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 Treating Triceps Trigger Points - Elbow Pain


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Medial Overload Syndrome covers a range of syndromes related to pain on the inside part of the elbow (medial epicondyle)

Medial elbow pain on gripping can start as an annoying ache but rapidly degenerate into a debilitating problem, with pain on gripping, opening bottles or shaking hands.

ME maybe related to repetitive manual tasks and is also commonly reported in bowlers, archers, and weight lifters (as well as golfers!).


Pain and tenderness is then felt over the medial aspect of the elbow joint. As condition develops, clients report pins and needles or numbness in the 4th or 5th fingers.

Wrist weakness may also develop and pain is reported to be especially bad at night, just before sleep.

Pain also increases typically when using tools, shaking hands, turning a doorknob, gripping, lifting or trying to stabilize or move the wrist.


The pathology is similar to a tennis elbow with repetitive micro-­tears in the zone where the tendon of the muscle meets the bone.


Golfers Elbow


Key facts about ME:

• Mostly affects those between 35 and 50 years of age

• Men more than women

• Develops due to overuse of the flexor muscles of the arm and wrist. Commonly linked to repetitive use/occupation: cooks, cleaners, butchers, gardeners, assembly line workers

• Now referred to by authorities as ‘Medial Epicondalgia’

Not inflammation of the bone but micro‐tears and traumata with small bleeds

• Can become chronic so early treatment is advised

• Associated with golf due to the stress this sport places on the muscles, tendons and joints

• Tendons do not like sudden eccentric loads. A sudden eccentric load of 3% can tear a tendon. A sudden eccentric load of 5% can rupture a tendon.

• Tendon damage might be considered as a muscle fracture (Lewis 2014), it takes six weeks of very low loading to repair. Any increase in loading should be incremental.

• Stretching is Key

Trigger Points

The pain from ME is often associated with ‘trigger points’ in the wrist flexors (especially Flexor Carpi Ulnaris, Flexor Digitorum Superficialis, Palmaris Longus and Medial Head of Triceps muscles).











This trigger point therapy blog is intended to be used for information purposes only and is not intended to be used for medical diagnosis or treatment or to substitute for a medical diagnosis and/or treatment rendered or prescribed by a physician or competent healthcare professional. This information is designed as educational material, but should not be taken as a recommendation for treatment of any particular person or patient. Always consult your physician if you think you need treatment or if you feel unwell. 




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Scraping, a manual, ancient practice where pain points are worked with a gua sha (smooth-edged tool), reportedly increases blood flow by up to 400 per cent more than foam rolling and massage guns. By breaking up old, damaged blood vessels to promote new growth and healing, these tools are useful for getting into the nooks and crannies of a pain point, especially in delicate areas like along the shin muscles and under the foot.

Tim Tian has taken the scraper idea and supercharged it, creating a manual, triangular tool that blends heat and vibration therapy. “Cold blades stiffen muscles, blocking a deep release,” he says.

The heated scraper device takes just three seconds to reach 50ºC. This helps muscles soften, making it easier to massage away tension, increase blood flow and promote healing. The scraper is specially great for alleviating delayed onset muscle soreness (DOMS) in the quads, and provides a relaxing switch-up from the foam roller slog.