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Flexor Carpi Radialis

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 Flexor carpi radialis is a superficial anterior muscle of the forearm.

Anatomical Attachments:

  • Origin: Attaches to the medial epicondyle of the humerus, and the fascia of the forearm.
  • Insertion: Attaches to the base of the 2nd and 3rd metacarpals.

Action: Flexes the wrist, aids in pronation and abduction of the hand, in addition to forearm adduction.

Synergist: Flexor carpi ulnaris, Palmaris longus.  

Antagonist: Abductor pollicis longus, Flexor digitorum superficialis and profundus, Flexor pollicis longus.

 

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Nerve Supply: Median Nerve (C6, C7).

Nerve Entrapment: Entraps the ulnar nerve.

Vascular supply: Muscular branches of the radial artery.

Travell and Simons Trigger Point Pain Referral:  

 

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Trigger Point Signs and Symptoms: Pain during activities requiring gripping and wrist flexion.

Trigger Point Activating and Perpetuating Factors: Persistent or sustained gripping with wrist flexion, e.g. a person seated with their hands cupped over the ends of the arm of a chair; skiers, as a result of gripping poles or handles; construction workers who use hand tools, which are either heavy or has persistent vibration such as jackhammers, saws and drills.

Differential Diagnosis: Medial epicondylitis, Ulnar neuropathy, Subacute meningitis or Peripheral neuropathy, Dupuytrenís contracture, Polyneuropathy, Carpal tunnel syndrome, Fibromyalgia, Charcotís arthropathy, Rheumatoid arthritis, Osteoarthritis of wrist, Systemic Lupus Erythematosus, (Segmental, Subluxation, Somatic dysfunction) C5 or T1 Radiculopathy, Cubital tunnel syndrome, Diabetic neuropathy, Raynaudís Phenomena, Raynaudís Disease, Complex regional pain syndrome (Reflex sympathetic Dystrophy), Systemic infections or inflammation, Nutritional inadequacy, Metabolic imbalance, Toxicity, Side effects of medication.

 

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