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Wrist Pain


jloughlin84
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I am 3.5 months post surgery. I felt a sharp pain while hitting a driver and could not even drive the cart after i hit it. I had similar pain (pinky side of the wrist and down through the palm) and saw an hand specialist. We tried a conservative rehab approach, but after 6 weeks of rest, the 10th chip caused the same pain. After another set of rehab and finally MRI's, i was diagnosed with torn central and peripheral TFCC (ulnar sided wrist pain) and fracture to the hook of the hamate bone (pain in the palm). After a surgery to fix the central, clean the peripheral, and remove the hook, i am chipping hitting half wedges pain free... The MD, PT, and I are all expecting to be fully released by 4 months with an increasing volume of shots over time. My best recommendation would be to take the most aggressive possible action for repair/treatment so that the minimal amount of time is spent watching/dreaming and not playing the game. On the bright side - the wrist brace/cast really helps take the hands out of the putter swing while you wait to be cleared to go to higher clubs.

 

Good Luck!!

 

JB, your issue seems nearly identical to mine. This is really encouraging to hear. The more time that goes by without improvement, the more i'm resigning to the fact that surgery is in my future. The fact that after 3.5 months you're a proponent is nice to hear. Can you provide some detail on your recovery regimen post op? How long were you in different type of casts, when did you start PT (and how long) and what sort of progression did you feel throughout the process? One of my big concerns is that I work at a desk job where both typing and driving (to visit clients) is necessary. How long were you out of work, out of the car and off the keyboard? Thanks in advance for the intel!

 

I will be exactly 4 months post op on Saturday and am "playing" chipping/putting/soft wedges in a charity scramble this weekend. I was in a fiberglass cast over my elbow for 3 weeks, then into a sugar tong cast (still above the elbow) for 3 weeks. After that i was moved to a c0ck-up wrist brace for 3 weeks and started slow PT. It started out w/ just basic mobility and has progressed into dynamic strengthening throughout the PT. I work mainly at a desk, and i was out for 2 days (Thurs/Fri of my surgery week - and returned on Monday). I was not 100% when it came to typing at all - but the 1 handed hunt and peck was good enough. Make sure that your surgeon has experience with the surgery to minimize complications down the road....

 

Good Luck!!

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  • 2 weeks later...

i had my consultation with the hand specialist/orthopedic surgeon earlier today. I was worried i had the same TFCC tear. He did quite a few pressure and flexibility tests to determine where the pain was originating. We determined that the only movement that caused pain was to bend my left sideways toward the ulna side of the left arm. He ruled out the possibility of TFCC tear . He said the pain was higher in the wrist. He believes i have strained that joint. He put me in a splint and prescribed me anti inflammatory cream. I have to keep the wrist immobilized in the splint for one month before the next visit. Hopefully this heals it. I have to say after reading everyone's stories on here - i'm relieved it's not the TFCC tear. Hope you all all recovering

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i had my consultation with the hand specialist/orthopedic surgeon earlier today. I was worried i had the same TFCC tear. He did quite a few pressure and flexibility tests to determine where the pain was originating. We determined that the only movement that caused pain was to bend my left sideways toward the ulna side of the left arm. He ruled out the possibility of TFCC tear . He said the pain was higher in the wrist. He believes i have strained that joint. He put me in a splint and prescribed me anti inflammatory cream. I have to keep the wrist immobilized in the splint for one month before the next visit. Hopefully this heals it. I have to say after reading everyone's stories on here - i'm relieved it's not the TFCC tear. Hope you all all recovering

 

Really glad to hear that TFCC has been ruled out for you. My ortho (also hand specialist and lead surgeon for the NYJ, not that it means anything) did a similar set of tests. I too had pain when my left hand was bent toward the ulnar side and he was convinced my issue was with the TFCC. This was proven true when the cortisone injection I was given into the TFCC signficantly helped the pain. Not saying your Ortho is wrong, just something to consider. I also had pain when turning my palm face up while keeping my left elbow tucked against my side. Did this bother you? You might want to question your ortho on hook of the hamate also. It's a bone on the ulnar side of the wrist, exactly where you describe your pain. A fracture of this bone is common in golfers and routinely doesn't show up on x-rays. It is typically only discovered using a CT Scan. The only reason I bring this to light is that it's uncommon for your to have pain for such an extended period of time if it's not the TFCC or Hook of Hamate. Maybe do some Google research. Obviously, I wish you nothing but the best in recovery.

