Wrist pain | TFCC | ECU sub-sheath rehab

Ойын-сауық

First video of the TFCC series. Dealing with injury to the ECU sub-sheath.
Disclaimer: seek advice from a professional Doctor or Physiotherapist. In some cases, you might have ruptured your ECU sub-sheath and might require surgery. This video does not serve as official medical advice.
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Insta: @Physio_Evangelist
Comment below and then drop me a message with a screenshot of your KZread comment. I will reply you accordingly! :)
0:22 Content of the video
0:47 Common complaints
2:00 Assessment
2:30 Treatment
4:14 Additional information about the condition

Пікірлер: 123

  • @Xavieranortonn
    @Xavieranortonn3 ай бұрын

    Thank you for coming back to KZread!

  • @darthsideous1968
    @darthsideous19685 ай бұрын

    Another helpful and informative video from the Physio Evangelist! Thank you for uploading this video! Hopefully we will see more helpful videos.

  • @physioevangelist

    @physioevangelist

    5 ай бұрын

    It's coming back!

  • @ValiVidiVici
    @ValiVidiViciАй бұрын

    Got TFCC on my right wrist three years ago and watched your video. Here I am again after three years, and this time I got TFCC on my left wrist. Good revision! 🥲

  • @BDKProd

    @BDKProd

    Ай бұрын

    Wtf i had TFCC on right hand a year ago and now got on left too xD Hold strong soldier ! You are not alone! I know it sucks! Get comfortable being uncomfortable xDDD

  • @silkysala

    @silkysala

    Ай бұрын

    I have it on both wrists right now.

  • @mikethegamer2835
    @mikethegamer2835Ай бұрын

    Just letting you I've been doing your exercise for 2 weeks now, and I've been gradually getting mobility back and strength

  • @silkysala

    @silkysala

    Ай бұрын

    Update?

  • @mikethegamer2835

    @mikethegamer2835

    Ай бұрын

    @silkysala its still going well. I just need to rest in between sets so I don't fatigue the joint too much. Small increase in load it honestly might take me one more month before I can start doing anything more aggressive, also becoming less hesitant to take off my brace

  • @jacks9099

    @jacks9099

    14 күн бұрын

    @@mikethegamer2835i injured my 4 weeks ago with the tendon subluxing when my hand was in neutral position. No i can slowly turn to supination slowly without a popping problem. Going to PT but wondering what you original symptoms were and when did you see improvements/what kind?

  • @MillyDen
    @MillyDen4 ай бұрын

    Thank you for this I was freaking out

  • @moondive4ever
    @moondive4ever2 ай бұрын

    very helpful! thank you for making this!

  • @kumarshubham4090
    @kumarshubham4090Ай бұрын

    I have a history with this injury but didin't even know its name. This video is so helpful !!! Thanks man !!

  • @cabadeck9818
    @cabadeck98183 ай бұрын

    Thank you so much!!

  • @sandrissports
    @sandrissports3 ай бұрын

    Got this pain from basketball shooting. Will try this out!!

  • @manuelortega5189
    @manuelortega51895 ай бұрын

    Man you are incredibly helpful. Thanks a lot. You have helped me find the source of my wrist pain and asses it. My doctor only gave me painkillers, but has been a better solution.

  • @Vitorgava
    @Vitorgava12 күн бұрын

    I injured my wrist 2 years ago playing football, only now that I was able to have 2 MRI’s and 1 Ultrasound to confirm it was an ECU Subsheath, surgery was recommended and physiotherapy ruled out, as it won’t benefit in anything whatsoever as the subsheath is now free to go of its tunnel when I move my wrist around, and no exercise will put it back into that tunnel. I will be seeing my doctor in 2 months to discuss if I want to go ahead with the surgery or not. I was also told it can’t turn into something worse in the future, no chances of carpal tunnel or anything worse, other than just live and adapt with it. I’d love to hear your feedback on this, Evangelist.

  • @mikethegamer2835
    @mikethegamer28352 ай бұрын

    Hey thankyou i watched your video six months ago and its definitely been working also adding ice and heat to the workout. I think about 2 more weeks and i can start getting more aggressive

  • @tematennis
    @tematennis3 ай бұрын

    Thanks, i get this with my double hand backhand in tennis. Would treatment differ if i have had this for 2 years? Ive seen health care professionals but your the first to give it a name🙏

  • @tc5960
    @tc59603 ай бұрын

    Thanks for your video. I have a slight popping sensation in ECU area only in ulnar deviation since a bad movement, but no pain in correlation. Could it be a subluxation or just an inflammation of the stealth ?

