Laser Treatment for Wrist Triangular Fibrocartilage Inflammation - Rehabilitation

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Wrist cartilage inflammation laser treatment


Due to persistent inflammation of the triangular fibrocartilage in my wrist, the doctor recommended trying high-energy laser therapy.
However, during the session, I found that the device did not have a specific treatment option for triangular fibrocartilage inflammation, so the therapist chose to apply the treatment for wrist swelling instead.
Will this approach affect the treatment's effectiveness? Are the differences between treatments mainly in terms of duration and energy? Additionally, since I use a keyboard and mouse for work daily, if I do not take breaks, will this diminish the treatment's effectiveness? Would it be better to wait until I can rest before undergoing treatment?

A, 30~39 year old female. Ask Date: 2022/12/21

Dr. Wang Zhaomin reply Rehabilitation


Each type of machine has different settings, and it is advisable to discuss with the on-site therapists or attending physicians.
Overuse of the keyboard and mouse can lead to repetitive strain injuries, so it is important to take appropriate breaks to prevent further deterioration of the condition.

Reply Date: 2022/12/21

More Info


Laser treatment for wrist triangular fibrocartilage inflammation can be an effective option, particularly when traditional methods have not yielded satisfactory results. The triangular fibrocartilage complex (TFCC) is a structure in the wrist that provides stability and cushioning between the wrist bones. Inflammation in this area can lead to pain, swelling, and reduced range of motion, often exacerbated by repetitive activities such as typing or using a mouse.

When it comes to laser therapy, the effectiveness can indeed vary based on the specific settings used during treatment. High-energy laser therapy (often referred to as low-level laser therapy or LLLT) works by delivering light energy to the affected tissues, promoting healing through increased circulation, reduced inflammation, and enhanced cellular repair processes. The choice of treatment settings, including the specific protocol for wrist swelling versus TFCC inflammation, can impact the results.
If the therapist is using a protocol designed for wrist swelling rather than specifically targeting TFCC inflammation, there may be differences in outcomes. The primary differences between treatment protocols typically involve the duration of exposure to the laser and the energy output. A protocol specifically designed for TFCC inflammation might focus on deeper tissue penetration and longer exposure times to effectively address the underlying issues. Therefore, while the treatment for wrist swelling may provide some relief, it might not be as effective as a targeted approach for the TFCC.

Regarding your daily activities, continuous use of a keyboard and mouse can indeed hinder the healing process. Repetitive strain on the wrist can exacerbate inflammation and delay recovery. It is advisable to take regular breaks to rest your wrist, perform stretching exercises, and possibly adjust your workstation ergonomics to reduce strain. If possible, consider scheduling your laser treatments during periods when you can minimize wrist use afterward. This approach allows the body to respond better to the treatment without the interference of ongoing strain.

In summary, while laser treatment can be beneficial for wrist triangular fibrocartilage inflammation, the specific settings and protocols used are crucial for achieving optimal results. If the current treatment does not seem to be addressing your specific condition effectively, it may be worth discussing with your healthcare provider or therapist about the possibility of using a more targeted laser therapy approach. Additionally, incorporating rest and ergonomic adjustments into your daily routine will likely enhance the effectiveness of the treatment and promote healing.

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