What to Expect from Physiotherapy for a TFCC Tear

The triangular fibrocartilage complex supports the ulnar side of the wrist, near the little-finger side. Assessment may include wrist movement, forearm rotation, grip, tenderness, swelling, and how the wrist responds to loading. Your therapist will consider how the tear occurred, whether the joint feels stable, and whether a splint or specialist review is needed.

At first, treatment may focus on activity modification, a brace or taping plan, swelling control, and movement that stays within a comfortable range. Later exercises may address forearm rotation, wrist control, grip, and the shoulder or elbow chain. The return to lifting, pushing, racquet sports, or work tasks is gradual and should follow your symptoms and the clinician’s guidance. Avoid repeatedly testing painful twisting or heavy gripping between appointments.

Seek medical review if pain follows a significant fall, the wrist looks deformed, swelling rapidly increases, or you cannot move the fingers. Prompt assessment is also appropriate for persistent numbness, a cold or discoloured hand, marked weakness, or clicking with a sense that the wrist is giving way. These findings may need imaging or specialist input alongside therapy.

Ask whether your tear appears stable, when a brace is needed, which movements to avoid, and what milestones should come before lifting or sport. Clarify whether ongoing clicking or ulnar-sided pain changes the treatment plan.