Pronator Teres Syndrome
Pronator teres syndrome is a group of symptoms that comes from compression of the median nerve by the pronator teres muscle at the elbow. This entrapment of the nerve is associated with prolonged or repetitive forearm pronation and finger flexion (gripping things with the palm turned down). This is common in professions like mechanics, assembly line workers, tennis players, rowers and weight lifters.
Individuals with pronator teres syndrome usually have pain or numbness/tingling over the inside of their forearm going into their first three fingers. The inside of the forearm is often tender to palpation. Compression around the forearm typically makes symptoms worse. Gripping things will often feel clumsy or weak.
Treatment of pronator teres syndrome starts with avoiding repetitive forceful gripping. Manual release techniques are used to increase the flexibility of the muscles of the forearm and arm. Nerve mobilization techniques are used to promote sliding and gliding of the nerve along its length. Joint manipulation is used to restore proper mechanics. Rehabilitative exercises are used to increase resilience and promote proper biomechanics to off load aggravated structures.
If you have an issue that you would like some guidance with, give us a call at (616) 301-1702.
Howard FM. Compression neuropathies in the anterior forearm. Hand clinics. 1986 Nov;2(4):737-45.
Lee MJ, LaStayo PC. Pronator syndrome and other nerve compressions that mimic carpal tunnel syndrome. Journal of Orthopaedic & Sports Physical Therapy. 2004 Oct;34(10):601-9.