Mar 162013
 

What symptoms and pain are associated with the supinator muscle?

Supinator Pain Pattern

The supinator causes elbow pain and pain in the thumb area. It is also a major contributor to tennis elbow.

  • Pain in the back of the forearm near the elbow
  • Pain in the back of the hand at the base of the thumb
  • Numbness in the thumb side of the hand

Where is the supinator muscle?

The supinator is located on the inside (thumb side)  of the forearm just below the elbow. It connects the upper arm to the lower arm.

What movements does the supinator muscle control?

Turns the hand palm upward.

Activities that cause supinator pain and symptoms:

  • Tennis
  • Golf
  • Repetitive curls
  • Hoeing a garden
  • Sewing by hand
  • Working at the computer
  • Playing the violin
  • Chefs who stir or whip together ingredients frequently

Clinical diagnoses to which the supinator muscle symptoms may contribute:

  • Tennis elbow
  • Lateral Epicondylitis
  • Sprain/strain


Supinator Muscle

You use the supinator when you rotate your arm to turn your palm upward.

Other muscles that should be considered and examined in conjunction with the supinator:

Satellite Trigger Points: Extensor Carpi radialis longus and brevis, Brachioradialis, Brachialis

For Anatomy Information See: Supinator Muscle Anatomy


Help with Supinator Muscle Injury Pain

Cold Therapy Treatment For Pain Forearm Traveling Down To Thumb Biofreeze is recommended for recent muscle injury Biofreeze Pain Relieving Gel is a cold therapy gel that provides pain relieve for new injuries and is great as a maintenance treatment for over use injuries.  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. If you have recently injured the supinator muscle or have unexplained pain that has just started in the elbow and thumb, use Biofreeze. Rub the gel onto the front of the elbow all around the bend and down the front of the arm to the thumb. wrist-elbow-wrap

 Elbow / Wrist Ice Wrap For Cold Treatment and Compression

The Elite-Kold Wrist and Elbow Ice Wrap is a good choice for supinator elbow and wrist / thumb pain. I like this wrap because it can be used  for the elbow and forearm for repositioned for the wrist for wrist and base of the thumb pain. A word of advice: Do not leave in the freezer for more than 45 minutes as the packs tend to freeze solid which makes it impossible to mold to your arm. Despite this, I still recommend this brace for cold treatment to the elbow and wrist. For additional pain relief rub the area with BioFreeze five minutes before applying the wrap for extended treatment and pain relief.

Warm Therapy for Post Injury and Chronic Elbow, Wrist and Thumb Pain

Sombra Warm Therapy Gel provides pain relief. Sombra Warm Therapy Pain Relieving Gel is a pain relieving gel that I use both personally and professionally in my massage therapy practice. It provides warmth without burning heat unlike other heating creams and gels.  It works well for post injury pain and stiffness as well as chronic arthritis pain as it can be applied several times a day. Apply Sombra to the elbow, forearm rubbing it down into the base of the thumb to ease the pain. NOTE: Do not use Sombra Warming Gel when using ice packs or heat packs as there is a risk of blistering the skin.  For the most effective treatment, apply 5 to 10 minutes before putting on a brace or sleeve. 

Wrist Brace To Support Wrist and Thumb

ActiveWrap Wrist and Hand Hot and Cold Wrap Because twisting motions of the wrist can cause injury and irritate the supinator muscle, a wrist brace can help relieve pain in the wrist and thumb area.  The ActiveWrap Compression Wrap for the Hand & Wrist not only provides compression and support in the wrist and thumb pad, 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. wrist-brace 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.

Excellent Elbow Brace For Tennis Elbow and Golf Elbow

If you have tried other elbow braces and have not found relieve from pain or mobility issues I recommend that you try the Professional’s Choice Full Elbow SupportThe Professional Choice Elbow Brace provides support and warmth to relieve pain caused by the triceps muscle.. It is a heavy duty adjustable brace that provides support and warmth without restricting movement. There are cut outs in the bend of the elbow and thinner support at the point of the elbow to allow comfortable movement.  I have two friends that regularly wear this support to play golf and they report it does not interfere with their swing.  I use this brace myself and highly recommend it. The brace does not bind, bunch up and provides just the right amount of compression to keep the pain away. The neoprene material also radiates your body heat back into the muscles to provide soothing warmth which also helps with freer movement. Highly recommended for those suffering with tennis or golfer’s elbow. If it is not available in the previous link, this equestrian store keeps the brace in stock: Professional’s Choice Full Elbow Support.

Compression Sleeves for Elbow Pain

mcdavid-elbow-support Support and Light Compression Sleeve For Supinator Muscle Pain and Symptoms For post injury treatment or for those who suffer with chronic pain due to the supinator muscle the McDavid Elastic Elbow Sleeve will help by providing light support as well as gentle compression to the muscle.  Pull the sleeve up just to the top of the elbow joint which will allow the sleeve to cover the entire muscle. The sleeve can be used as a maintenance treatment  those who play tennis and golf as well as construction workers who use tight grips with wrist and elbow twisting motions.

Self Treatment For Supinator Muscle Elbow, Forearm, Hand Pain

Do you know that small knots in the supinator can contribute to pain in the elbow that can travel into the hand?  These symptoms can mimic tennis elbow and carpal tunnel pain. The Trigger Point Workbook can help you resolve muscle pain throughout your body. If this pain pattern sounds familiar  I  recommend that you purchase Claire Davies  The Trigger Point Therapy Workbook: Your Self-Treatment Guide for Pain Relief. Mr. 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. He also provides stretching and strengthening exercises for each muscle.  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 have unresolved elbow, forearm pain and find it difficult to straighten the elbow without pain it maybe trigger points in the supinator muscle of the arm. Deactivating trigger points can reduce or eliminate this pain. This book is a must have for anyone interested in finding the cause and treating muscle pain.


Anatomy Study: Origin, Insertion, Action, Blood Supply and Innervation of the Supinator Muscle

Origin: Lateral epicondyle of the humerus, the radical collateral ligament, the supinator crest of the ulna, and the radial collateral and annular ligaments. Insertion: Proximal portion of the anterolateral surface of the radius Action: Supination of the forearm Blood Supply: Radial recurrent artery from the radial artery Innervation: Radial Nerve (C6, 7, 8)

Primary Actions: 1. Rotates the forearm so the palm of the hand faces upward

  • Agonists: Biceps Brachii
  • Antagonists: Pronator Teres, Pronator Quadratus

 

 March 16, 2013  Posted by  Arm Muscles Tagged with: , , , , ,

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