 

I actually went out and played 18 yesterday (well, 15 to be exactly because I joined the group late). It's been 3 weeks since my cortisone injection (2 months since pain began) and I played wearing a wrist widget. To be honest, the wrist felt pretty good and even loosened up throughout the round. It felt so good that I hit the range afterwards and was striking the ball as good as ever. I'm holding out hope that it's healing but I'm certain the cortisone and wrist brace contributed significantly to the pain-free round. My concern at this point is how it will feel when the cortisone wears off...especially considering my member/guest is in 3 weeks!

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I agree w/ jloughlin84 - i would probably have a second opinion. I went to a local (and reputable) ortho with a hand/wrist fellowship at Duke, who said similar things to what DTX referred. After 3 months of no improvement (even with an injection) i gave up and got a second opinion with a top ortho in my area. He was late to my first visit because of surgery to fix the wrist of an MLB player - so that encouraged me a little. After a 20 minute discussion and examination of my MRI and X-rays he pointed out the fracture and tears and explained that no matter the conservative treatment it would never have healed. I had similar discomfort to DTX that far after my original injury. We scheduled surgery for the next week and within 2 weeks my hand/wrist felt like it did before the injury. Aside for the atrophy and rom lost initially, it has been a breeze in terms of recovery. My golf swing, on the other hand, has taken a beating not being out there for 9 months and having to retrain the ROM of my wrist.... Watch out in the stall in front of me!!

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I agree w/ jloughlin84 - i would probably have a second opinion. I went to a local (and reputable) ortho with a hand/wrist fellowship at Duke, who said similar things to what DTX referred. After 3 months of no improvement (even with an injection) i gave up and got a second opinion with a top ortho in my area. He was late to my first visit because of surgery to fix the wrist of an MLB player - so that encouraged me a little. After a 20 minute discussion and examination of my MRI and X-rays he pointed out the fracture and tears and explained that no matter the conservative treatment it would never have healed. I had similar discomfort to DTX that far after my original injury. We scheduled surgery for the next week and within 2 weeks my hand/wrist felt like it did before the injury. Aside for the atrophy and rom lost initially, it has been a breeze in terms of recovery. My golf swing, on the other hand, has taken a beating not being out there for 9 months and having to retrain the ROM of my wrist.... Watch out in the stall in front of me!!

 

j.b., thanks for your note. Was your fracture to the hook of the hamate? Also, where were your tears? My ortho told me that if I do, in fact, have tears, that recovery could be quick (a month or two) or more drawn out (6 months +) depending on where the tear is. The impression that I got was that if the ligament/cartilage was tearing off the bone that it would take longer to heal and if it was not impacting the attachment to the bone it would be a shorter recovery. Based on the fact that your recovery was 9 months I assume your surgery was a bit more involved?

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I agree w/ jloughlin84 - i would probably have a second opinion. I went to a local (and reputable) ortho with a hand/wrist fellowship at Duke, who said similar things to what DTX referred. After 3 months of no improvement (even with an injection) i gave up and got a second opinion with a top ortho in my area. He was late to my first visit because of surgery to fix the wrist of an MLB player - so that encouraged me a little. After a 20 minute discussion and examination of my MRI and X-rays he pointed out the fracture and tears and explained that no matter the conservative treatment it would never have healed. I had similar discomfort to DTX that far after my original injury. We scheduled surgery for the next week and within 2 weeks my hand/wrist felt like it did before the injury. Aside for the atrophy and rom lost initially, it has been a breeze in terms of recovery. My golf swing, on the other hand, has taken a beating not being out there for 9 months and having to retrain the ROM of my wrist.... Watch out in the stall in front of me!!

 

Disregard, I see now that you answered this already. Thx.

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  • 5 weeks later...

Quick update. It's been roughly 3 months since the onset of my ulnar-sided wrist pain and 6-7 weeks since my cortisone injection. The wrist is holding up well. The wrist widget has been an absolute god-send. I strongly suggest to anyone that has not yet tried it out to do so. I played in my club's member/guest two weekends ago which was roughly 50 holes in a 48 hour span and the brace got me through the event (mostly) pain free (although I scored horribly).

