Wrist pain on the pinky side when you twist, grip, or bear weight doesn't have to be something you push through — we can help.
The TFCC — or Triangular Fibrocartilage Complex — is a small but important structure on the ulnar side of your wrist, sitting between the end of your forearm and the small bones of the wrist on the pinky side. It acts as a cushion, a stabilizer, and a load distributor all at once. When it's healthy, you don't notice it. When it's injured, almost everything involving your wrist — turning a doorknob, pushing up from a chair, bearing weight through your hand — can become painful.
A TFCC tear is an injury to that cartilage and ligament complex, usually from a fall on an outstretched hand, a sudden twisting force, or repetitive loading over time. There are two types: traumatic tears (from a single incident) and degenerative tears (from wear and tear, more common as we age). Both can cause pain, weakness, and instability — and both respond well to the right kind of rehabilitation. The classic symptom is pain on the ulnar side of the wrist, often made worse by forearm rotation or bearing weight, and sometimes accompanied by a clicking or clunking sensation.
We see TFCC injuries across a wide range of patients — the climber who took a bad fall and landed on a wrist, the gymnast with chronic wrist loading, the racquet sport player who torqued their forearm on a shot, the desk worker with a grinding wrist who's been ignoring it for months. Degenerative TFCC tears are also extremely common in people over 40, often showing up on imaging as an incidental finding alongside wrist pain that's been written off as a sprain. If you've been told you have "ulnar-sided wrist pain" or been handed a splint and sent home, there's often a lot more that can be done.
At Reach Beyond Therapy, every session is one-on-one — just you and your therapist, no aides, no rushing, no shortened sessions, and no shared appointments with other clients. Treatment for TFCC tears is tailored to the severity of the injury and your specific goals. We typically start with activity modification and a custom ulnar gutter or wrist splint to protect the healing structure while keeping you as functional as possible. From there we work through range of motion, forearm rotation exercises, and progressive grip and wrist strengthening — while closely monitoring what flares you and what doesn't. If you're post-surgical, we follow your surgeon's protocol closely and make sure your rehab actually reflects what your wrist can handle at each stage.
Don't push through it — wrist injuries respond best when treated early and precisely. Book a free discovery consult and we'll figure out what's going on together.
Work With UsReach Beyond Therapy proudly serves Redondo Beach, Torrance, Hermosa Beach, Manhattan Beach, El Segundo, and Palos Verdes with expert hand therapy, custom splinting, and post-operative rehabilitation by a Certified Hand Therapist with over 10 years of experience.
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