Wrist Pain

I have to start my 365 day experiment with an injury. It is extremely frustrating. On December 30th, I was converting my bench from an upright to a flat position so I could do some chest. I did not take the weight off the bar bell and grabbed it in a wrong way and all the weight pushed onto my left hand. I heard a crack. Ever since that moment I’ve had a searing pain in the left outside of my forearm. When I rotate my arm clockwise or counter-clockwise, I feel the pain. I can’t put any pressure onto this joint. When I pick things up or anything I feel pain.

I’ve been doing some research and I believe it is due to a Triangular Fibrocartilage Complex (TFCC) Injury.

The University of Michigan website describes it as follows [Source]:

What is the triangular fibrocartilage complex (TFCC)?

The triangular fibrocartilage complex (TFCC) is a small piece of cartilage and ligaments on the little-finger side of the wrist, located just past the end of the forearm bone (ulna). Cartilage is a tough rubbery tissue that acts as a cushion for the joint. The ligaments are strong bands of tissue that attach the cartilage to bones in the wrist. The ligaments or cartilage can be torn during a wrist injury.

How do TFCC injuries occur?

TFCC injuries are usually caused by:

• a fall onto the outstretched hand
• a direct blow to the little finger side of the wrist or hand
• swinging a bat or a racquet
• a violent twist of the wrist at work or in sports.

What are the symptoms?

Symptoms include:

• pain on the little-finger side of the wrist
• clicking sound or feeling or a catching sensation when moving the wrist.

How is it diagnosed?

Your health care provider will ask about your symptoms and examine your wrist and hand.

Among tests your provider may order are:

• x-rays
• an arthrogram, which is an x-ray done after special dye is injected into the wrist to outline the injured structures
• an MRI (magnetic resonance image), which is a scan that uses radio waves and magnets to produce images of body structures in cross-section.

Arthroscopy may be necessary to diagnose the tear. Arthroscopy is a surgical procedure in which a small fiber-optic scope is inserted into your wrist so your doctor can look inside your wrist.

How is it treated?

The treatment of TFCC injuries includes:

• using protective support such as a splint or a cast
• putting ice on your wrist for 20 to 30 minutes 3 to 4 times a day
• taking anti-inflammatory medicines such as ibuprofen
• doing wrist rehabilitation exercises
• having an injection of a cortisonelike medicine.

A complete tear may require surgery. Many tears become painless with rest and time even if they don’t actually heal.

When can I return to my normal activities?

Everyone recovers from an injury at a different rate. Return to your activities will be determined by how soon your wrist recovers, not by how many days or weeks it has been since your injury has occurred. In general, the longer you have symptoms before you start treatment, the longer it will take to get better. The goal of rehabilitation is to return you to your normal activities as soon as is safely possible. If you return too soon you may worsen your injury.

You may return to your normal activities when the injured wrist has full range of motion without pain. Your injured wrist, hand, and forearm need to have the same strength as the uninjured side.

How can I prevent a TFCC injury?

Many injuries are caused by falls or blows that cannot be prevented. In racquet sports it is important to use good technique to prevent injury.

I hate going to the doctors so I won’t get a “proper” diagnosis but this is EXACTLY where my pain is. “A clicking sound or feeling or a catching sensation when moving the wrist” is characteristic of this injury. Even more reason for me to believe this is my injury. It has been a few days the pain is still there but not as strong. My plan of action to correct this is exercise lighter and take some EFA [Essential Fatty Acids] which in itself is an anti-inflammatory. I usually don’t take ibuprofen or drugs like that. I don’t really see much of a difference with them.

If exercising hurts too much, I’ll just focus on cardio and exercises where I do not have to twist my wrist.

Yanyan