  • @abbayhvhreigns7iloveyeshua650
    @abbayhvhreigns7iloveyeshua6505 ай бұрын

    Shalom Greetings Thank Wonderful of to Share this Very informative & Educational for Self Help therapy

  • @physioevangelist

    @physioevangelist

    5 ай бұрын

    You're welcome! Shalom

  • @zilpha9
    @zilpha95 ай бұрын

    thank you for your very informative and helpful videos. there isn't much up to date info out there on this topic. I have ECU side tendonitis in both of my wrists. it's been 3 months now and I am not in pain for most of the day but I start feeling burning/tingling sensations all throughout my arm starting from ECU side of my wrist up to my elbow. it especially gets worse when I am holding my phone for a long time with my elbows bent (you know, the texting position) I have been to 3 different doctors and I have been to physical therapy as well (ultrasound and hot press) they helped ease down the pain but I did not recover fully. I assume these things take a lot of time... another strange thing is, on my left wrist, the lollipop is sticking out since I had this issue and my wrist makes a pop/crack sound when I twist it. the doctors said it will eventually go away, my MRI and x-ray results came clear but there I am with these issues... what do you think? I can't perform supination exercises due to this annoying thing...

  • @physioevangelist

    @physioevangelist

    5 ай бұрын

    Sounds like your wrist is unstable. Sometimes instability can cause pinching of the nerve. Stabilise the wrist with exercises in this video. Then do lots of nerve flossing, search that up on KZread.

  • @craignourie8853
    @craignourie88532 ай бұрын

    exactly what i have but its from gaming and the keyboard and i cant seem to stop it

  • @hyleon1999
    @hyleon19995 ай бұрын

    Starting it day 1 today, will update u guys soon

  • @physioevangelist

    @physioevangelist

    5 ай бұрын

    Update us 👍👍👍

  • @rk5927

    @rk5927

    4 ай бұрын

    what happen?

  • @digitalempirellc6118

    @digitalempirellc6118

    3 ай бұрын

    @@rk5927i have it bad from eating out of popcorn bucket omg

  • @Cubeistools

    @Cubeistools

    3 ай бұрын

    How does it go?

  • @hyleon1999

    @hyleon1999

    3 ай бұрын

    @@rk5927 i climb slopers and injured my wrist

  • @David_does_stuff
    @David_does_stuffАй бұрын

    I got this injury in like maybe January i think and it's definitely recovered quite a bit since then (for example a couple of months ago i couldn't even hang from a bar but now i can comfortably do pull-ups) But i still get some pain when supination and when i try to lift something from behind using the musle if that makes sense(the movement he did for the flossing) so I'll start doing the exercises you mentioned and ill probably update yall after 1-2 months

  • @TrizzyCA

    @TrizzyCA

    8 күн бұрын

    how's your progress looking so far?

  • @FD-fl4gw
    @FD-fl4gw4 ай бұрын

    Appreciate the video. I think my case is a little different, i would love to know if you have any ideas or exercises for me. I have been dealing with a snapping ecu tendon when ulnar deviating my right wrist for a year and a half. When it snaps the pain isnt terrible but its annoying and i cant do certain activities that require ulnar deviation. Mri and ultrasound showed nothing, no sheath problem or sheath inflammation. I splinted it for 6 weeks and avoided snapping the tendon for 2 months but it didnt do anything. My left wrist also has some ecu tendon instability but its mostly asymptomatic. Im almost 100% sure that it was caused by long hours on the computer which makes the ecu muscle tighten up. My ecu and fcu forearm muscles are tight so im trying to strengthen them. Radial deviation exercises seem to help a bit to stretch out the muscle but i still cant solve the issue. I never really had any tenderness at the actual sheath spot that you indicate in the video. Any thoughts?

  • @TheSifitisifi
    @TheSifitisifiАй бұрын

    I had injured my left wrist in 2022 and your last video helped me alot, now I injured my right and turns out its exactly like this video here which is the new one LOL life is funny.

