Pronator Teres - Static Cupping
Treating Pronator Teres Trigger Points - Static Cupping
Cupping Set + Online Course + Certification
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.
Origin
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.
Insertion
Mid-lateral surface of radius (pronator tuberosity).
Pronator Teres - Common Trigger Point Site
Action
Pronates forearm. Assists flexion of elbow joint.
Antagonist
Supinator.
Nerve
Median nerve, C6, 7.
Basic Functional Movement
Examples: pouring liquid from a container; turning a doorknob.
Pronator Teres Trigger Point and Referred Pain Map
Referred Pain
Strong pain “deep” into palmar region of wrist (lateral), radiating up anterolateral forearm.
Indications
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.
Causes
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.
Connections
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
2. Identify trigger point.
3. Use stroking massage downward.
4. Continue massage to end of muscle.
5. Repeat 3 times.
Links
Find a Trigger Point Professional in your area
More Articles About Trigger Points
Dry Needling for Trigger Points
Certify as a Trigger Point Therapist
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About Niel Asher Education
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Established in the United Kingdom in 1999, we provide course and distance learning material for therapists and other healthcare professionals in over 40 countries.
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NAMTPT AWARD
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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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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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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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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