Post-Operative Pain and Stiffness in TFCC Repair: What to Expect? - Orthopedics

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After undergoing a TFCC (Triangular Fibrocartilage Complex) repair surgery, it is common to experience post-operative pain and stiffness, particularly in the wrist and forearm. The TFCC plays a crucial role in wrist stability and function, and any injury or surgical intervention can lead to a prolonged recovery period.
In your case, it sounds like you have been following the rehabilitation protocol as advised by your physician, which is essential for optimal recovery. The fact that your grip strength has improved is a positive sign, indicating that some healing has occurred. However, the persistent pain and sensation of locking or catching during forearm rotation could suggest a few possibilities.

Firstly, it is important to understand that post-operative pain can be multifactorial. It may stem from inflammation, scar tissue formation, or even residual mechanical issues related to the TFCC or surrounding structures. The fact that you are experiencing pain specifically on the ulnar side of the wrist suggests that there may still be some irritation or incomplete healing of the TFCC or adjacent ligaments.

Another possibility is that the surgical repair may not have fully addressed the extent of the injury. While surgical techniques are generally effective, there are instances where the repair may not achieve complete stability or alignment, leading to ongoing symptoms. This could be due to factors such as the severity of the initial injury, the presence of additional injuries (like a fracture), or even the body's healing response.

In terms of next steps, it is crucial to communicate your ongoing symptoms to your orthopedic surgeon or the physician who performed the surgery. They may recommend further imaging studies, such as an MRI, to assess the integrity of the TFCC and surrounding structures post-surgery. This can help determine if there are any complications, such as a re-tear or issues with the fixation.

Additionally, a referral to a physical therapist specializing in hand and wrist rehabilitation may be beneficial. They can provide targeted exercises to improve range of motion, strength, and function while addressing any specific movement patterns that may be contributing to your pain. Modalities such as ultrasound, electrical stimulation, or manual therapy may also be employed to alleviate pain and promote healing.

In the meantime, it is advisable to continue with gentle range-of-motion exercises as tolerated, while avoiding activities that exacerbate your symptoms. Using ice and anti-inflammatory medications can help manage pain and swelling.
Lastly, be patient with your recovery. The healing process for soft tissue injuries can take time, and it's not uncommon for patients to experience fluctuations in symptoms during their rehabilitation journey. Regular follow-ups with your healthcare provider will ensure that any complications are addressed promptly and that your recovery remains on track.

In summary, while your current symptoms may be concerning, they do not necessarily indicate surgical failure. A thorough evaluation and possibly further imaging will provide clarity on the situation. Engaging in a structured rehabilitation program and maintaining open communication with your healthcare team will be key to achieving a successful recovery.