  • @saatwiksaraswati2317

    @saatwiksaraswati2317

    18 күн бұрын

    Is it getting better bro and do u also have problem in ecu sub

  • @joelm5509
    @joelm55095 ай бұрын

    Good video! There are only few videos on youtube about this certain problem. My both hands have a bit loose ECU and sub sheath retinaculum. Right side is worse much worse though, the tendon visibly comes of the ulnar groove in flexing supination position, although it still stays in the groove partially, so it's more like mild dislocation, not a full subluxation, as my hand surgeon suggested. It does make an audible snap sound and the tendon is painful especially if I use computer mouse a long time or shoot with handguns. Gotta try these exercises for sure, since the rest doesn't "fully" heal it. I guess the full subluxation is more rare though, since in that situation the tendon pops fully out of the groove in supination. That one probably needs an retinaculum fix surgery or splint for an extended perior.

  • @physioevangelist

    @physioevangelist

    5 ай бұрын

    Yea man, seems like you've done a lot of research on your condition! Yea full ruptures would require surgical intervention, however there have been studies where they purely long arm braced it and it healed well, so... Either, way, try these exercises out man!

  • @studypug7244

    @studypug7244

    21 күн бұрын

    @@physioevangelist Hey man, I injured my wrist two weeks back and have yet to see it heal after two weeks of taking ibuprofen and some anti inflammatory cream, after that I decided to research more about what it could be, and I'm not to sure about the severity of my case. As with the dude above my problem stems in the ECU where it seems to fully come out of the sheath. I bought a wrist widget and a larger wrist brace which covers half my forearm and props my wrist up but not quite sure which one I should use. The pain isn't constant but only comes in small bursts when the tendon pops back and from the sheath, so I'm not really quite sure how bad my case is. Which of the two would be better for me to use?

  • @studypug7244

    @studypug7244

    21 күн бұрын

    The movement of the ecu is pretty noticable to me during supination and pronation

  • @user-ef9pl1bd3n
    @user-ef9pl1bd3nАй бұрын

    In the event of a complete or partial cut of this nerve, is it possible to move the hand and is it necessarily accompanied by swelling in the wrist? Because my wrist has been hurting at times for 4 years, despite the fact that I was examined by a doctor that there was no injury, and I did not have any swelling after the injury. And Thank you for the explanation🙏

  • @z4gee12
    @z4gee122 ай бұрын

    hellooo, a few questions 1. How long should I rest in between sets for the isometric holds? 2. What do the pronated isometric holds do for the ecu sub sheath? I've developed pain around the ecu sub sheath area around a week ago. It doesn't hurt too bad, and I can still workout with it. Although I can work out with it, I wanna rehab/get rid of the pain before it develops into something worse.

  • @ZappinNTappin
    @ZappinNTappin3 ай бұрын

    My wrist had a popping noise as I straighten my wrist before I went to a tournament and now it’s inflamed due to Armwrestling match leaving me unable to use wrist normally. Overall what would be a healing time ?

  • @prominent531
    @prominent5312 ай бұрын

    Wait you say day 0 to 30 to keep it in a brace but you also mention physical thererapy in the first 30 days? Does the physical therapy happen in parallel or should it happen in the 30 day after using the wrist brace? How about the cross fiction massage? Should everything be done in parallel? Also I have a TFCC tear that's been chronic (4 years) but I think I recently made it worse so I'm starting from zero to try and fix it. Is it ok to get into shockwave therapy now because I have limited access to one for the next few weeks so i want to take advantage of it. Also, how often should I do shockwave therapy?

  • @jacks9099
    @jacks909914 күн бұрын

    ⁠i injured my 4 weeks ago with the tendon subluxing when my hand was in neutral position. Now I can slowly turn to supination slowly without a popping problem. Going to PT but wondering what you original symptoms were and when did you see improvements/what kind?

  • @user-gh7pl2hd4e
    @user-gh7pl2hd4e3 ай бұрын

    Hey there, frstly great video and haven't found a video on this anywhere else, im also in medical school, so this is very useful. However. I have this problem on both my wrists, and one of my hobbies is working out, and as you know, I'll have to use my erist for upper body movements... I had this problem for around 2 years... Should i completely stop working out my upper body and focus on healing my wrists? Also, how long does this typically take to heal?

