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

What pain and symptoms are associated with the Palmaris Longus muscle?

  • 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 upper arm (humerus on little finger side) and descends down to connect into the heel of the hand (palmar aponeurosis).

What movements do the Palmaris Longus control?

  • Bends the wrist down
  • It assists turning the palm down

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

Items To Help Avoid Further Palmaris Longus Injury and Reduce Pain:

If you drive a lot palmaris longus dysfunction can make gripping the steering wheel uncomfortable. A cushioned steering wheel cover can help ease your pain.

Gardening is exceptionally hard on the palmaris longus muscle. Ergonomic gardening tools help relieve stress on the muscle and reduce your pain.

If you are experiencing palm pain and troubles with gripping and or holding objects, padded weight lifting gloves can be a tremendous help.

Diagram of the Palmaris Longus Muscle

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

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

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

  • Carpal tunnel syndrome
  • C7 C8 or T1 radiculopathy
  • Raynaud’s Disease
  • Dupuytren’s contracture

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

Satellite trigger points associated with the palmar longus muscle:

  • Triceps brachii (medial head)

For detailed anatomy information:  Palmaris Longus Anatomy

Help with Palmaris Longus Wrist, Hand, and Forearm Pain

Cold Therapy Gel For Wrist 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. To treat palmaris longus pain and injury, rub Biofreeze around the elbow, down the inside of the forearm and into the heel and palm of the hand.

Cold Compression Wrap For Forearm Muscle Injury and Pain

Freeze Sleeve Cold Therapy Compression Sleeve is recommended by medical professionals for treatment of injury, recovery, and over-use soreness. The sleeve provides total circumference cold therapy and compression that other cold treatments do not provide. The sleeve slides on and features material that can be worn on bare skin, allowing you to be mobile during treatment. It can be used for most areas of the arms and legs.

Warm Therapy Gel For Palmaris Longus 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 palmaris longus muscle pain apply Sombra all around the elbow and down the front of the forearm, into the wrist, and heel of the hand.

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 palmaris longus muscle 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

Wrist Support and Compression

The Neo G Medical Grade VCS Wrist and Thumb Support provides adjustable wrist support and compression to the wrist. The brace allows full movement of the 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.

Compression Gloves For Support, Warmth and Pain Relief

Whether the pain in your hands is caused by 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 are reinforced so that they will not fray with wear or during washing. I like this particular brand because the gloves are easier to get on and off than most other compression gloves. Reasonably priced too!

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.

Self Treatment For Wrist and Hand 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.

Donna Martin

Massage Therapist Owner: Twelve years of experience working with clients with chronic pain, post injury pain, and post surgery pain. Muscle dysfunction is often overlooked but can hold the key to many pain conditions.

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