TFCC Tear Management: Assessment and Treatment Options

Treatment depends on how the injury occurred, where the tissue is affected, whether the wrist is stable, and how symptoms limit daily activities. Assessment may include checking tenderness, rotation, grip, and the connection between the forearm bones. Imaging can be considered when the findings are unclear or symptoms continue. A wrist problem that feels like a TFCC tear may instead involve a bone, tendon, or another ligament, so management should follow an examination rather than a label alone.

Temporarily reduce painful twisting, heavy gripping, and weight-bearing through the hand. A clinician may suggest [Splinting](/treatments/trauma-and-fracture-care/splinting/) to limit aggravating movement. As symptoms allow, [Physiotherapy](/treatments/physiotherapy-and-rehabilitation/physiotherapy/) can restore motion, forearm coordination, and strength. If pain remains a barrier, your clinician may discuss options such as a [Cortisone Injection](/treatments/non-surgical-orthopedics/cortisone-injection/). Persistent instability or a tear that does not respond to non-surgical care may prompt a hand or wrist specialist review.

Get prompt medical attention for a deformed wrist, rapidly increasing swelling, severe loss of movement, numbness, or fingers that become cold or pale. Contact a clinician for ongoing pain, painful clicking, or repeated giving way, particularly after an injury. Early assessment helps distinguish a TFCC problem from a fracture or another wrist condition.

Is my wrist stable? What activities should I modify? Would a support or rehabilitation plan suit me? When would an injection, imaging, or specialist opinion be considered?