Persistent wrist pain, clicking, or a feeling that your wrist is "giving way" can make work, exercise, and everyday tasks uncomfortable. When symptoms are ongoing, many people choose to have their wrist evaluated by a specialist who focuses on the upper extremity.
At Upper Extremity ATX, we offer focused evaluation and treatment planning for TFCC tears and wrist instability. Our approach emphasizes clear diagnosis, evidence-informed options, and individualized care planning so you can better understand what may be happening in your wrist and the types of approaches that might be considered.
Wrist concerns can have different causes, and they are not always straightforward. TFCC tears and wrist instability can share features with other wrist conditions, which is why a detailed evaluation is completed before any treatment decisions are discussed.
During your visit, you can expect a careful review of your symptoms and how they affect your daily activities. We pay close attention to where you notice discomfort, when it started, and which movements tend to aggravate it. The goal is to assess the wrist and related structures and to clarify which areas may be contributing to your symptoms.
Benefits of being evaluated and having your care coordinated at Upper Extremity ATX include:

TFCC-related problems may involve discomfort on the small finger side of the wrist, changes in grip tolerance, or difficulty with certain weight-bearing activities through the hand. The specific plan discussed depends on factors such as the pattern of the injury, the stability of the wrist joint, and your activity level and goals.
At Upper Extremity ATX, we consider a stepwise range of options that may include activity changes, bracing, and other non-surgical measures, as well as surgical procedures when appropriate. The intent is to work toward reduced pain and improved wrist function with a plan tailored to your specific situation rather than a one-size-fits-all approach. All discussions are for informational purposes and are not a substitute for personalized medical advice from your own healthcare provider.
Wrist instability may feel like looseness, shifting, or repeated sprain-like episodes for some individuals. Over time, these issues can make certain work tasks, sports, or motions like lifting or twisting more difficult.
We focus on assessing which structures may be contributing to the feeling of instability and how that relates to your reported symptoms. From there, we outline options that can range from focused support and activity adjustments to surgical stabilization when considered appropriate in the context of a full evaluation. Throughout the process, the aim is to help you understand the potential benefits and limitations of each option so you can make an informed decision in collaboration with your healthcare team.
Your visit begins with a detailed conversation about your symptoms, your medical history, and the demands you place on your wrist at work, at home, and in sports or hobbies. This is followed by an Upper Extremity-focused physical examination tailored to the wrist and surrounding joints.
When appropriate, we review prior imaging or discuss whether additional studies might help clarify the diagnosis. You will have an opportunity to ask questions and explore how different types of treatment approaches may relate to your daily life, anticipated recovery timelines, and your goals for returning to the activities that matter to you.
Upper Extremity ATX is an independent, physician-owned practice focused solely on the upper extremity, including the hand, wrist, elbow, and shoulder. Care is led by fellowship-trained orthopedic surgeon Travis Doering, MD, whose practice is centered on detailed diagnosis and evidence-informed treatment options.
Because we are focused on a specific part of the body, we are able to devote time to understanding your wrist concern and explaining it in clear terms. Whether your treatment path is non-surgical, surgical, or a combination of both, our priority is to support you in making informed choices and working toward improved comfort and function in your wrist. The information on this page is for general informational purposes only and should not be taken as medical advice or as a substitute for consultation with a qualified healthcare professional who knows your individual situation.
If you are dealing with pain, weakness, or loss of confidence in your wrist, we can help you understand your options for TFCC tears/wrist instability and build a plan that fits your goals. Reach out to Upper Extremity ATX today so we can evaluate your condition and guide you toward effective, evidence-based treatment.

Upper Extremity ATX — Fellowship-trained hand, upper extremity, and peripheral nerve surgery. Located at the Austin Surgical Plaza – 6818 Austin Center Blvd, Suite 207, Austin TX. Better care, by design.
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