Should You Choose Acupuncture or Western Rehab for Wrist Injury? - Traditional Chinese Medicine

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Wrist injury


Hello Dr.
Lu: Last March, I injured my wrist in a motorcycle accident.
In September, I underwent an MRI which revealed a triangular fibrocartilage complex (TFCC) tear.
I would like to ask Dr.
Lu whether I should pursue acupuncture with traditional Chinese medicine or rehabilitation with Western medicine.
Thank you.
🙏🏼

A Zhe, 10~19 year old female. Ask Date: 2022/01/08

Dr. Lü Bingcheng reply Traditional Chinese Medicine


You sustained a wrist injury from a motorcycle fall in early March of last year, and an MRI in September revealed a triangular fibrocartilage tear.
I personally recommend seeking treatment as soon as possible, whether through acupuncture in traditional Chinese medicine or rehabilitation in Western medicine.
As long as you can consistently receive treatment, it will be beneficial for improving your condition.

Reply Date: 2022/01/08

More Info


When it comes to treating a wrist injury, particularly one involving a triangular fibrocartilage complex (TFCC) tear, the choice between acupuncture and Western rehabilitation methods can be quite nuanced. Both approaches have their merits, and the decision often depends on the specifics of the injury, personal preferences, and the overall treatment goals.

Understanding the Injury:
A TFCC tear can lead to pain, swelling, and decreased range of motion in the wrist. This structure is crucial for wrist stability and function, especially during activities that involve gripping or twisting motions. The healing process can be complex, and treatment should be tailored to the individual’s condition.

Western Rehabilitation:
Western medicine typically focuses on evidence-based practices. In the case of a TFCC injury, rehabilitation may include physical therapy, which aims to restore function and strength to the wrist. A physical therapist would likely employ a combination of modalities, including:
1. Manual Therapy: Techniques to improve joint mobility and reduce pain.

2. Therapeutic Exercises: Strengthening and stretching exercises tailored to the wrist and forearm muscles.

3. Modalities: Use of heat, ice, ultrasound, or electrical stimulation to manage pain and inflammation.

4. Activity Modification: Guidance on how to modify daily activities to avoid aggravating the injury.

In some cases, if conservative treatment does not yield improvement, surgical intervention may be considered, especially for significant tears.

Acupuncture:
On the other hand, acupuncture, a key component of Traditional Chinese Medicine (TCM), may offer benefits as well. It is based on the principle of balancing the body’s energy (Qi) and can help alleviate pain and promote healing. Some potential benefits of acupuncture for wrist injuries include:
1. Pain Relief: Acupuncture may help reduce pain by stimulating the release of endorphins and improving blood circulation to the affected area.

2. Reduced Inflammation: It may assist in decreasing inflammation, which is often a significant issue in injuries.

3. Improved Range of Motion: Regular sessions may help improve flexibility and mobility in the wrist.

4. Holistic Approach: Acupuncture treats the body as a whole, which can be beneficial for overall well-being during recovery.

Combining Approaches:
Many patients find that a combination of both Western rehabilitation and acupuncture yields the best results. For instance, while undergoing physical therapy to strengthen the wrist, acupuncture can be used concurrently to manage pain and inflammation. This integrative approach can enhance recovery and improve overall function.

Self-Care and Monitoring:
Regardless of the chosen treatment path, self-care is crucial. This includes:
- Resting the wrist to avoid further injury.

- Applying ice to reduce swelling.

- Gentle stretching and strengthening exercises as advised by a healthcare professional.

- Monitoring symptoms and adjusting activities based on pain levels.

Conclusion:
Ultimately, the decision between acupuncture and Western rehabilitation should be made in consultation with healthcare providers who understand your specific injury and treatment goals. It may also be beneficial to seek a practitioner who is knowledgeable in both fields, allowing for a more comprehensive treatment plan. Remember, the key to recovery is not just the method of treatment but also adherence to the prescribed rehabilitation program and being attentive to your body’s signals during the healing process.

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