Mebocare, the new name of Textape+ BV
In 2010 the company Textape+ BV started as manufacturer as well as vendor of the elastic Textape. The company is run by Annette Boon and Henny Sman. Annette Boon, co-owner and founder of Textape+, has developed a serious injury to her right hand herself due to wrong treatment of a wrist fracture. In order to tackle the various problems, the damage causes her, Annette has been searching for solutions and useful, comfortable products. Henny Sman has been Annette’s ‘right hand’ since the beginning of Textape+, literally and figurative.
Because of the growing assortment handletselshop.nl was founded in 2012. Handletselshop.nl provides innovative and sharply priced quality products regarding hand therapy. We offer a variety of products ranging from braces to exercise material. Suitable for hand therapists as well as for private use. Handletselshop.nl does not only provide an online assortment of products but also offers workshops and multi-day trainings.
In the beginning of 2014, Textape+ became the European importer and distributor of the WristWidget, an effective brace battling TFCC related problems. The product was at first sold under the trade name of WristWidget Europe. Since the European market continues to grow, Textape+ BV and the website Wristwidget.eu became too limited for the product assortment it provides.
Handletselshop.nl is well known and respected by Dutch hand therapists. However, handletselshop.nl is a difficult name to pronounce and remember for people that are not from Dutch origin (non-dutchies). In order to provide a solution to this problem, the company name has been changed to Mebocare BV and an additional webshop to provide the foreign market has been founded, namely Mebocare.com.
Mebocare BV: manufacturer, importer and (head) distributor of products regarding hand-, physio- and ergo therapy, training and more.
The best way to know (to test) if you have a TFCC tear: the Weight Bearing Test
Use a NON-DIGITAL scale.
Test on the unaffected wrist first
Test the affected wrist -slowly
Stop at the edge of pain- any pain!
Take 2 pieces of non-elastic tape- squeeze wrist together without compression on the ulnar head.
RETEST with the tape on. There should be an immediate change in weight bearing tolerance.
How do I know if my wrist is healing?
Each week, measure your weight bearing tolerance while wearing the Wristwidget. This should be done to the edge before pain but no further.
Record your measurements to keep track of your progress as your wrist heals. Your goal is 100% return of weight bearing tolerance.
How long do I have to wear the WristWidget?
Only want to order 1 - 3 WristWidget's? We send cheap without track and trace by normal mail:
1 x WristWidget = € 2,80
2-3 x WristWidget = € 4,20
Information to help you understand your wrist injury when you have ulnar sided wrist pain (pain to the back of the wrist towards the pinky).
• TFCC tears do not cause loss of motion. They also do not swell. A fracture can certainly swell and there can be a TFCC tear ALSO but generally, TFCC tears do not well.
• Purchase a protective wrist splint to prevent motion during the first critical 2-10 days. Make sure that there is no compression to the ulna head.
• If no swelling: go ahead and heat the wrist with a heating pad. Alternate warm and cold water in the shower. This helps with circulation.
• Make apt with general practitioner to get x-ray likely will take 1-3 week to get X-rays to rule out fracture.
Get a referral to a hand orthopedic specialist because these are hard to get. It takes time to get an appointment. Get a referal on the first visit to your general doc, just in case!
x-rays negative: continue with referral to hand doc.
x-rays positive: casting per your docs recommendation
• Define how bad the injury is based on Weight Bearing Test.
• If weight bearing tolerance increases with taping, you can conclude that your TFCC is injured. AND: you can’t rule out other injuries yet.
• If Weight bearing increases with tape: use WristWidget.
Weight Bearing Test
Weight Bearing = 65+ lbs / 30+ kg: Mild
You are now ready for the last phase. The main goal is to be pain free and equal weight bearing tolerance compared to the uninjured side.
Weight Bearing = 45 - 65 lbs / 20 - 30 kg: Moderate
If Weight Bearing is over 45 lbs / 20 kg you can remove generic protective spint at night while you wait for WristWidget to arrive. Continue taping.
