional capacity.
- Shock Wave Therapy may be used in chronic degenerative cases.
- It stimulates tissue regeneration and pain modulation.
Phase 4: Advanced Modalities and Soft Tissue Care
- Dry Needling reduces myofascial tightness around the wrist and forearm.
- It improves movement efficiency and pain tolerance.
- Cupping Therapy enhances local blood flow and fascial mobility.
- It supports recovery in chronic and overuse presentations.
Phase 5: Return to Sport and Prevention
- Sport-specific drills are gradually introduced.
- Load management strategies reduce reinjury risk.
- Technique correction improves long-term wrist health.
- Return-to-sport decisions are criteria-based, not time-based.
Why choose Elite Physiotherapy and Sports Injury Centre for TFCC injury?
- We combine advanced technology with expert clinical reasoning.
- Each TFCC case receives individualized attention.
- Our focus remains on complete recovery and performance optimization.
- We treat athletes, professionals, and active individuals alike.
Conclusion
- TFCC injuries demand early diagnosis and expert physiotherapy care.
- Ignoring symptoms can lead to chronic wrist instability.
- With advanced modalities and structured rehabilitation, recovery is achievable.