  • @silkysala

    @silkysala

    Ай бұрын

    I also have it on both wrist. I recommend stop working out to reduce inflammation and re-aggravating it. Brace it ice and rehab it.

  • @Soomvb
    @SoomvbАй бұрын

    how do i know if a have a TFCC injury or tendonopathy

  • @clementsaumet5857
    @clementsaumet5857Ай бұрын

    I had radial wedge osteotomy for kienbock’s disease (AVN of lunate bone). Do you please have specific movements to help rehab and recover full mobility painless ? Thank you !

  • @BDKProd
    @BDKProdАй бұрын

    Should i do physiotherapy during tfcc? Or wait until it's recovered after 4-6 weeks before starting doing any type of activities?

  • @ThePunisher0313
    @ThePunisher0313Ай бұрын

    From bowling too!

  • @neilb5633
    @neilb5633Ай бұрын

    Hi ! i hope you are doing well. I injured my 2 wrists while boxing and did some physiotherapy. I did after all a control ultrasound and everything was perfect as the doctor said. But every time i go back to the gym i feel pain my tendons no matter what exercice i do (skipping rope, back exercises..) and the day after the pain comes back. So it's like a cycle. Do you have any advice ?

  • @hendo2920
    @hendo29204 ай бұрын

    Hope you read this because i'm desperate. No physio know how to fix it.. I watched your video "Wrist problem fixed in 5 minutes!! / prominent styloid process of ulna by physiotherapist" from 2 years ago. My styloid is prominent and can be not prominent when just "lifting" it back in place... Though some of the exercises you show hurts a lot in this area. I got this from excessive bench pressing. Any time i catch my self when falling in a push up position (compression) it hurts, whenever i stretch my flexors it hurts, whenever i stretch that side it hurts when i flex my thumb up.... Any tips?

  • @jamzuritowe
    @jamzuritowe5 ай бұрын

    have you recovered? The ligament connecting the ulnar bone and the palm is broken. just like yours. but I no longer feel pain except for heavy lifting. I've been following you for 2 years.

  • @physioevangelist

    @physioevangelist

    5 ай бұрын

    Ah man! 2 years, my OG.💛💛 Yea my sub sheath is pretty lax, but I've gotten it to the point where it's functional for climbing now. Thanks for asking! And your support, appreciate it ❤

  • @thelebenlifemusic4370
    @thelebenlifemusic43704 ай бұрын

    Hi, my English is bad. 3 months have passed since the injury (1b palmer), the pain in calmness has decreased significantly, I began to perform pull-ups with a wide grip and squeeze the expander (pain during pull-ups is almost absent), but after that there may be a "nervous" pain as if a nerve was clamped. Is it possible to perform pull-ups with a wide grip?

  • @DylanKuperHarris
    @DylanKuperHarris3 ай бұрын

    My pain generally fits the description, but it's also sometimes causing numbness in my pinky finger like it's compressing the ulnar nerve. Is that sometimes associated with something like this?

  • @K34RT
    @K34RT17 күн бұрын

    Is there any benefit to wearing a wrist widget/brace past 30 days? Or is it only useful during sport?

  • @aad7451
    @aad74514 ай бұрын

    Hey my Asian brother👋 I have a question bro! So I’ve been having tfcc injury for like a year and half now I think it happened because of pull-up i believe,so I rested it for like 4 months (I didn’t use brace or anything) and felt better so I started lifting weights again but every time I do workout slight pain around tfcc area comes back which means I still have the issue. Do you think I should just use wrist widgets 24/7 for like 3months And stop workout or do you think it’s okay to workout with wrist widgets since pain is there but it’s not too strong? Reply would be appreciated! Thanks and have a great day!

  • @jayveepoison5792

    @jayveepoison5792

    3 ай бұрын

    Is it getting better now? I also got it in pullups, 2wrists

  • @lakshayhooda9003
    @lakshayhooda90035 ай бұрын

    I fall from bike with outstretched palm...and my ulna side is paining during bench press, barbell curls and during hand deviation much...hope the rest and these exercises will help

  • @physioevangelist

    @physioevangelist

    5 ай бұрын

    Thanks for commenting, yeap. Try these out! And brace!

