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Treating Pronator Teres Trigger Points - Static Cupping


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Treating Pronator Teres Trigger Points

Trigger Points in Pronator Teres are a common cause of elbow, forearm and wrist pain, and stiffness.

Both vacuum and static cupping techniques are increasingly used by therapists in conjunction with massage and compression, to treat these trigger points. 


Humeral head: lower third of medial supracondylar ridge and common flexor origin on anterior aspect of medial epicondyle of humerus.

Ulnar head: medial border of coronoid process of ulna.


Mid-lateral surface of radius (pronator tuberosity).


Pronator Teres Trigger Points

Pronator Teres - Common Trigger Point Site



Pronates forearm. Assists flexion of elbow joint.




Median nerve, C6, 7.

Basic Functional Movement

Examples: pouring liquid from a container; turning a doorknob.



Pronator Teres Trigger Points

Pronator Teres Trigger Point and Referred Pain Map


Referred Pain

Strong pain “deep” into palmar region of wrist (lateral), radiating up anterolateral forearm.


Pain in wrist (lateral), pain on supination, hairdressers (overuse of scissors), inability to “cup” hands together (especially “cupping”and extension of wrist), shoulder pain (compensatory), wrist pain on driving.


Prolonged gripping, massaging, wrist fractures or falls, casts, sports (e.g. forehand spin with racquet, using ski poles), occupational.

Differential Diagnosis

De Quervain’s tenosynovitis. Carpal tunnel swelling. Osteoarthritis
of proximal thumb joint. Distal radioulnar discopathy. Epicondylitis.


Finger flexors, scalenes, pectoralis major, pronator quadratus.

General Advice

Stretching techniques. Self-massage. Change grip and techniques in tennis/golf. Review driving posture and grip on steering wheel.

Self-Help Technique


Pronator Teres Trigger Point Self Help


1. Review anatomy.
2. Identify trigger point.
3. Use stroking massage downward.
3. Pause on trigger point until it softens.
4. Continue massage to end of muscle.
5. Repeat 3 times.




Find a Trigger Point Professional in your area

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NAT Professional Courses

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As a manual therapist or exercise professional, there is only one way to expand your business - education!

Learning more skills increases the services that you offer and provides more opportunity for specialization.

Every NAT course is designed to build on what you already know, to empower you to treat more clients and grow your practice, with a minimal investment in time and money.

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About Niel Asher Education

Niel Asher Education is a leading provider of distance learning and continued education courses.

Established in the United Kingdom in 1999, we provide course and distance learning material for therapists and other healthcare professionals in over 40 countries.

Our courses are accredited by over 90 professional associations and national accreditation institutions including the National Academy of Sports Medicine (NASM) and National Certification Board for Therapeutic Massage and Bodywork (NCBTMB). Full details of all international course accreditations can be found on our website.  

Printed course materials and other products offered on our websites are despatched worldwide from our 3 locations in the UK (London), USA (Pennsylvania) and Australia (Melbourne).

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We are honored to have received the 2017 "Excellence in Education" Award from the National Association of Myofascial Trigger Point Therapists.

Since 1999 Niel Asher Education has won numerous awards for education and in particular for education and services provided in the field of trigger point therapy.

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Award Winning Instructors

Niel Asher Healthcare course instructors have won a host of prestigious awards including 2 lifetime achievement honorees - Stuart Hinds, Lifetime Achievement Honoree, AAMT, 2015, and Dr. Jonathan Kuttner, MD, Lifetime Achievement Honoree, NAMTPT, 2014.

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If you are a qualified/licensed manual therapist or exercise/fitness professional you can expand your credentials with NAT certification.

In addition to national accreditation for continued education, each course that we offer includes "NAT Learning Credits". By taking and completing courses you can accumulate NAT credits to qualify for NAT certification.

There are currently 3 levels of NAT certification. Certifying NAT is a valuable way to show your clients that you take continued education seriously, and to promote your skills and qualifications.

Most of our courses are accredited for CE/CPD/CPE. A full list of CE accreditations can be found by clicking on the link below. 

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Niel Asher Technique

Since 1999 the Niel Asher Technique for treating trigger points has been adopted by over 100,000 therapists worldwide, and has been applied to the treatment of a number of common musculoskeletal injuries.

The Niel Asher Technique for treating frozen shoulder was first introduced and published in 1997 and has been widely adopted by therapists and exercise professionals working within elite sports and athletics.

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Most of our courses are available as either "Printed" or 'Download" editions, wherever you live. Internet connection is required to access online and downloadable material.

When you purchase a download edition, you receive immediate lifetime access to all course material. Course texts can be downloaded and printed if required. 

When you purchase a "Printed" edition, you will also receive free access to the download edition.

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We offer a range of over 50 courses, presented by some of the worlds leading manual therapists. All courses are reviewed annually, and new courses are regularly added.

Our courses are modular, and designed to build on what you already know. For more information, please visit our "Where to Start?" page.

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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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