 

After countless hours reading up on this issue I've come to the realization that a minor tear/sprain of the ligaments and/or cartilage in the TFCC (likely what I had) can be effectively treated with rest, cortisone injection and wrist brace. Right now my wrist is probably at about 85-90% and will likely be so through the rest of the golf season but I fully expect it to heal over the winter and to be 100% going into next season (most importantly, with no need for surgery). More severe tears of the ligaments in the wrist seem to require surgery for adequate healing and to get back on the course.

 

Good luck to everyone dealing with this. It's a very frustrating injury but there is light at the end of the tunnel.

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Sports medicine is so much better today than years ago. 20 years ago I went through this. They injected fluid into my wrist while under x-ray. Best they could come up with back then was a "lax tendon" in my wrist. Time off was best back then. Some things I learned: A smaller grip held very much in the fingers seems to help me (as opposed to going to a mid size grip for easier gripping) and for awhile I golfed with a reverse overlap grip as to put a bit more control/impact on the right hand. Today I just take it easy and never hit more than a small bucket of balls. Good luck!

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I see a lot of talk about braces. Have you guys tried taping the wrist and/or elbow? I was sceptical about how the tape would help as a brace, but when I did finally tape my foot, I could honestly feel the difference it made while I was on it. I could feel the support it gave, and it really made a big difference with my recovery. And with those of you who are still being quite active, it will help prevent over-extension but without the bulkiness of brace.

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What Monte said and/or chiropractic. Braces will only weaken the muscles in the area by atrophy possibly leading to more problems. If the initial massage/chiropractic doesn't work find another masseuse/chiropractor until you find one that does. Research these folks in your area via the internet and focus on those that offer multiple types of massage and/or chiropractic treatments.

 

These treatments can dramatically increase circulation and blood flow in the area as well as increasing mobility while reducing pain. Granted, these treatments can be unpleasant in the beginning but then again, have you ever experienced rehab after surgery? Not much fun either.

 

In my opinion avoid surgery at all costs. There are many, many other effective options out there. Unfortunately, most doctors will all offer the same treatments and remedies that don't work and inevitably conclude with surgery.

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Yes, i agree with avoiding surgery as much as possible. BUT, if its a torn central TFCC or broken hook of hamate the ONLY way to treat them will be surgery. Don't assume all surgeon's cut just to cut. Some are good and care about the quality of patient care, not just their new sports car. Don't be afraid to ask your ortho very pointed questions and getting clarification on things you might fully understand.

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  • 2 weeks later...

i had my consultation with the hand specialist/orthopedic surgeon earlier today. I was worried i had the same TFCC tear. He did quite a few pressure and flexibility tests to determine where the pain was originating. We determined that the only movement that caused pain was to bend my left sideways toward the ulna side of the left arm. He ruled out the possibility of TFCC tear . He said the pain was higher in the wrist. He believes i have strained that joint. He put me in a splint and prescribed me anti inflammatory cream. I have to keep the wrist immobilized in the splint for one month before the next visit. Hopefully this heals it. I have to say after reading everyone's stories on here - i'm relieved it's not the TFCC tear. Hope you all all recovering

 

Really glad to hear that TFCC has been ruled out for you. My ortho (also hand specialist and lead surgeon for the NYJ, not that it means anything) did a similar set of tests. I too had pain when my left hand was bent toward the ulnar side and he was convinced my issue was with the TFCC. This was proven true when the cortisone injection I was given into the TFCC signficantly helped the pain. Not saying your Ortho is wrong, just something to consider. I also had pain when turning my palm face up while keeping my left elbow tucked against my side. Did this bother you? You might want to question your ortho on hook of the hamate also. It's a bone on the ulnar side of the wrist, exactly where you describe your pain. A fracture of this bone is common in golfers and routinely doesn't show up on x-rays. It is typically only discovered using a CT Scan. The only reason I bring this to light is that it's uncommon for your to have pain for such an extended period of time if it's not the TFCC or Hook of Hamate. Maybe do some Google research. Obviously, I wish you nothing but the best in recovery.

 

I actually went out and played 18 yesterday (well, 15 to be exactly because I joined the group late). It's been 3 weeks since my cortisone injection (2 months since pain began) and I played wearing a wrist widget. To be honest, the wrist felt pretty good and even loosened up throughout the round. It felt so good that I hit the range afterwards and was striking the ball as good as ever. I'm holding out hope that it's healing but I'm certain the cortisone and wrist brace contributed significantly to the pain-free round. My concern at this point is how it will feel when the cortisone wears off...especially considering my member/guest is in 3 weeks!

