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Supinator Trigger Points - Dr. Jonathan Kuttner


Trigger Points in the Supinator Muscles are Too Often Overlooked As The Muscle Lies Deep and "Concealed" - They are Often Associated with Elbow Pain.

The supinator is associated with deceleration of the elbow during extension. When the forearm is held between supination and pronation, the supinator will decelerate elbow extension.

The supinator is a lateral elbow pain generator. The muscle sneaks pain down into the web of the thumb on the dorsal side.

Changes in sensations include, but are not limited to, numbness and weakness in the hand (which may be due to compression of the deep branch of the radial nerve—the posterior interosseous nerve) and in the fingers.

Part of the deep group. The supinator is almost entirely concealed by the superficial muscles.


Supinator Trigger Points

Supinator - Common Trigger Point Site



Lateral epicondyle of humerus. Radial collateral (lateral) ligament of elbow joint. Annular ligament of superior radioulnar joint. Supinator crest of ulna.


Dorsal and lateral surfaces of upper third of radius.


Supinates forearm (for which it is probably the main prime mover, with biceps brachii being an auxiliary). Antagonists: pronator teres, pronator quadratus.


Deep radial nerve, C5, 6, (7). BASIC FUNCTIONAL


Example: turning a door handle or screwdriver.


Localized 3–5 cm strong zone of pain at lateral epicondyle and at the web of the thumb (dorsum).


Tennis elbow, thumb joint pain, elbow pain (when carrying and at rest), pain turning doorknobs, localized pain on supination, chronic use of walking stick, pain on handshake.


Repetitive motions with straight arm (e.g. tennis, dog walking, carrying heavy case), repetitive motions (e.g. twisting, massaging, driving, ironing), trauma/strain, racquet sports.


De Quervain’s tenosynovitis. Lateral epicondylitis (tendo-osseous, musculotendinous, intramuscular). Radial head dysfunction.


Common extensors, biceps brachii, triceps brachii (insertion), anconeus, brachialis, palmaris longus, brachioradialis, extensor carpi radialis longus.








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. 




Trigger Point Therapists




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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.