Wrist Injuries: Recovery Time and Next Steps for Healing - Rehabilitation

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Wrist injury


My wrist has been injured for almost two months now.
The other symptoms have gradually improved, but I still hear a clicking sound when I rotate my wrist.
My grip strength is normal.
I researched online and it seems that I might have a triangular fibrocartilage complex (TFCC) injury.
What is the typical recovery time for cartilage? During my recovery, I have been rotating my wrist but haven't engaged in any intense activities.
What do you recommend I do now, doctor?

Def, 10~19 year old female. Ask Date: 2016/01/19

Dr. Li Weiqiang reply Rehabilitation


Hello: You can further undergo ultrasound examination and receive physical therapy to strengthen certain muscle groups.
Wishing you safety and health.
Sincerely, Dr.
Li Wei-Chiang, Director of the Rehabilitation Department, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2016/01/19

More Info


Wrist injuries can be quite complex, and recovery times can vary significantly depending on the specific nature of the injury. Based on your description, it seems you may be dealing with an injury to the triangular fibrocartilage complex (TFCC), which is a structure in the wrist that provides stability and cushioning between the wrist bones.

Recovery Time for TFCC Injuries
The recovery time for a TFCC injury can vary widely. Generally, if the injury is mild and does not require surgical intervention, you might expect a recovery period of about 6 to 12 weeks. However, if there is a significant tear or if conservative treatments do not alleviate symptoms, surgery may be necessary, which could extend the recovery time to several months.

Symptoms and Healing Process
The "clicking" or "popping" sound you hear when rotating your wrist can be indicative of a few things. It may suggest that the cartilage is not healing properly or that there is some instability in the wrist joint. While it is a good sign that your grip strength is normal, the presence of noise during movement can indicate that the joint mechanics are not functioning as they should.

Recommended Next Steps
1. Rest and Avoid Aggravating Activities: It’s crucial to avoid any activities that may exacerbate the injury. While you mentioned that you have not engaged in any intense activities, be mindful of any repetitive wrist movements that could hinder healing.

2. Physical Therapy: Engaging in physical therapy can be beneficial. A physical therapist can guide you through specific exercises designed to strengthen the wrist and improve flexibility without putting undue stress on the injured area. They can also provide modalities such as ultrasound or electrical stimulation to promote healing.

3. Immobilization: Depending on the severity of your symptoms, your doctor may recommend wearing a wrist brace or splint to immobilize the wrist and allow the TFCC to heal properly. This can also help reduce pain and prevent further injury.

4. Ice and Anti-inflammatory Medications: Applying ice to the wrist can help reduce swelling and pain. Over-the-counter anti-inflammatory medications, such as ibuprofen or naproxen, can also be helpful in managing discomfort.

5. Follow-Up with a Specialist: If symptoms persist or worsen, it may be wise to consult an orthopedic specialist who can perform imaging studies, such as an MRI, to assess the extent of the injury. They can provide a more tailored treatment plan based on the findings.

6. Gradual Return to Activity: Once you start feeling better, gradually reintroduce activities that involve wrist movement. Start with low-impact exercises and slowly progress to more demanding tasks as tolerated.


Conclusion
In summary, while the healing process for a TFCC injury can take several weeks to months, it is essential to listen to your body and avoid pushing through pain. Engaging in physical therapy, using a brace, and following up with a healthcare provider can significantly aid in your recovery. If the clicking sound persists or if you experience any new symptoms, do not hesitate to seek further medical advice. Remember, patience is key in the healing process, and taking the right steps now can help ensure a full recovery.

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