In terms of wrist pain, trigger points in the Extensor Carpi Radialis Brevis are arguably the most important. Because of its anatomical position the burden of tasks such as using a computer mouse are mainly put upon this long thin strap muscle, perhaps more than any other. Our increasing reliance on computing makes this situation quite common. In terms of trigger point pain-maps Extensor Carpi Radialis Brevis usually presents with a strong zone of pain 3–5 cm over dorsum of hand.
Lateral Epicondylalgia, is arguably the most common elbow overuse injury in the adult population.According to Dr Bob Gerwin, the term epicondylitis implies an inflammatory component to the condition which has not been reliably demonstrated to exist. Epicondylalgia means simply pain in the lateral epicondyle. Patients often present with point-tenderness in the lateral humerus in the zone of the common insertion; with the bony origin often becoming very tender and sore. Forearm/elbow/wrist/hand pain, finger stiffness, painful/weak grip, and pain on gripping and twistingare all common indications that there may be an active trigger point within the muscle. Depending on longevity and severity the pain can become severe and debilitating. The Brevis is the place to look for repetitive strain type injury and other overuse syndromes.
How do you treat trigger these trigger points? We’d be delighted if you want to share your own best practice.