Post-Surgery Recovery Tips for TFCC Tear: Managing Swelling and Rehab

Triangular fibrocartilage complex (TFCC) tear surgery

Hello, Director:
I underwent TFCC surgery for the repair of cartilage and ligaments, and it has been 6 weeks since the procedure.
The doctor mentioned that I could remove the splint, soak my hand in warm water, and practice grip strength and wrist flexion whenever I have time.
However, after doing this for two days, my entire hand feels swollen.
I am losing confidence in my recovery because I am unsure if this is due to over-rehabilitation or if there is another issue.
The orthopedic surgeon advised me to engage in exercises regularly, but with my wrist swelling, is it still advisable to continue? I understand this is a critical period for recovery, and I fear I might miss out if I don't act quickly.
I would greatly appreciate your advice.
Thank you very much.

Sherry, 50~59 year old female. Ask Date: 2021/12/11

Dr. Wang Zhaomin reply Rehabilitation

After cartilage and ligament surgery, swelling is a normal phenomenon.
Generally, after six weeks, one can begin active rehabilitation, which includes soaking in warm water, stretching, and strength training.
However, the condition still needs to be evaluated through an actual examination to arrange appropriate rehabilitation treatment.
Online consultations cannot replace in-person visits and cannot assess the condition.
Please visit an orthopedic or rehabilitation clinic for an accurate diagnosis and to arrange suitable treatment options.

Reply Date: 2021/12/11

More Info

Post-surgery recovery from a TFCC (Triangular Fibrocartilage Complex) tear repair can be a delicate process, and it's understandable to feel concerned about swelling and rehabilitation. Here are some tips and insights to help you manage your recovery effectively.

Understanding Swelling and Its Management
Swelling is a common response after surgery, especially in the early stages of recovery. It can be caused by inflammation, which is part of the body's natural healing process. However, excessive swelling can indicate that you may be overdoing your rehabilitation exercises or that there is an underlying issue.

1. Ice Therapy: Applying ice to the affected area can help reduce swelling. Use an ice pack wrapped in a cloth for 15-20 minutes several times a day, especially after exercises. This can help manage inflammation and provide relief.

2. Elevation: Keep your hand elevated above heart level as much as possible. This can help reduce swelling by allowing fluids to drain away from the surgical site.

3. Compression: If your doctor has recommended it, using a compression bandage can also help control swelling. Make sure it’s not too tight, as this can restrict blood flow.

Rehabilitation Exercises
Your orthopedic surgeon's advice to engage in rehabilitation exercises is crucial for regaining strength and mobility. However, it’s essential to listen to your body and adjust your activities based on how you feel.

1. Gentle Range of Motion Exercises: Start with gentle movements that do not cause pain. Gradually increase the range of motion as tolerated. If you experience significant pain or swelling after an exercise, it may be a sign to scale back.

2. Strengthening Exercises: Once you feel comfortable with range of motion exercises, you can begin to incorporate strengthening exercises. However, ensure that these are done in moderation. If your hand swells significantly after an exercise, it may be too soon to advance.

3. Frequency and Duration: Instead of doing a lot of exercises in one session, consider spreading them out throughout the day. Short, frequent sessions may be more beneficial than longer, intense workouts.

When to Seek Help
If you notice persistent or increasing swelling, pain, or any other concerning symptoms, it’s essential to consult your orthopedic surgeon. They may want to evaluate your hand to ensure that there are no complications, such as infection or issues with the surgical repair.

The Importance of Patience
Recovery from a TFCC tear can take time, and it's important to be patient with yourself. The "golden period" for rehabilitation is indeed crucial, but pushing too hard can lead to setbacks. Focus on gradual progress rather than rushing the process.

Conclusion
In summary, while it’s important to engage in rehabilitation exercises as advised by your doctor, it’s equally important to monitor your body’s response. Managing swelling through ice, elevation, and compression can help facilitate a smoother recovery. If you have any doubts or concerns, don’t hesitate to reach out to your healthcare provider for personalized advice. Remember, recovery is a journey, and taking the right steps will lead you to a successful outcome.

Similar Q&A

Post-TFCC Surgery: Dealing with Persistent Swelling and Rehab Concerns

Hello, five years after my car accident, my TFCC has not healed. While I can manage my daily life, I experience pain at certain angles, which has become quite exhausting. To avoid future issues with lifting heavy objects, I opted for surgery. It has now been six weeks, and my att...

Dr. Shen Boquan reply Orthopedics
Hello, after TFCC surgery, it is usually necessary to immobilize and protect the area for a period of time. Your physician should have a good understanding of when to start rehabilitation activities, ensuring that there is a low risk of re-tearing and that stiffness and swelling ...

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

Hello Doctor, I was in a car accident last year that caused pain on the ulnar side of my wrist during forearm rotation. I underwent prolotherapy and shockwave therapy for six months. It wasn't until the end of the year that an MRI confirmed a displaced TFCC tear. I then had ...

Dr. Zhan Xian reply Orthopedics
Hello Mr. Dou, the attending physician who will perform your surgery will have a better understanding of your condition. He will be able to directly observe the extent of the tear during the arthroscopy and assess whether it can be sutured properly. Postoperatively, rehabilitatio...

Managing Swelling and Blood Issues After Joint Replacement Surgery

Post-operative swelling in the calf and foot after joint replacement surgery should be managed by following these steps: 1. Elevation: Keep the affected leg elevated above heart level to reduce swelling. 2. Compression: Use compression stockings or bandages as recommende...

Dr. Chen Yongxue reply Orthopedics
The bruised area can start to improve with warm compresses five days after surgery, and the swelling should subside in about two weeks. However, some swelling may persist for a longer duration, especially around the knee joint, which can last up to six months. In the short term, ...

Effective Strategies to Reduce Swelling After Achilles Tendon Surgery

Hello Dr. Hong, I accidentally ruptured my Achilles tendon while playing basketball. I underwent surgery approximately 4 to 5 hours after the incident, where a suturing procedure was performed, and the surgery lasted about 1.5 hours. It has now been 44 days, and I have started ...

Dr. Hong Ximing reply Orthopedics
Hello: Swelling after Achilles tendon rupture surgery is a normal phenomenon. You are currently about 6 weeks post-surgery, and you should begin rehabilitation gradually and not rush the process, as it may affect tendon healing. Please consult with your rehabilitation physician f...