 

Well....it's been about 6 weeks since my doctor visit. I've been wearing my brace most of the time. Over the last few weeks i have felt zero pain with any motions and i was feeling positive about playing maybe by august. I went to the golf store today and I wanted to test it out with a couple easy iron shots. I hit 2 7 irons at about 70% and felt the pain come back again. Granted not nearly as bad as a few months ago....but I immediately stopped. I'm still no where near being able to play. I am now considering going elsewhere for a second opinion. I played baseball for 15 years....i had tendonitis from pitching, a strained tendon in my knee, and i'm pretty sure i've ruptured another tendon in my foot playing basketball. And None of those took a third as long to heal as this stupid injury. It's beyond frustrating. I had gone from a 3 to a +1 cap in the last calendar year and now i feel like i'm about to start from square one with this thing. Been nearly 4 months since i've played golf and i get stir crazy if i miss a week usually. Thankfully i can still drink beer.

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i had my consultation with the hand specialist/orthopedic surgeon earlier today. I was worried i had the same TFCC tear. He did quite a few pressure and flexibility tests to determine where the pain was originating. We determined that the only movement that caused pain was to bend my left sideways toward the ulna side of the left arm. He ruled out the possibility of TFCC tear . He said the pain was higher in the wrist. He believes i have strained that joint. He put me in a splint and prescribed me anti inflammatory cream. I have to keep the wrist immobilized in the splint for one month before the next visit. Hopefully this heals it. I have to say after reading everyone's stories on here - i'm relieved it's not the TFCC tear. Hope you all all recovering

 

Really glad to hear that TFCC has been ruled out for you. My ortho (also hand specialist and lead surgeon for the NYJ, not that it means anything) did a similar set of tests. I too had pain when my left hand was bent toward the ulnar side and he was convinced my issue was with the TFCC. This was proven true when the cortisone injection I was given into the TFCC signficantly helped the pain. Not saying your Ortho is wrong, just something to consider. I also had pain when turning my palm face up while keeping my left elbow tucked against my side. Did this bother you? You might want to question your ortho on hook of the hamate also. It's a bone on the ulnar side of the wrist, exactly where you describe your pain. A fracture of this bone is common in golfers and routinely doesn't show up on x-rays. It is typically only discovered using a CT Scan. The only reason I bring this to light is that it's uncommon for your to have pain for such an extended period of time if it's not the TFCC or Hook of Hamate. Maybe do some Google research. Obviously, I wish you nothing but the best in recovery.

 

I actually went out and played 18 yesterday (well, 15 to be exactly because I joined the group late). It's been 3 weeks since my cortisone injection (2 months since pain began) and I played wearing a wrist widget. To be honest, the wrist felt pretty good and even loosened up throughout the round. It felt so good that I hit the range afterwards and was striking the ball as good as ever. I'm holding out hope that it's healing but I'm certain the cortisone and wrist brace contributed significantly to the pain-free round. My concern at this point is how it will feel when the cortisone wears off...especially considering my member/guest is in 3 weeks!

 

Well....it's been about 6 weeks since my doctor visit. I've been wearing my brace most of the time. Over the last few weeks i have felt zero pain with any motions and i was feeling positive about playing maybe by august. I went to the golf store today and I wanted to test it out with a couple easy iron shots. I hit 2 7 irons at about 70% and felt the pain come back again. Granted not nearly as bad as a few months ago....but I immediately stopped. I'm still no where near being able to play. I am now considering going elsewhere for a second opinion. I played baseball for 15 years....i had tendonitis from pitching, a strained tendon in my knee, and i'm pretty sure i've ruptured another tendon in my foot playing basketball. And None of those took a third as long to heal as this stupid injury. It's beyond frustrating. I had gone from a 3 to a +1 cap in the last calendar year and now i feel like i'm about to start from square one with this thing. Been nearly 4 months since i've played golf and i get stir crazy if i miss a week usually. Thankfully i can still drink beer.

 

DTX: If I'm you I'm going to my ortho surgeon and demanding an MRI and CT Scan. I'm no doctor but i've spent months obsessing over my own wrist injury. Based on what you're saying I feel pretty confident you either have a tear of a ligament or cartilage in your TFCC or a broken hammate bone. For the pain to be lingering for this long there's simply nothing else I know of that it could be. MRI will show any TFCC damage but may not pick up the hammate issue. CT scan will. If the pain is higher up the wrist (i.e. closer to the bottom of your palm) I would think you have a hammate issue. Very common in golfers.