  • @mylieeveryday8327
    @mylieeveryday8327Ай бұрын

    if you have this get a wrist widget its been about a 2-3weeks since i started using it and im close to pain free

  • @868talks
    @868talks2 ай бұрын

    Omg this i need both ulnar sides click and hurt with weight

  • @dominikvalach1886
    @dominikvalach18863 ай бұрын

    I'm 16 years old, I go to the gym and have had this pain for almost a year. Been especially feeling it when doing bicep curls. Do you think that it is too late for me to try this rehab?

  • @akinosoumei
    @akinosoumeiАй бұрын

    Its been three weeks since i got injury, i how it will heal.

  • @qaush
    @qaush5 ай бұрын

    Hey! Thanks for the video i feel like this will help me. Little Feedback: Starting at 1:50 your voice becomes more quite and the background music kind of overtakes there, just FYI! :)

  • @physioevangelist

    @physioevangelist

    5 ай бұрын

    Hmmm, yea. I must admit, I was really rusty with the video production process. Haven't been making videos for months! Thanks for the feedback ❤

  • @silkysala
    @silkysala27 күн бұрын

    Should I rehab with my wrist widget on?

  • @codylorentz3144
    @codylorentz31442 ай бұрын

    This is making way more sense than the diagnosis of carpal tunnel syndrome I was given.

  • @likhonniloy
    @likhonniloyАй бұрын

    Starting it from day 1, hope i will recover soon...i will be back if it starts to recover

  • @silkysala

    @silkysala

    Ай бұрын

    Any update?

  • @musumbapamela1997
    @musumbapamela19972 ай бұрын

    Hallow, my husbands wrist pain just started. It wasn't injured but it has elevated so much that he can't fold the wrist. Please help.

  • @SarimNaveed09
    @SarimNaveed0921 күн бұрын

    How should I get my wrist properly diagnosed. Like if I go to the hospital, how do I get the doctor's attention to properly diagnose the issue as all the doctors just tell me a deficiency of vitamin and calcium. Should I just go for a MRI and will it be easily picked up in the MRI if there's a problem in my wrist. I've all the mentioned problems in your video. Exactly the same.

  • @A-R-I-A-D-N-E

    @A-R-I-A-D-N-E

    6 күн бұрын

    I have ECU tendonitis, and I went to an occupational therapist with a specialisation in hand therapy for treatment. I had to go for x rays and an ultrasound on my wrist. Then I had to get a cortisone injection in my wrist. Regular doctors won't be able to diagnose this type of injury so it's best to go to an occupational therapist. Hope this helps 😊

  • @SarimNaveed09

    @SarimNaveed09

    6 күн бұрын

    @@A-R-I-A-D-N-E appreciate your help.

  • @A-R-I-A-D-N-E

    @A-R-I-A-D-N-E

    6 күн бұрын

    @@SarimNaveed09 no problem 😀 I hope you can get treatment soon! The pain can be unbearable at times 🥲

  • @torajshah
    @torajshahАй бұрын

    Brace link showed @2:52 please

  • @abdulrazzaqadam708
    @abdulrazzaqadam708Ай бұрын

    nice koorui monitor hehe

  • @iqlaasismail2288
    @iqlaasismail22882 ай бұрын

    Still doing pull ups?

  • @nadimpallikarthik97
    @nadimpallikarthik974 ай бұрын

    Suffering with unbearable severe wrist pain from almost 10 months... I can't able to reduce it.. any solution plsn😢

  • @youssefhafez5176
    @youssefhafez51764 ай бұрын

    thanks doctor for this helpful video, i am diagnosed with ecu tendon subluxation and a longitudinal split of the tendon. what can i do to fix this please

  • @Bandana928
    @Bandana9285 ай бұрын

    Thanks for the vedio. I am dealing with tfcc partial tear. I am in 8th months. Still feeling pain. I am only 27 .what to do?? Dr. Gave me a brace.

  • @physioevangelist

    @physioevangelist

    5 ай бұрын

    Brace would be the way to go. Problem is that these things just take time. Just don't make it worse and it'll get better

  • @Bandana928

    @Bandana928

    5 ай бұрын

    @@physioevangelist thankyou so much. I am improving. 😊

  • @jayveepoison5792

    @jayveepoison5792

    3 ай бұрын

    ​@@Bandana928how is it now? Did you wear a brace for 3months?

