Palmaris Longus Muscle: Pain in the Forearm and Palm Hand Pain

Palmaris Longus Pain Pattern

The palmaris longus muscle contributes to pain in the wrist, the palm of the hand, and will sometimes extend up into the forearm.

  • Pain is a burning or tingling sensation, not aching or pounding pain
  • Pain is felt in the palm of the hand extending toward the thumb pad, but the pain is not felt in the thumb itself.
  • Cupping the hand will cause pain
  • Pain is felt in the palm when gripping items with the hand
  • Pain will sometimes extend up into the forearm

Where is the Palmaris Longus muscle located?

The palmar longus connects to the elbow (little finger side) and descends down to connect into the heel of the hand.

What movements do the Palmaris Longus control?

  • Bends the wrist down
  • Assists in flexing (bending) the forearm
  • It assists in cupping the hand

Activities that cause palmaris longus muscle pain and symptoms:

  • Falling and landing on your hands
  • Gripping items that put pressure on the palm of the hand ie. garden tools, hand tools
  • Using crutches

Interesting facts about the palmaris longus muscles:

  • Because of the burning and tingling pain in the hand, palmaris longus dysfunction is often diagnosed as cervical radiculopathy
  • Dysfunction in this muscle can cause the ring and little finger to curl into the palm of the hand. This condition is associated with Dupuytren’s contracture
  • Muscle is absent in 10% of the population

You use the palmaris longus to bend your forearm and wrist and cup your hand.

Clinical diagnoses to which the palmaris longus muscle symptoms may contribute:

  • Carpal tunnel syndrome
  • C7 C8 or T1 radiculopathy
  • Peripheral neuropathy
  • Dupuytren’s contracture

Other muscles that should be considered and examined in conjunction with the palmaris longus muscle:

Satellite Trigger Points: Triceps brachii (medial head)

For detailed anatomy information: Palmaris Longus Anatomy

Help with Palmaris Longus Wrist, Hand, and Forearm Pain

Cold Therapy Gel For Extensor Arm, Elbow, and Hand Injury Pain

Biofreeze Pain Relieving Gel is a cold therapy gel that provides pain relieve for new injuries and is great as a maintenance treatment for overuse and repetitive use injuries such as tennis elbow. Cold therapy should be used on new and recent injuries instead of heat as it cools the area much like ice and does not promote swelling. A recent study showed that Biofreeze decreased pain 2 times more than ice and the pain relief lasts 9 – 10 longer. Many who suffer from arthritis pain like to use Biofreeze on swollen painful joints. It is a favorite of athletes for both swelling reduction and pain relief due to injury and repetitive motion soreness.

Biofreeze is recommended for recent muscle injury
Elbow / Wrist Ice Wrap For Cold Treatment and Compression

Pain caused by the extensor digitorum can be felt from the elbow, down the forearm to the wrist and fingers. It is important to treat the entire muscle for pain relief. The DonJoy DuraKold Wrist and Elbow Ice Wrap is a good choice for this pain. I like this wrap because it can be used for the elbow and forearm then repositioned for the wrist and hand. The wrap retains the cold for well over an hour, however, the recommended cold therapy treatment time is 20 - 30 minutes per session. Longer treatment time could result in tissue damage.

DonJoy Wrist and Elbow Cold Wrap
Warm Therapy Gel For Extensor Muscle, Arm, Elbow and Hand Injury and Arthritis Pain For arthritic or chronic shoulder, arm, elbow and hand pain relief I recommend Sombra Warm Therapy Pain Relieving Gel. Sombra provides warmth without burning and is better at relieving pain than other over the counter pain creams. To relieve extensor digitorum muscle pain apply Sombra all around the elbow and down the back of the forearm, into the wrist, hand, and fingers.
Sombra Warm Therapy Gel provides pain relief.
Wrist Brace To Support Wrist and Hand

Because twisting and bending motions of the forearm and wrist can cause palmaris longus muscle pain, a wrist brace can help relieve pain in the forearm, wrist, and hand.  The ActiveWrap Compression Wrap for the Hand & Wrist not only provides compression and support in the wrist and hand but also comes with insert gel packs for hot and cold treatment. The brace can be used on either hand and has two Velcro closures that can be adjusted for comfort.

ActiveWrap Wrist and Hand Hot and Cold Wrap
The Neo G Medical Grade VCS Wrist and Thumb Support provides adjustable wrist support and compression to the wrist. The brace allows full movement hand, fingers, and thumb while providing support to the wrist. A good choice for those who need wrist support but need full mobility of the hand and fingers.
Full Arm Compression Sleeve for Elbow, Forearm and Wrist Pain

The CompressionZ Compression Arm Sleeves are for those who want or need more support for muscle injury, muscle recovery or lymphedema. The sleeves work well for those who have chronic elbow, forearm and wrist pain due to repetitive motions that can irritate the extensor muscles in the arm. The sleeves work well for athletes as well as people whose jobs require repetitive twisting motions of the wrist. The sleeves are available in 3 sizes and a variety of colors. Be sure to read the size chart and follow the instructions to ensure proper fit. Two sleeves per package

Arm Compression Sleeves

Self Treatment Help For Palmaris Longus Muscle Pain

Do you know that trigger points or other dysfunction in the palmaris longus muscle can cause burning tingling pain in wrist and palm of the hand which can travel up into the forearm? 

The Trigger Point Therapy Workbook: Your Self-Treatment Guide for Pain Relief can help you treat forearm and hand pain by teaching you the techniques to find and eliminate trigger points. Author Clair Davies explains the trigger point phenomenon and muscle pain in everyday language.  But what makes this book worth its weight in gold are the individual muscle trigger point treatments that Davies has compiled. His diagrams and step by step instructions help you locate which muscles are contributing to your pain,  how to find the trigger point and treat it. It takes time and practice to master finding trigger points, but once you learn you have a tool and method to help relieve muscle pain throughout the body. If you are suffering from tingling burning pain in the wrist, hand and forearm,  treating the trigger points in the palmaris longus muscle of the arm can help reduce or eliminate your pain. This book is a must-have for anyone interested in finding the cause and treating muscle pain.

The Trigger Point Workbook can help you resolve muscle pain throughout your body.

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