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  • 4 weeks later...

Oh no! I'm so sorry to hear that DTXgolfer12. Try to stay positive though. Get something that helps increase the blood flow...like vernon mentioned. The benefits of simply increasing blood flow is amazing for healing injuries and preventing further damage while you are active with the area. Here's some great info about the benefits of increased circulation. Wishing all the best.

http://kingbrand.com/Improving_Circulation.php?REF=46PV97.212

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i had my consultation with the hand specialist/orthopedic surgeon earlier today. I was worried i had the same TFCC tear. He did quite a few pressure and flexibility tests to determine where the pain was originating. We determined that the only movement that caused pain was to bend my left sideways toward the ulna side of the left arm. He ruled out the possibility of TFCC tear . He said the pain was higher in the wrist. He believes i have strained that joint. He put me in a splint and prescribed me anti inflammatory cream. I have to keep the wrist immobilized in the splint for one month before the next visit. Hopefully this heals it. I have to say after reading everyone's stories on here - i'm relieved it's not the TFCC tear. Hope you all all recovering

 

Really glad to hear that TFCC has been ruled out for you. My ortho (also hand specialist and lead surgeon for the NYJ, not that it means anything) did a similar set of tests. I too had pain when my left hand was bent toward the ulnar side and he was convinced my issue was with the TFCC. This was proven true when the cortisone injection I was given into the TFCC signficantly helped the pain. Not saying your Ortho is wrong, just something to consider. I also had pain when turning my palm face up while keeping my left elbow tucked against my side. Did this bother you? You might want to question your ortho on hook of the hamate also. It's a bone on the ulnar side of the wrist, exactly where you describe your pain. A fracture of this bone is common in golfers and routinely doesn't show up on x-rays. It is typically only discovered using a CT Scan. The only reason I bring this to light is that it's uncommon for your to have pain for such an extended period of time if it's not the TFCC or Hook of Hamate. Maybe do some Google research. Obviously, I wish you nothing but the best in recovery.

 

I actually went out and played 18 yesterday (well, 15 to be exactly because I joined the group late). It's been 3 weeks since my cortisone injection (2 months since pain began) and I played wearing a wrist widget. To be honest, the wrist felt pretty good and even loosened up throughout the round. It felt so good that I hit the range afterwards and was striking the ball as good as ever. I'm holding out hope that it's healing but I'm certain the cortisone and wrist brace contributed significantly to the pain-free round. My concern at this point is how it will feel when the cortisone wears off...especially considering my member/guest is in 3 weeks!

 

Well....it's been about 6 weeks since my doctor visit. I've been wearing my brace most of the time. Over the last few weeks i have felt zero pain with any motions and i was feeling positive about playing maybe by august. I went to the golf store today and I wanted to test it out with a couple easy iron shots. I hit 2 7 irons at about 70% and felt the pain come back again. Granted not nearly as bad as a few months ago....but I immediately stopped. I'm still no where near being able to play. I am now considering going elsewhere for a second opinion. I played baseball for 15 years....i had tendonitis from pitching, a strained tendon in my knee, and i'm pretty sure i've ruptured another tendon in my foot playing basketball. And None of those took a third as long to heal as this stupid injury. It's beyond frustrating. I had gone from a 3 to a +1 cap in the last calendar year and now i feel like i'm about to start from square one with this thing. Been nearly 4 months since i've played golf and i get stir crazy if i miss a week usually. Thankfully i can still drink beer.

 

DTX: If I'm you I'm going to my ortho surgeon and demanding an MRI and CT Scan. I'm no doctor but i've spent months obsessing over my own wrist injury. Based on what you're saying I feel pretty confident you either have a tear of a ligament or cartilage in your TFCC or a broken hammate bone. For the pain to be lingering for this long there's simply nothing else I know of that it could be. MRI will show any TFCC damage but may not pick up the hammate issue. CT scan will. If the pain is higher up the wrist (i.e. closer to the bottom of your palm) I would think you have a hammate issue. Very common in golfers.

 

I concur. Had the same story. Ended up going back and getting an MRI. What was initially called tendinitis ended up being a fractured hook of hamate. Ended up having surgery.

 

Lost three months because there was no initial MRI done, which I thought about asking for, as I've had a few issues with tendinitis and sprains and strains, and knew this felt different. As it stands, there's a good chance I'll miss out on this season because of that delay.

