Pronator Quadratus Referred Pain Pattern

Pronator Quadratus Muscle: Trigger Point Pain

The pronator quadratus is a muscle that lays horizontally in the forearm above the wrist. Trigger points in the muscle contribute to pain in the thumb and thumb pad. TrPs can also cause the wrist and the hand to feel numb.

Contents of Article


    Pronator Quadratus Muscle

    Where Is The Pronator Quadratus Muscle?

    The pronator quadratus connects the two bones in the forearm, the ulna and radius just above the wrist.

    What Movements Does It Control?

    It rotates the wrist so the palm is facing down toward the ground.

    For detailed anatomy information: Pronator Quadratus Anatomy

    Pronator Quadratus Muscle Trigger Points Symptoms:

    • Pain is felt on the inside of the wrist near the thumb and sometimes extends into the base of the thumb and thumb.
    • Can contribute to numbness in the hand.

    TWD Recommends

    Jar grips should be in every kitchen to open jars and bottles to help prevent injury to the arm extensor 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 Pronator Quadratus Trigger Points To Develop?

    • Movements that require a tight grip with twisting motion at the wrist
    • Tennis
    • Golf
    • Loosening screws with the right hand
    • Tightening screws with the left hand

    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.


    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.

    Pronator Quadratus Trigger Point Treatment

    The Trigger Point Therapy Workbook can help you treat wrist and thumb 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.

    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. If you have reoccurring muscle cramps or pain, you should keep Somba on hand, it provides almost instant relief. (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.

    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

    How Long Before I Feel A Reduction In Pain?

    Most feel pain relief after a 1-2 days of consistent treatment. There may be a feeling of muscle soreness for a few days.

    Keep in mind, you need to continue treating the trigger point until you do not feel the knot, and the area is not painful when pressure is applied.

    Interesting facts:

    • The pronator teres and pronator quadratus sometimes put pressure on the median nerve in the arm causing carpal tunnel symptoms of numbness and tingling in the hand.

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

    • Carpal tunnel syndrome


    TWD Recommends

    Freeze Sleeve Cold Therapy Compression Sleeve is recommended by medical professionals for treatment of injury 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.