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Medial Epicondylalgia

RSI, Overuse syndrome, Golfers Elbow or Medial wrist overload Syndrome?All of these are variations on a theme, they involve dysfunction of one or several of the wrist flexor muscles which group together originating from medial aspect of the humerus. Whilst they share a common tendon, each muscle has a unique function. Gripping is a fundamental human need, however, the mechanics of some sports such as throwing, produce oblique forces at the joint and through the flexor. When it comes to overload syndromes, the most common syndromes are “pitcher’s/ thrower’s elbow” and climber’s elbow. They may also be linked to a dysfunction elsewhere above or below the elbow (mainly the posterior shoulder).

Trigger Point Comments

Isn’t it interesting to note how many of the flexor muscle pain maps refer to the fingers?Trigger Points can develop in the: Flexor Carpi Ulnaris, Flexor Digitorum Superficialis (and Profundus) and Palmaris Longus (don’t forget this is absent in some). Always remember to check the Medial Head of Triceps muscles and the wrist extensors for trigger points too, especially in chronic or recalcitrant cases.

How do you treat trigger these trigger points? We’d be delighted if you want to share your own best practice.

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