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Anybody have surgery here for the TFCC tear? It's just a scope but how long were you out of commission for?

 

I haven't had surgery but the ortho I went to for my injury said there are two types of TFCC tears, one more severe than the other. He estimated the less severe of the two to be a 3 month recovery and the more severe of the two to be a 6 month recovery. As with any surgery, I'm sure it will be even longer until you feel entirely 100%.

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Anybody have surgery here for the TFCC tear? It's just a scope but how long were you out of commission for?

 

I haven't had surgery but the ortho I went to for my injury said there are two types of TFCC tears, one more severe than the other. He estimated the less severe of the two to be a 3 month recovery and the more severe of the two to be a 6 month recovery. As with any surgery, I'm sure it will be even longer until you feel entirely 100%.

Thanks for the reply...just met with one of the best hand wrist guys who does a lot work with professional baseball players. After the MRI came back I have no tears but moderate damage to the cartilage and ecu tendon. I'm getting a scope done on Thursday to clean some stuff up and he's also injecting cortisone into the wrist. Had really sharp pain to the outside of my wrist with every swing about 6 weeks ago.

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Anybody have surgery here for the TFCC tear? It's just a scope but how long were you out of commission for?

 

I haven't had surgery but the ortho I went to for my injury said there are two types of TFCC tears, one more severe than the other. He estimated the less severe of the two to be a 3 month recovery and the more severe of the two to be a 6 month recovery. As with any surgery, I'm sure it will be even longer until you feel entirely 100%.

Thanks for the reply...just met with one of the best hand wrist guys who does a lot work with professional baseball players. After the MRI came back I have no tears but moderate damage to the cartilage and ecu tendon. I'm getting a scope done on Thursday to clean some stuff up and he's also injecting cortisone into the wrist. Had really sharp pain to the outside of my wrist with every swing about 6 weeks ago.

 

I didn't have an MRI but I'm guessing my injury was very comparable to yours - no major tears but a decent amount of damage. Cortisone injection was the key for me. I was playing golf with a brace (wrist widget) about 3 weeks after the injection and I'm currently playing (about 2.5 months after injection) with no brace. I have minor pain but nothing that isn't manageable. All in all, it took me about 3 months after I first start feeling pain to get back on the course playing my game. Good luck.

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i had my consultation with the hand specialist/orthopedic surgeon earlier today. I was worried i had the same TFCC tear. He did quite a few pressure and flexibility tests to determine where the pain was originating. We determined that the only movement that caused pain was to bend my left sideways toward the ulna side of the left arm. He ruled out the possibility of TFCC tear . He said the pain was higher in the wrist. He believes i have strained that joint. He put me in a splint and prescribed me anti inflammatory cream. I have to keep the wrist immobilized in the splint for one month before the next visit. Hopefully this heals it. I have to say after reading everyone's stories on here - i'm relieved it's not the TFCC tear. Hope you all all recovering

 

Really glad to hear that TFCC has been ruled out for you. My ortho (also hand specialist and lead surgeon for the NYJ, not that it means anything) did a similar set of tests. I too had pain when my left hand was bent toward the ulnar side and he was convinced my issue was with the TFCC. This was proven true when the cortisone injection I was given into the TFCC signficantly helped the pain. Not saying your Ortho is wrong, just something to consider. I also had pain when turning my palm face up while keeping my left elbow tucked against my side. Did this bother you? You might want to question your ortho on hook of the hamate also. It's a bone on the ulnar side of the wrist, exactly where you describe your pain. A fracture of this bone is common in golfers and routinely doesn't show up on x-rays. It is typically only discovered using a CT Scan. The only reason I bring this to light is that it's uncommon for your to have pain for such an extended period of time if it's not the TFCC or Hook of Hamate. Maybe do some Google research. Obviously, I wish you nothing but the best in recovery.

 

I actually went out and played 18 yesterday (well, 15 to be exactly because I joined the group late). It's been 3 weeks since my cortisone injection (2 months since pain began) and I played wearing a wrist widget. To be honest, the wrist felt pretty good and even loosened up throughout the round. It felt so good that I hit the range afterwards and was striking the ball as good as ever. I'm holding out hope that it's healing but I'm certain the cortisone and wrist brace contributed significantly to the pain-free round. My concern at this point is how it will feel when the cortisone wears off...especially considering my member/guest is in 3 weeks!

