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

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Post-TFCC (Triangular Fibrocartilage Complex) surgery recovery can be a challenging process, especially when it comes to managing swelling and pain. It’s understandable that you’re feeling anxious about your recovery, particularly after having dealt with persistent issues for five years prior to your surgery.
Firstly, it’s important to recognize that swelling after surgery is a common occurrence. The body’s natural response to surgery involves inflammation, which can lead to swelling in the affected area. This is part of the healing process, but it can be frustrating, especially when it interferes with rehabilitation exercises. In many cases, swelling may take several weeks to months to fully resolve, depending on various factors including the extent of the surgery, your overall health, and how well you follow post-operative care instructions.

Regarding your concern about starting rehabilitation while experiencing persistent swelling, it is generally advisable to begin rehabilitation as soon as your doctor recommends it, even if some swelling is still present. Physical therapy can help improve range of motion, strength, and function, which are crucial for your recovery. However, it’s essential to communicate openly with your physical therapist about your swelling and pain levels. They can tailor your rehabilitation program to accommodate your current condition and may incorporate techniques to manage swelling, such as gentle mobilization, elevation of the wrist, and ice application.

If your swelling is significant and persistent, it may be worth discussing with your surgeon or healthcare provider. They might consider additional interventions, such as adjusting your medication, recommending specific exercises to promote fluid drainage, or evaluating for any underlying issues that could be contributing to the swelling.
In terms of your concerns about the stiffness and the sensation of your wrist feeling "like cement," this can also be a normal part of the healing process. After a period of immobilization, it’s common for joints to feel stiff and for the surrounding tissues to be tight. This stiffness can improve with consistent rehabilitation exercises, but it may take time and patience.
You mentioned that your doctor has prescribed anti-inflammatory medication to help with the swelling. It’s crucial to take these medications as directed and to follow up with your healthcare provider if you do not notice any improvement. They may need to reassess your condition or consider other treatment options.

Lastly, it’s completely normal to feel anxious about your recovery, especially when you have had a long history of wrist issues. It’s important to focus on small, achievable goals during your rehabilitation process and to celebrate any progress, no matter how minor it may seem. Engaging in supportive conversations with your healthcare team and possibly seeking support from others who have gone through similar experiences can also be beneficial.

In summary, while persistent swelling can be concerning, it is often a normal part of the post-operative healing process. Starting rehabilitation as recommended by your doctor is crucial, and open communication with your healthcare team will help ensure that your recovery is as smooth as possible. Remember to be patient with yourself, as healing takes time, and with consistent effort, you can work towards regaining the function and strength of your wrist.