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conradsd
Feb 6, 2009, 2:56 AM
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I've searched and read many threads. Most seemed to not have my same problem so here I am posting looking for advice.
Injured my wrist last weekend pulling up on a sloper. My hands were matched with my right wrist at about a 45 degree angle towards my forearm (no foot holds) and as I pulled up I heard what sounded like elastic fibers tearing ending with a pop.
Initially no major pain, but a sickening feeling that something had gone very wrong. The next day, no swelling/redness/brusing. I can still crimp with out pain, but move my wrist at 45 degrees and pull (like a sloper) and lots of pain.
Went to the doc. xray shows all wrist bones in perfect alignment. He thinks possible tear, but recomends 2-4 weeks no activity.
Any thoughts? Thanks in advance.
UPDATE: Well it's been 5/6 weeks and I just got back on rock. I'm amazed I was able to hold out this long, but a re-injury would have been unimaginable. I feel good and there is no pain for the most part. My endurance and strength have really taken a hit. Mostly endurance, but at least I can climb again!
(This post was edited by conradsd on Mar 16, 2009, 3:14 AM)
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onceahardman
Feb 6, 2009, 3:09 AM
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1) where does it hurt?
2) WHY when you just injured it pulling on a sloper "at a 45", would you keep testing it to see if it hurts to pull it at a 45?
If you hit your thumb with a hammer, would you hit your thumb again, to see if it still hurts?
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conradsd
Feb 6, 2009, 3:14 AM
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Simply trying to help show when and or what types of movements cause pain. IE, no finger movements hurt or the wrist goes side to side and up/down just fine. I have not climbed since the incident, but I am trying to give both visual and spacial images of painful movement. Certainly that is a helpful bit of information wouldn't you agree?
The location of the pain is on the top of the wrist, mostly centered but slightly offcenter towards the pinky side.
(This post was edited by conradsd on Feb 6, 2009, 3:21 AM)
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onceahardman
Feb 6, 2009, 3:24 AM
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Sorry for the snarky attitude. I've had a long, tiring day.
In reply to: The location of the pain is on the top of the wrist, mostly centered but slightly offcenter towards the pinky side.
Check the "injured TFCC" thread.
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N_Oo_B
Feb 6, 2009, 3:27 AM
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You probly wont like the answer you're going to get.
I don't have the qualifications for any diagnosis, but just based on you saying you heard a ripping sound finalized with a pop doesn't seem like 2-4 weeks off is going to "fix" it.
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N_Oo_B
Feb 6, 2009, 3:32 AM
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^aye
Also Image google "TFCC tear" if you want to see xrays / images.
I am currently suffering from a TFCC, have had no where near the dramatic Rip and Pop sound when it happened. none-the-less it's not a 2-4 week heal time for me.
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conradsd
Feb 6, 2009, 3:39 AM
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Huh, yeah I've read about TFCC the MOI didn't seem to match, so I ruled it out. The doc seemed to think that with a TFCC injury I would have pain in the fingers and side to side movement as well, but we all know docs aren't always right.
Oh man, this is really not what I was wanting to hear.
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N_Oo_B
Feb 6, 2009, 3:49 AM
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well, what made me conclude to say that was when you said centered, but more tward the pinky side.
From my amature diagnosis of myself, the TFCC is a cartalige chunk on the pinky side of the wrist. With the severity of what you described, I pitty your situation. I understand all too well.
Onceahardman seems to know what he's talking about most the time btw.
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conradsd
Feb 6, 2009, 3:58 AM
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when I say mostly, centered but toward the pinky side, note that it is still within or away from the prominent "bump" of the ending point of the arm bone. Forgive my lack of medical terminalogy.
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N_Oo_B
Feb 6, 2009, 5:55 AM
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image google it and you'll see it basically makes up about 1/3 of the wrist. it's near the center to the far pinky side.
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aerili
Feb 6, 2009, 7:24 AM
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conradsd wrote: The doc seemed to think that with a TFCC injury I would have pain in the fingers and side to side movement as well
Not really.
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onceahardman
Feb 6, 2009, 6:15 PM
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conradsd wrote: Huh, yeah I've read about TFCC the MOI didn't seem to match, so I ruled it out. The doc seemed to think that with a TFCC injury I would have pain in the fingers and side to side movement as well, but we all know docs aren't always right. Oh man, this is really not what I was wanting to hear.
I'm not violating HIIPA regulations, as aerili has made it clear she has had this injury. Here is aerili's quote from the TFCC thread:
In reply to: My hand therapist said repeated ulnar deviation movement climbers employ could easily contribute to a degenerative tear, even though it appears in an acute fashion.
This ulnar deviation...a layperson might well call this, "wrist on a 45"...so, it really IS pretty textbook.
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stb
Feb 6, 2009, 6:53 PM
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Sounds like the exact same thing that happened to me a year and a half ago pulling on a triangular sloper, no feet. It still hurts puling on awkward slopers. Just curious, where were you climbing when you did this?
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conradsd
Feb 6, 2009, 9:30 PM
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onceahardman wrote: This ulnar deviation...a layperson might well call this, "wrist on a 45"...so, it really IS pretty textbook.
Ahha! Layperson translation fits the bill. I found an incredible article on TFCC last night, but the tech. talk was very thick. Ulnar deviation was mentioned over and over especially with degenerative tears.
Great so I'm clearly f-ed at this point.
Should I be proactive and seek surgical opinions or give it a few weeks and see how it heals?
oh, I was climbing the "20 Point Boulder" Santee, San Diego.
(This post was edited by conradsd on Feb 6, 2009, 9:33 PM)
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conradsd
Feb 6, 2009, 9:45 PM
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Aerili, I read your thread again, good info. You mentioned pain using your mouse, combing hair, brushing teeth...see I have none of that. No pain doing anything except positions similar to the original injury.
Anyway, did you get surgery? How have you recovered?
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aerili
Feb 7, 2009, 8:55 PM
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conradsd wrote: Aerili, I read your thread again, good info. You mentioned pain using your mouse, combing hair, brushing teeth...see I have none of that. No pain doing anything except positions similar to the original injury.
I did? Are you sure that was me? Cause I am right handed and do all those activities with my right hand, whereas my left wrist was the injured one.
I don't think every person's TFC pain is completely identical. Many people do have pain with rotation, though. Think of things like wringing a washcloth out, turning a key in a lock, etc.
The pain/instability I experienced was quite different between the first time I injured myself and the re-injury later. The most abiding problem for me, however, was pain when trying to load the hand when my palm was pushing down on something.
In reply to: Anyway, did you get surgery? How have you recovered?
I did finally get surgery --> for a debridement only <-- after a long trial of conservative treatment. My recovery has been excellent, although still taking longer than I expected; the surgery was what I personally needed to get better. I got a good surgeon who was technically proficient and experienced in working on high level athletes. Although I would rate him so-so in quality in the follow-up appts.
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conradsd
Mar 16, 2009, 3:13 AM
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updated on first post.
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evanwish
Mar 16, 2009, 6:10 AM
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my wrist sometimes gets really sore after offwidths... anybody have any ideas about that?? 
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