 

Well....it's been about 6 weeks since my doctor visit. I've been wearing my brace most of the time. Over the last few weeks i have felt zero pain with any motions and i was feeling positive about playing maybe by august. I went to the golf store today and I wanted to test it out with a couple easy iron shots. I hit 2 7 irons at about 70% and felt the pain come back again. Granted not nearly as bad as a few months ago....but I immediately stopped. I'm still no where near being able to play. I am now considering going elsewhere for a second opinion. I played baseball for 15 years....i had tendonitis from pitching, a strained tendon in my knee, and i'm pretty sure i've ruptured another tendon in my foot playing basketball. And None of those took a third as long to heal as this stupid injury. It's beyond frustrating. I had gone from a 3 to a +1 cap in the last calendar year and now i feel like i'm about to start from square one with this thing. Been nearly 4 months since i've played golf and i get stir crazy if i miss a week usually. Thankfully i can still drink beer.

 

DTX: If I'm you I'm going to my ortho surgeon and demanding an MRI and CT Scan. I'm no doctor but i've spent months obsessing over my own wrist injury. Based on what you're saying I feel pretty confident you either have a tear of a ligament or cartilage in your TFCC or a broken hammate bone. For the pain to be lingering for this long there's simply nothing else I know of that it could be. MRI will show any TFCC damage but may not pick up the hammate issue. CT scan will. If the pain is higher up the wrist (i.e. closer to the bottom of your palm) I would think you have a hammate issue. Very common in golfers.

 

I concur. Had the same story. Ended up going back and getting an MRI. What was initially called tendinitis ended up being a fractured hook of hamate. Ended up having surgery.

 

Lost three months because there was no initial MRI done, which I thought about asking for, as I've had a few issues with tendinitis and sprains and strains, and knew this felt different. As it stands, there's a good chance I'll miss out on this season because of that delay.

 

Isn't the "hook" located towards the palm of the hand towards the middle?

My pain is on the side of the hand. Like where you get that "indentation" if you flex your pinky.

 

Update: i have been resting the wrist and it feels weak but fairly normal at the moment. I went to the store today and was able to hit some "soft" wedge shots without any pain. I was still very careful with it though. That was encouraging.

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The hook is a little towards the middle, but remember what that "hook" actually hooks.... Pain radiates on the lateral portion of the hand where i think you are talking about. Sorry!!

 

If you were to hold a sealed bottle in your right hand about belly button height, could you, without pain, easily unscrew the bottle (should have some wrist extension and ulnar deviation in that movement) with the left (injured) hand? Grasping w/ the combination of those 2 should send pain down the 4th and 5th fingers....

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I tore my TFCC back in July of 2014. So i'll give my story.

 

Was playing in PA and was on like the 13th or so hole, had about a 120y iron shot to the green from some thick rough. Took a practice swing through the rough maybe 50% felt a sharp pinch in my wrist. Rest of the day felt severe pain on it, tried to play next morning couldn't finish 3 holes had to walk off.

 

Long story short, found one of the best wrist guys in NYC (Dr. Keith Raskin)... MRI showed I had a central tear of the TFCC possibly caused by my ulnar bone being a little too long (genetics) and the swing caused the ulnar bone to puncture the TFCC. Injury scared the crap out of me, thought as a young 40 year old man i'd never be able to play golf again.

 

Doctor recommended surgery to repair the TFCC via debridement (clean it out) and to shave off some of the ulnar bone and shorten it to a more normal length. Doctor said since my TFCC was central and not on the edge, this is the "better" injury to TFCC. The TFCC has a difficult time healing itself, but since it's a central tear doctor explained it would be like a earring hole that is no longer used... the hole would eventually close on it's own after debridement. TFCC tears on the edge can still be repaired, just takes longer since they have to use stitches for the TFCC to hold it in place.

 

Had the surgery, was a success. Had a hard cast for four weeks, and had it wrapped in a soft cast for an additional two weeks. Physical Therapy for three months. I was able to swing the club (irons/wedges) three months after surgery and I started to feel real good after 6 months. WRIST WIDGET was a life saver, definitely helped me swing the club when i started playing again. I wore the wrist widget for about a year after surgery just to be on the safe side. Today two years after surgery I wouldn't even know I had the surgery, wrist is 100%. And I have taken some nasty fat shot swings where you would think my wrist should have snapped off so, so far so good. :taunt: So there is hope!

