Lumbrical Hand Muscles Pain Pattern

The Lumbrical Muscles Of The Hand

The lumbricals of the hand are four muscles found in the hand. Trigger points contribute to pain in the back of the hand and fingers. The pain is most commonly felt in the index and little fingers and not always in the middle fingers.


Lumbrical Hand Muscles

Where Are The Hand Lumbrical Muscles?

The lumbrical muscles of the hand are muscles found between the four fingers.

What Movements Does It Control?

  • Bends fingers at the first knuckle (the knuckle found on the hand at the base of the fingers)
  • Helps to straighten the fingers at the middle and top knuckles of the fingers

For detailed muscle anatomy: Lumbricals of the Hand Anatomy

What Pain and Symptoms Are Associated With The Lumbricals Hand Muscles?

  • Pain in the fingers,
  • Pain in the index and little finger pain most common
  • Pain in the finger joints
  • Stiffness in the finger joints
  • Pain and or stiffness while closing and opening the hand
  • Pinching using the thumb and fingers is painful
  • Gripping objects such as pens, pencils, needles for hand sewing or knitting between the thumb and fingers causes pain and discomfort

TWD Recommends

Jar grips should be in every kitchen to open jars and bottles to help prevent injury to the hand and arm muscles. So many painful arm, wrist, and hand injuries happen trying to open sealed lids on jars. Great for those with hand and wrist arthritis. Works on door knobs too!

What Causes Trigger Points To Develop In The Lumbrical Hand Muscles?

  • Activities that require constant use of the thumb and fingers in a pincher motion
  • Extended periods of knitting, crocheting, or hand sewing
  • Extended periods of writing with a pen or pencil
  • Artistic painting
  • Playing musical instruments such as the violin, cello and guitar
  • Pulling weeds

TWD Recommends

Whether the pain in your hands is caused by trigger points, a muscle injury or arthritis, compression has been shown to help with pain relief. The Imak Compression Arthritis Gloves are some of the best on the market.

The gloves provide gentle compression, which helps decrease both pain relief and inflammation. The seams of the gloves are sewn to the outside so you will not have irritation or discomfort. The fingers opening is reinforced so that they will not fray with wear or during washing.

To determine your size, measure straight across the widest part of your palm. Extra small: up to 2 3/4 inches wide. Small: up to 3 1/8 inches across. Medium: up to 3 1/2 inches across. Large: up to 4 inches across. Extra large: up to 4 1/2 inches across.

Lumbricals In The Hand Trigger Point Treatment

Trigger points in the lumbricals are easily treated. Use the opposite hand to palpate and feel for sore and tender areas in the back of the hand, concentrating on the valley located between the fingers. When you find a tender spot apply pressure to the spot for 10 seconds, then continue looking for other sore areas. You will be surprised at the amount of pressure you can apply. You should use enough to pressure to press into the valley, but not so much that it causes pain. Once done with the back of the hand use the same technique on the palm of the hand. Find the valley between the fingers and palpate for tender spots. To finish, massage each finger from the base to the tip gently pulling the finger as you work up.

Trigger points respond best to several 1-2 minutes treatments spread throughout the day.

I also recommend using a small hard ball to roll the palm of the hand. Place the ball on a table and slowly roll the ball using the palm. You should use some pressure, but just enough so that it feels good. Do this for a minute on each hand to help with hand flexibility as well as pain relief.


TWD Recommends

Massage balls are an easy and effective treatment for muscle pain throughout the body. Most people should roll the palms of their hands and feet everyday to help with muscle flexibility and catch trigger points in the early stage.

The Flex Fixx Massage Balls are a set of 3 varying sized balls that can be used on muscles throughout the body. The set includes a user manual that includes instructions for treating various muscles. The Trigger Point Therapy Workbook recommends massage balls as a treatment method for many muscles. If you are interested in self-treating muscle pain, the balls and the workbook are worth the investment!

Interesting facts:

The lumbrical muscles are unusual because they do not connect to a bone. They connect four tendons extending from the flexor digitorum profundus into tendons connected to the extensor digitorum.

Lumbrical muscle pain and symptoms can be similar to, contribute to, and be affected by these medical diagnoses:

  • Carpal tunnel syndrome
  • Thoracic Outlet Syndrome
  • C6  radiculopathy
  • C8 or T1 radiculopathy
  • Ganglion cyst
  • Carpometacarpal dysfunction
  • De Quervain’s stenosing tenosynovitis
  • Dupuytren’s Contracture
  • Raynaud’s Disease

Satellite trigger points associated with the muscle:

If you find trigger points in the lumbricals you will want to check these muscles for additional trigger points.

  • Flexor Pollicis Brevis
  • Abductor Pollicis Brevis
  • Opponens Pollicis
  • Adductor Pollicis
  • Long Extensor Muscles of the Fingers
  • Long Flexor Muscles of the Fingers
  • Latissimus Dorsi
  • Pectoralis Major
  • Scalenes
  • Triceps Brachii

TWD Recommended Pain Gels For Injury And Arthritis:

Sombra Warm Therapy Gel is recommended for relaxing muscles and relieving pain. It warms without the burning heat of other gels. An excellent choice for pain caused by trigger points, muscle/joint over-use and stiffness, and arthritis. You should keep Somba on hand, it provides almost instant relief for muscle and joint pain. (Not sold in stores)

Biofreeze Pain Relieving Gel is an excellent pain-relieving gel recommend for those who have sudden onset muscle pain or recent injuries.  It is better to use than warm therapy gels and creams for muscle pain caused by inflammation as it cools the area much like ice. If your pain is from a recent injury use Biofreeze. It is excellent to use on sprains, strained and sore muscles and joints.