Aloha,

I hope I can be of assistance to you as this injury is my passion.

Dr. Nagle described the push up test as a 100% reliable tool i measuring TFCC tears. Since you already have the diagnosis, I would ask you what your weight bearing tolerance is? You can find the weight bearing test at youtube YouTube - WristWidget

Once you have defined with difference between the weight bearing of the right and left, or injured and non injured, you can determine how bad your injury is. This also helps understand if you have ECU tendonitis vs another injury which is causing your ulnar sided wrist pain.

Then, I would recommend that you tape your wrist with non elastic tape tightly. Do this for a test. Do not cross the wrist, but tape it as if you were putting on a sweat band, except tighter. Now retest the weight bearing. If you notice that there is an objective change in your tolerance to weight without pain, then I would visit http://tfccijury.blogspot.com for more information. This test does not work on a normal wrist as you will note.

This is a difficult injury with many variables which have not been standardized. The objective is to find a good conservative treatment that leads you a complete recovery. This injury also takes a long time to heal. If you decide to go the surgery route, I would spend the time understanding everything about the surgical options and gather as many opinions as possible.

I am free to answer any questions you might have. There are many fine details of your symptoms which, if you understood, would allow you to swim these waters with a good snorkel and wetsuit...

With Warm Aloha,

Wendy Howard, OTR, CHT, Clinical Research Coordinator