Massage Today
Massage Today dotted line
dotted line

dotted line
Share |
  Forward PDF Version  
Massage Today
February, 2007, Vol. 07, Issue 02

Anterior Elbow Pain

By Ben Benjamin, PhD

Question: If a client feels anterior elbow pain on passive pronation of the forearm, what does this indicate?

Answer: The distal attachment of the biceps tendon is injured.

Ben Benjamin works with a patient.
		<div class=

- Copyright – Stock Photo / Register Mark"> The biceps muscle-tendon unit might be injured in five different places - in the muscle belly, at the musculotendinous junction, in the body of the upper tendon or the lower tendon, or at the tenoperiosteal attachment (where the tendon attaches to the radial tuberosity). An injury in the lower tendon body or the tenoperiosteal attachment will cause anterior elbow pain on two separate assessment tests: resisted flexion of the elbow and resisted supination of the forearm. Passive pronation (medial rotation) of the forearm tests specifically for an injury to the tenoperiosteal attachment of the biceps tendon. If this movement causes anterior elbow pain, it's likely the tendon attachment is getting pinched between the radius and the ulna. This pinching action is not painful if the tendon is healthy. When the tendon is injured, it becomes slightly swollen and irritated, which makes the pinching painful.


Click here for more information about Ben Benjamin, PhD.

 

Join the conversation
Comments are encouraged, but you must follow our User Agreement
Keep it civil and stay on topic. No profanity, vulgar, racist or hateful comments or personal attacks. Anyone who chooses to exercise poor judgement will be blocked. By posting your comment, you agree to allow MPA Media the right to republish your name and comment in additional MPA Media publications without any notification or payment.
comments powered by Disqus
dotted line