American   Academy   f   Manual   Medicine

Home  Search  Pain referral  Trigger points  Cranial nerve  Spinal nerve  Historical  About us  Contact us  Site map 

 

Palmaris Longus

Pointer Plus

Pointer Plus

The Pointer Plus is an easy to use trigger point (TP) locator which incorporates a push button stimulation feature to immediately treat Trigger point pain.

The Palmaris longus is a superficial anterior muscle of the forearm.

Anatomical Attachments:

  • Origin: Attaches to the medial epicondyle of the humerus.
  • Insertion: Attaches to the palmar aponeurosis and the transverse carpal ligament.

Action: Flexes the hand and wrist, and aids in the pronation and flexion of the forearm.

Nerve Supply: Median nerves (C7, C8, and T1).

Vascular supply: Posterior ulnar recurrent artery.

Travell and Simons Trigger Point Pain Referral:  

 

Click on a small image to view an enlarged image

 

Trigger Point Signs and Symptoms: Unlike, the deep aching pain associated with most myofascial triggers, Travell and Simons note, that triggers within the Palmaris longus elicit a prickling type pain involving the palm, base of the thumb, and distal forearm. Usually, predicating this atypical pain pattern is tenderness and soreness of the palm which makes it difficult to grasp and/or use hand tools. The pain experienced is easily confused with a cervical radiculopathy.

Trigger Point Activating and Perpetuating Factors: A direct trauma e.g. a fall on the hands, weeding or pruning, using a saw or hammer, or walking on crutches.

Differential Diagnosis: (Segmental, Subluxation, Somatic dysfunction) C7 C8 or T1 radiculopathy, Subacute meningitis or Peripheral neuropathy, Dupuytrenís contracture, Frostbite, Diabetic neuropathy, Polyneuropathy, Charcotís arthropathy, Carpal tunnel Syndrome, Eosinophilic fasciitis, Raynaudís Phenomena, Raynaudís Disease, Complex regional pain syndrome (Reflex sympathetic Dystrophy), Fibromyalgia, Systemic lupus erythematosus, Osteoarthritis, Rheumatoid arthritis, Bursitis, Systemic infections or inflammation, Nutritional inadequacy, Metabolic imbalance, Toxicity, Side effects of medication.

 

Back to Top

 

Return to Search 

 



Home  Search  Pain referral  Trigger points  Cranial nerve  Spinal nerve  Historical  About us  Contact us  Site map 

Continuing Education © Copyright 2001, 2004, 2006. All rights reserved.