Sure, it could be biceps or brachialis. The median nerve runs between these two muscles and I would not rule out an irritation to this nerve. Check pronator teres out also, it may have marked trigger point activation if a median nerve problem exists. Also look at Bulter's upper limb tension test IIa.and note if this reproduces the patients pain. Then , if so, check the cervical spine out.
---
Scott Epsley
PHYSIOTHERAPIST
Northside Sports Injury Centre
Brisbane, Australia.
e-mail: [log in to unmask]
On Tue, 1 May 2001 23:17:45
Sarah Fern Striffler wrote:
>Have you tried all of Dr. Trager's suggestions for biceps, brachialis and
>supinator? I would also suggest strengthening triceps and (especially) wrist
>extensors. Now that I re-read your message, I think your best bet might be
>cross-fiber friction massage on painful sites: biceps insertion and m-t
>junction.
>
>Good luck. Let us know.
>
>Sarah Fern Striffler, PT
>
>----- Original Message -----
>From: nabil keshavjee <[log in to unmask]>
>To: <[log in to unmask]>
>Sent: Saturday, April 28, 2001 9:43 PM
>Subject: Elbow Injury
>
>
>> Have a patient with an elbow injury that I is not
>> getting any better, any suggestions.
>> Injured while carrying computer bag, away from body.
>> Aggravated by doing dumbell chest flyes. Occurred
>> about 6 weeks ago.
>> No pain on AROM and PROM. Pain on resisted elbow
>> flexion at 100 degrees and at end-rage flexion.
>> Slight ache on resisted extension. Unable to palpate
>> pain. Positive findings on stretch of biceps.
>> Pain located at the insertion of biceps and also at
>> the musculotedonous junction.
>> Stretching of biceps, ultrasound, ice has not
>> relieved.
>> ANy suggestions.
>> Any help would be greatly appreciated.
>> Nabil K.
>>
>> __________________________________________________
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