it sounds less like lateral epicondylitis (not medial) and more like a hypercontracted or strained brachioradialis muscle.
hammer curls engages the muscle to contract to aid in the curl, whereas regular curls will righten the muscle to be used only for stability (running parallel to the force arm causing almost no torque to aid in the curl).
Depends on which side he's talking about. Most people don't refer to their arm pain in anatomical position or else I would've assumed lateral epicondylitis as well. Most people refer to their arm the way it hangs and the "outside" is frequently the medial epicondyle.
palm down, starts at elbow, goes down to INSIDE (thumb side) of the wrist.
there's no muscle that attaches from the elbow to the medial wrist that aids in elbow flexion.
it took me a second to try and figure out what the op was explaining, too i'm 99.9% sure he's talking about the brachioradialis.
Palm down, starts at the outside of the elbow (outside with palm down is the medial epicondyle), goes to the inside of the wrist. The flexor carpi ulnaris originates on the medial epicondyle (outside of the elbow with palm down) and inserts on the 5th metacarpal. Pain is poorly localized with dull aches and pains and it could just be interpreted as "inside." If he has tendinitis, he may also have irritation of the wrist from straight bar curls. That can aggravate the flexor retinaculum and result in less localization of pain. Brachioradialis pain doesn't start on the outside with the palm down.
you'd be able to tell c6 nerve root compression from muscular pain. you'd be feeling pins and needles over the skin in that area, in which case you'd need to see a chiropractor.Started getting this a couple weeks back. For awhile it was a constant ache, but now it's more sporadic and a lot less painful.
A Googling didn't turn up much, other than people complaining and their Doctors not being able to diagnose it. Many suggestions of pinched nerves, especially in the neck. So anyway, I started to stretch my arm everytime it occurred and that seemed to help a lot. I don't think it fixed it, but it provided temporary relief. Certainly better than popping Pills.
you'd be able to tell c6 nerve root compression from muscular pain. you'd be feeling pins and needles over the skin in that area, in which case you'd need to see a chiropractor.
dude, of course it does. flexor carpi ulnaris wouldn't cause the symptoms of the op, first off.
secondly, http://www.monsterforearms.com/monster_forearms008012.jpg
palm down, it goes from the outside of the elbow to the inside of the wrist. also, given the action that is unprovocative, it's got to be the brachioradialis.
flexor carpi ulnaris is a very minor muscle in flexion. it's an ulnar deviator (medial rotator) of the hand. there's no way that curls would aggravate that. plus, it'd be likely to be the last muscle of the wrist flexors to be aggravated.
it's brachioradialis, dude it's gotta be.
With the palm down, the brachioradialis is on the inside of the arm, not the outside. The flexor carpi ulnaris is still a flexor and can be aggravated by curls. Doing hammer curls activates the flexor carpi radialis more than anything. However, bar curls require activation of all the flexors, especially with the unnatural lateral rotation of the forearm. Since the flexor carpi ulnaris is a medial rotator, I'd imagine that the lateral rotation results in great activation of the muscle and therefore extremely high tension on that muscle specifically.
I'm also mentioning this based on personal experience. Doing straight bar curls aggravates the inside of my wrists significantly. This sounds like a similar problem, especially due to his description of pain location. Either way, a PT could ID and prescribe exercises to fix it. Us identifying it doesn't help so it's just futile anyhow
dude, brachioradialis starts on the outside of the elbow and travels to the inside of the wrist (with the palm down). exactly like the op said.
it is not a flexor in the sagital sense... it is a flexor in the coronal sense. it laterally flexes the wrist.
agreed that arguing it is pointless. not necessary to have a pt look at it though (since it's brachioradialis ). jk... just have the pt strip out the brachioradialis and it'll be just fine.
Seems you guys are getting all technical on me! It's not so much important that I identify the muscle, but I do appreciate your online banter . Found a picture online of approx. the location of pain ( http://www.ergomatters.co.uk/blog/wp-content/uploads/2008/03/forearm_extensor_massage_400.jpg ) If I may make an educated guess as to how it was caused, I went tubing a few weeks back ( http://photos.igougo.com/images/p335213-Tubing.jpg ) and my driver was pretty aggressively trying to throw me. While both arms were sore the same way, my right one is feeling better, and my left now has this issue. In the meantime, you suggested at PT, I'll see what I can do.
Seems you guys are getting all technical on me! It's not so much important that I identify the muscle, but I do appreciate your online banter . Found a picture online of approx. the location of pain ( http://www.ergomatters.co.uk/blog/wp-content/uploads/2008/03/forearm_extensor_massage_400.jpg ) If I may make an educated guess as to how it was caused, I went tubing a few weeks back ( http://photos.igougo.com/images/p335213-Tubing.jpg ) and my driver was pretty aggressively trying to throw me. While both arms were sore the same way, my right one is feeling better, and my left now has this issue. In the meantime, you suggested at PT, I'll see what I can do.
There's the last piece of info. Yeah, if it hurts on the outside of your arm and it was induced by trying to really hold onto something, it's likely the brachioradialis. *Shakes fist* Lay off, ice it, and get away from or modify exercises that aggravate it.
Thanks for the help and effort! I'll get on the ice, and avoid anything that stresses it (essentially anything with an underhand grip with that hand). Any educated guess as to why my right arm is feeling alright despite having been in the same situation?
Thanks for the help and effort! I'll get on the ice, and avoid anything that stresses it (essentially anything with an underhand grip with that hand). Any educated guess as to why my right arm is feeling alright despite having been in the same situation?
I can attest to the medial epicondylitus. Otherwise known as "golfer's elbow." I was diagnosed with it by my orthopedic doc back in January and I've been trying to strengthen my forearms and wrists, which has helped a lot. It has taken me this long to get over most of the pain, so to the OP I suggest RICE, and strength training exercises with very light dumbbells to improve wrist and forearm strength.
it's not medial epicondylitis.