It’s on the outside of my right wrist and causes pain when I rotate my hand (from a palm facing down position):
Can you push without pain - pushing up from a chair/bath or press-ups?
It could be the TFCC. An MRI scan may help but would have to be evaluated by a radiologist who has TFCC experience in these injuries. Gold standard diagnosis would be arthroscopy. From the little I know about your injury could it be a case of insufficient loading during rehabilitation phase? The exercises you describe are ok for lower level loading. However if you then jump from some rest, gentle rehab to fully loading the structures while climbing with undercuts etc it wouldn't be surprising if you get recurrent issues. Have you tried gradually loading the tissues in a specific way i.e climbing with undercuts and sidepulls, and building this progressingly up over time? Enough to overload the area without causing a recurrence?
Quote from: James Malloch on August 04, 2020, 11:14:50 amIt’s on the outside of my right wrist and causes pain when I rotate my hand (from a palm facing down position):My issue which sounds similar (and which I thought was TFCC; see other posts/thread) was diagnosed as Flexor carpi ulnaris (I had to Google the spelling). Mine would be absolutely fine boning down on crimps but as soon as I opened my fingers, used a side-pull etc. I'd get an incredibly sharp pain (enough to make me drop off and wince for a good few seconds).I'm not my physio (or a physio) but what convinced him it wasn't TFCC was me doing a press-up in front of him without too much discomfort. The test he used was to have my arm at 90deg with a karate chop shaped hand (thumb up) and using my un-injured hand tilt my hand upwards (thumb still up). The goal was to be able to then straighten my injured arm whilst holding this position without pain. I'm just about there (7 months post injury).The first exercise I was given was to take a rolling pin gripped in your injured hand with your arm straight out in front of you. With the rolling pin extending upwards and lent away from the body, to pull back on the rolling pin with my uninjured arm and resist it with the injured one. Holds were 30s repeated 5 times.
I did get pain though if I push the hand, in the same position, towards the ground. I’ll have a look over your other thread though as well, thank you.
I’m assuming that the gold standard mentioned, Arthroscopy, is likey to be fairly expensive to get done privately?