  • @Bandana928

    @Bandana928

    3 ай бұрын

    @@jayveepoison5792 it's not like that u think...go to the doctor and ask him ..he will suggest you the best. In my case i am using a brace, which is not full time , i am doing some light excersice . It's been 9months. The pain is reduced very much.

  • @Bandana928

    @Bandana928

    3 ай бұрын

    @@jayveepoison5792 and yes still i am using the brace. Not fully healed. It can be take 1.5-2 years. You need to modify your lifestyle.

  • @_stas_
    @_stas_23 күн бұрын

    Thanks! Been at many doctors that suggested that I have ulnar nerve entrapment in elbow, but using your self diagnosis approach for wrist and bandage, alleviated the problem.

  • @Brar_no.1
    @Brar_no.1Ай бұрын

    How am i gonna arm wreste 😢

  • @opanglcr3224

    @opanglcr3224

    13 күн бұрын

    Same problem here 😢

  • @Brar_no.1

    @Brar_no.1

    12 күн бұрын

    @@opanglcr3224 brother mine has almost healed now 😊. Hope yours also gets better just do exercises and icing everyday . I think icing was the best thing to heal it

  • @user-ce9xx9fh9z
    @user-ce9xx9fh9z3 ай бұрын

    I'll try it. It's been hurting me for 5 weeks. My dumbass thought doing push ups and pull ups would heal it but I guess not. It also explains why it hurts more on chin ups. Hope it works and heals already.

  • @erenyeager3008

    @erenyeager3008

    Ай бұрын

    Did it heal?

  • @user-ce9xx9fh9z

    @user-ce9xx9fh9z

    Ай бұрын

    @@erenyeager3008 Well it's been almost 4 months and I have to say it's way better but still hurts.

  • @erenyeager3008

    @erenyeager3008

    Ай бұрын

    @@user-ce9xx9fh9z u still going to gym ,if yes how do you manage the workouts with pain

  • @erenyeager3008

    @erenyeager3008

    Ай бұрын

    U still doing gym?​@@user-ce9xx9fh9z

  • @erenyeager3008

    @erenyeager3008

    Ай бұрын

    ​@@user-ce9xx9fh9zdid it heal and u still doing gym?

  • @wandamusictube
    @wandamusictube3 ай бұрын

    If tfcc is fully perforated in BOTH wrists, and it happened over 2 years ago, can that be improved?

  • @valen_17_years_old
    @valen_17_years_old4 ай бұрын

    Why you delete this coment twice?Hy bro😃. *This coment can be useful for your viewers, and other people who came into the comments.* I can't figure out what's wrong with my wrist. I feel slight *pain* with *supination* and *pronation*. I tried to do another exercise from your video clip, where you need to take a stick and bend your arm. I feel no pain at 70% load. I try to do that kneeling stand, bend over, and the pain appears. In this video clip there is a test where you have to squeeze on your hand when you do *supination* and *pronation*, there is *no pain at all*, despite the fact that I squeeze hard. I just bend my arm to one side and twist it, and immediately there’s *a lot of pain*. I don’t understand. it’s *tendinopathy*, or it’s *TFCC*? ⬇️⬇️⬇️⬇️⬇️⬇️⬇️⬇️⬇️⬇️⬇️⬇️⬇️ ~*Prehistory*. The first time I could get injured. I played *arm wrestling* with a friend, and I think then I did *Ulnar Deviation*. I felt a *click* and *pain* when my hand was down. Immediately after this incident, I could not move my arm normally for some time. The second time I could have been injured was when I was *pushing the car forward*, sprained my wrist, and felt pain when I walked away from the car.~

  • @isayevv2139
    @isayevv21392 ай бұрын

    Main problem for armwrestlers)

  • @AshrielBrian
    @AshrielBrian5 ай бұрын

    first! oh wait..

  • @physioevangelist

    @physioevangelist

    5 ай бұрын

    😂😂😂 gg

  • @nonsencephilosophy
    @nonsencephilosophy6 күн бұрын

    any osu players? aimers

  • @SandipBharatigoswami
    @SandipBharatigoswamiАй бұрын

    Yes this video is helpful but can i do any outher exercise with bodyweight 🫤🤔?

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