Weight Bearing = 20 - 45 lbs / 9 - 20 kg: Significant
If under 45 lbs: continue protective splinting with tape underneath.
- Wear nighttime wrist splint over the WristWidget to prevent wrist flexion during sleep. Do this until your weight bearing tolerance is 45 lbs / 20 kg.
- Do not try to use hand too much. No lifting anything over a 1/2 quart of milk. Protect.
- Wear WristWidget throughout day and night
- Acupuncture 2-3 times a week
- If you can get a referral for a Menster Cast: Super! This eliminates motion of the elbow and eliminates any rotation off the wrist. This requires a prescription and an appointment with a hand doc and therapist.
- Do not eat a high protein diet
- Start green diet - low on sugar
- Cardio 20 minute’s daily: heart rate increase helps the body heal.
- In the meantime - referral to hand doc and likely a prescrition for an MRI
- These usually take 2-4 weeks to complete paperwork, authorization etc. At this point, you are 38 days post injury before treatment starts.
Moderate 45 lbs/20 kg - 65 lbs/30 kg:
45 lbs/20 kg is a ‘Functional wrist’. Yea! This means that you should be able to function for the most part around the home. Things like dishes, dressing, making a bed etc. should not hurt. This does not include carrying children, animals, heavy bags of groceries etc. this is a light functional task.
- Normal function should be pain free
- Not able to load it with sport or heavy lifting YET
- Wear WristWidget day and night
- Wait until weight-bearing tolerance is 65 before starting any load.
- 2-6 weeks
Mild 65 lbs/30 kg and more:
- remove WristWidget at night
- Wear WristWidget all day.
- Start stretching: pronator, bicep, pecotrals major and minor, internal rotators of the shoulder
- No push-ups. No bicep curls. NO rotated pull ups.
- OK to start strengthening with progressive weights: Rhomboids, triceps, latissimus dorsi and external rotators of the shoulder. Start with 2lbs weights and go through te motions. If pain fee, increase to 3,5, 15, 20, 25 lbs.
- Continue diet, cardio and acupuncture
- Consider deep tissue massage to bicep, pectorals major and minor, Subscapularis.
What is TFCC (Triangulair Fibrocartilage Complex?
More popularly known as the wrist meniscus; a kind of shock absorber for some of the joints in your wrist. The TFCC can tear with rotational movements (hyper rotation whilst using a drill), excessive weight bearing, a fall on an outstretched hand etc. There is an interesting subset of patients that develop a TFCC tear for no reason at all. Suddenly out of nowhere, their wrist starts to hurt. This group of patients fascinate me. In close analysis and discussion with these patients, there is a common thread- the stomach. This is a broad statement which was later confirmed when discussing cases with acupuncturists and naturopathic practitioners. This demands further understanding and investigation.
What does it do?
The TFCC is the main stabilizer of the wrist. It is a ligament connecting bone to bone. It supports the wrist with grip, weight bearing and rotation (supination and pronation)
My wrist hurts, how do I know if it’s the TFCC?
Some common signs and symptoms of a TFCC tear are:
• Pain, localized to the ulnar (pinky) side
• Pain that gets worse with simple gripping and rotation movements (opening a door or using a can opener)
• It normally does not swell.
• Clicking, snapping, or crackling (crepitus) These are not present in all patients with TFCC tears.
• Pain with weight bearing activities.
• Feeling of instability
A TFCC definitive diagnosis takes history, mechanism of injury, and imaging. The gold standard for imaging is an arthrogram. This test involves injecting a dye into the wrist and imaging to determine if the dye leaks into the joint. This is an invasive and expensive study so most physicians order an MRI first. MRI's are helpful but not always accurate. This variable and difficulty in diagnosing a TFCC tear, inspired me to create and objective and reliable test that anyone can perform at home using an inexpensive non digital scale. I have learned that it is a priceless tool to assess the wrist. The most accurate way to determine damage is our TFCC tear test.