Recovering from Wrist Injury: Can Strength Training Replace Rehab?

Wrist injury

Hello Dr.
Lu,
I am writing regarding case number #156315.
Last June, I experienced wrist pain due to improper push-up form.
Although the pain was tolerable at the time, I did not seek aggressive treatment.
However, at the beginning of this year, the wrist pain worsened, making it difficult to exert force.
Any effort, such as twisting motions (like opening a jar), causes pain.
An MRI revealed a TFCC tear.
In March of this year, I began rehabilitation (ultrasound and electrical therapy), along with acupuncture and wrist stretching, as well as strength training.
To date, the pain has subsided, but I am still unable to lift heavy objects or exert force.
I would like to know if it is possible to discontinue rehabilitation and acupuncture, relying solely on my own strength training to gradually return to normal function.
Thank you for your response.
Sincerely,
Ms.
Lin

Miss Lin, 40~49 year old female. Ask Date: 2020/08/02

Dr. Lü Bingcheng reply Traditional Chinese Medicine

Dear Ms.
Lin,
Regarding your wrist pain caused by improper push-up form last June, the MRI examination revealed a tear in the TFCC (Triangular Fibrocartilage Complex).
Since starting rehabilitation in March, which includes ultrasound and electrical therapy, along with acupuncture and wrist stretching and strengthening exercises, you have reported that the pain has resolved, but you are still unable to lift heavy objects or exert force.
You inquired whether you could discontinue rehabilitation and acupuncture, relying solely on your own strength training to gradually return to normal.
In my personal opinion, I recommend that you continue strength training under the guidance of a qualified physician, physical therapist, or other relevant healthcare professionals to avoid re-injury due to improper training.
Additionally, consider consulting a professional traditional Chinese medicine practitioner for safe and effective herbal treatments that can help invigorate Qi and blood, strengthen the spleen and stomach, fortify muscles and bones, and promote circulation.
By taking this dual approach, I believe it will aid in accelerating the healing of your wrist.
Wishing you a speedy recovery and continued peace and joy.

Reply Date: 2020/08/02

More Info

Recovering from a wrist injury, particularly one involving a TFCC (Triangular Fibrocartilage Complex) tear, can be a complex process. While strength training is an important component of rehabilitation, it should not entirely replace a structured rehabilitation program. Here’s why:
1. Understanding the Injury: A TFCC tear can lead to pain, instability, and decreased function in the wrist. The TFCC plays a crucial role in wrist stability and load distribution. When injured, it can lead to complications if not properly rehabilitated. The fact that you experienced increased pain and functional limitations suggests that the injury was significant and required careful management.

2. Role of Rehabilitation: Rehabilitation is designed to restore function, strength, and range of motion in a controlled manner. It typically includes a combination of modalities such as ultrasound, electrical stimulation, and manual therapy, which can help reduce inflammation and promote healing. These treatments are often critical in the early stages of recovery, especially when pain is present.

3. Progressive Strength Training: While strength training is essential for regaining muscle strength and function, it should be introduced progressively and in conjunction with rehabilitation exercises. Initially, focus on low-resistance exercises that promote wrist stability and mobility without exacerbating pain. As you progress, you can gradually increase the resistance and complexity of the exercises.
4. Monitoring Pain and Function: It’s crucial to listen to your body. If you experience pain during strength training, it may indicate that you are pushing too hard or using improper form. Pain is a signal that something may not be right, and ignoring it can lead to further injury.
5. Consulting with Professionals: It’s advisable to continue working with a physical therapist or rehabilitation specialist who can guide you through the recovery process. They can provide tailored exercises that focus on your specific needs and monitor your progress. They can also help you determine when it is appropriate to transition from rehabilitation exercises to more intensive strength training.

6. Long-term Considerations: Recovery from a TFCC tear can take time, and while you may feel better, it’s essential to ensure that your wrist is fully functional before returning to high-impact activities or heavy lifting. A gradual return to normal activities is crucial to prevent re-injury.

In conclusion, while strength training is a vital part of your recovery, it should complement rather than replace rehabilitation. Continuing with a structured rehabilitation program, including physical therapy, will likely yield better long-term results and help you regain full function of your wrist. Always consult with your healthcare provider before making significant changes to your rehabilitation plan.

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