 

Just find an excellent surgeon (look on castle connoly's best doctors list). You will know if the injury is TFCC if you try to do pushups. Or just go on Wrist Widget's youtube and do their tests to see if your pain is TFCC related. I still can't believe I tore my TFCC doing a 50% practice swing with an 8iron.

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had tfcc surgery twice was out of commission at least 4 months,both surgeries were scheduled in nov so i really never missed golf,as of today wrist is terrible doc wants to do ulnar debridement,i said no way....i can get buy with the wrist things the baseball players wear for when i play,its the lil subtle movements that are bothersome,like opening door knobs etc etc..good luck to all you guys

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  • 6 months later...

I was "CURSED" with this stupid injury early last year. I didn't not play golf from FEB to OCT (which is an eternity for someone who usually plays 5x a month). When i tried to play again in October it was on a golf vacation. I had to play three rounds of golf in another state. After 3 shots the first day i knew i had re-injured it. By the end of the last day i couldn't open a door with my left hand. Since then I have isolated the wrist 100%. I wore a cast brace for 6 weeks - no exceptions. I then switched to the wrist widget full time. The big change was stopping any and all weight lifting at the gym. I haven't touched a weight in 6 months and i probably won't for another two. I think the magic timeline for this injury is about four months. I think you have to go four months without feeling pain in the wrist for it to really heal. Anytime there's pain...it's a setback.

 

The good news is my wrist made it through a full 18 holes sunday. I played in wet conditions and didn't feel pain one time. I wore the wrist widget and will continue to....probably for the rest of the year. I think it will prevent any setbacks in the future. I do not think it's fully healed. Maybe 75-80% at this point. The injury has definitely changed my swing. I have less wrist set (obviously) and less power. But the good news is i was still able to shoot a 75 on my first go in over a year. I will probably "nurse" my way around the course for the next few months (mostly 3/4 shots and slower tempo). But it's better than not playing at all. Hope you guys heal up too.

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  • 4 weeks later...

Just a comment regarding surgeons and surgery REGARDLESS of diagnosis. I completely ruptured my achilles four years ago while working out. Went to the ER and (of course) was immediately scheduled for surgery the next morning. I told them, nope, I'm gonna talk to somebody else. Two ortho surgeons told me that reattachment surgery was the ONLY answer for a severed achilles tendon. I still refused.

 

Went home and did some research and discovered that the United States is actually one of the FEW countries left that cut and stitch achilles ruptures these days. Turns out, the tendon will completely heal itself if immobilized for a determined period of time. Now if you're an NFL or NBA star your situation might be a little different - I don't know. But for the average guy, non surgical healing is not only possible but accepted and preferred in many countries around the world. Canada, Europe and Japan are a few that will only resort to surgery in the most extreme cases.

 

I stumbled upon a rather young ortho surgeon who had just completed his fellowship at the University of Washington where they worked closely with other surgeons from Canada. Guy tells me that they did it all the time up there and it worked great. He even worked with a guy that returned to Canadian Football as a running back with no issues. He also told me that I'd be the first guy that he knew of in the Kansas City area to try it but if I did, he was all in with the protocol.

 

Guy puts me in a walking boot to immobilize the lower leg. After two weeks, he starts adjusting the boot five degrees per week to start restretching the healing tendon back to normal length. In 4 - 6 weeks (the same or perhaps even less than for those choosing surgery) I'm out of the boot for about half a day and doing therapy. In eight weeks I'm walking normally and chipping and putting. A week later, I'm cleared to resume normal activity and have not had a single problem since.

 

The larger point here is that if a TENDON which has extremely limited red blood cells and virtually no blow flow can heal itself naturally, I don't see why other tissues in the body can't do the same thing. And a little research will show you that it can.

 

Check it out for yourselves - you can google it and find a ton of websites that address natural healing of achilles and other tendons, ligaments and muscle as opposed to the US approach of cutting and stitching everything and then dealing with all of the post surgery complications afterwards - infections, bleeding, torn sutures, failed grafts, you name it.

 

I say and always will say, "Avoid surgery at all costs!" There truly are alternatives out there but most ortho's around the country aren't even aware of them. AND, those that are don't want to recognize them or tell you about them because surgery is where the money's at. I'm always amazed at how, nowadays, it seems like every time somebody breaks a bone it requires surgery, pins, screws, plates, you name it but when I was growing up we healed just fine by resetting the bone and putting it in a cast for four to six weeks. And I know plenty of people that have had big problems with post surgery issues.

 

Do your research - you'll be glad you did.

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