Tennis Elbow and Myofascial Trigger Points Pain associated with Tennis Elbow is often times the result of active Myofascial Trigger Points affecting the Supinator Nick Fairley Jersey , Extensor Carpi Radialis Longus and the Extensor Digitorum muscles. Trigger Points, if treated properly by therapist, will reproduce the patient's "painful symptoms", exactly like they (Patients) would "normally" experience the pain during active use andor during rest, depending upon which muscle(s) are afflicted with Trigger Points. Myofascial Trigger Points consist of localized tender spots in a tense band of muscle fibers that when subjected to direct pressure, refer pain to other areas along the length of the involved muscle(s). TENNIS ELBOW AND MYOFASCIAL TRIGGER POINTSTreating Trigger-Points by pressing downward and maintaining the pressure directly on the active Trigger Point and mimicking the exact pain experienced by the patient when their symptoms are at their worst breaks the pain-cycle and eliminates the patient's symptoms.By reducing the symptoms enough to where the patient can be active allows the patient the ability to recover much faster. If the patient remains sedentary due to pain and dysfunction Nate Stupar Jersey , the Trigger Points will establish themselves in the muscletendon, making them more difficult to eliminate. Although many physicians have diagnosed and "treated" patients suffering from "Tennis Elbow", prescribing anti-inflammatory medications, complete rest, and ice-therapy. More often then not, their diagnosis wasis incorrect because there is no visible or palpable inflammation Tyeler Davison Jersey , no discoloration of the skin, and the pain continues to radiate even when the patient is at rest. If Trigger Points are not treated, the tender, restrictive, and very taught bands of muscle will become strained at the muscletendon (Musculotendinous Junction) or at the tendonbone (Tenoperiosteal Junction). The tensile strain imposed upon the muscles can cause micro-tears within the muscletendon or tendonbone, resulting in irritation P.J. Williams Jersey , inflammation, and fibrotic tissue changes within the muscletendon. Finally - A TRUE CASE of "Tennis Elbow" we can treat with all of the medications, and possibly even surgery! Address Tennis Elbow pain as soon as you can by making an appointment with a qualified Professional therapist that knows how to eliminate Trigger Points. And, if you ever want to eliminate the possibility of strain of any muscle or tendon - You must strengthen that muscle and tendon so that it is stronger than the amount of stress or active resistance that it will be subjected to. If I can only extend and supinate my wrist and fingers against 20-lbs. of resistance, I had better not plan on doing anything that requires me to resist 50-lbs. unless of course I want to be severely injured in the process.Trigger Points = Tennis ElbowThe symptoms associated with "Tennis Elbow" are often directed to the inflammation and damage of the finger and wrist extensor muscles - ONLY. Although these muscles can certainly be involved in cases of Tennis Elbow, the injury is more often caused by active Myofascial Trigger Points in the Supinator muscle due to the strain of this muscle while engaged in resisted pronation or forceful supination of the wristforearm.Trigger Points and Pain SequenceThe muscles surrounding the elbow joint that cause lateral epicondyle pain are likely to develop Trigger Points in the following sequence.Supinator Brachioradialis Extensor Carpi Radialis Longus Extensor Digitorum Triceps Brachii Anconeus Biceps and Brachialis combinedActivities that Increase PainSymptoms Associated with Trigger PointsThe type of activities usually responsible for the activation of these Trigger Points involves incorrect use or overuse of the tennis "backhand" Michael Thomas Jersey , "flipping" a briefcase onto the top of a desk with the arm in a straight, unflexed position, repetitive finger flexionextension and repetitivestatic gripping with the hands.Manual Testing for "Tennis Elbow"Testing the Supinator Muscle:If the Supinator muscle is the source of the symptoms experienced by the patient, examination of the lateral epicondyle by "tapping" on it will exhibit tenderness and referred pain. Performing resisted supination will also exhibit pain and tenderness, thus revealing Trigger points affecting the Supinator muscle. Individuals with trigger points in the Supinator muscle may complain of pain in both the lateral epicondyle and the dorsal surface of the web of the thumb, or just one of these areas may exhibit symptoms. Almost every patient with pain directed over the lateral epicondyle has a Trigger Point in the Supinator muscle Sheldon Rankins Jersey , and is the MOST COMON CAUSE of "Tennis Elbow" pain. NOTE: Supinator Muscle: The Supinator muscle acts to supinate the hand and secondarily assist in flexion at the elbow. Supinator activity predominates over biceps activity during un-resisted supination of the hand, and is responsible for "holdingmaintaining" the hand in a supinated position. Although the biceps is usually thought of as the main supinator muscle of the wrist and forearm, the biceps is only activated if the elbow is flexed (Even slightly), and when strength is needed to overcome resistance to the supination of the handforearm. When the arm is straight, with the elbow in an extended position, the biceps does nothing in regards to supination. Associated Trigger Points are also often found in the: Triceps Brachii Finger Extensors Extensor Carpi Radialis Longus Extensor Carpi Radialis Brevis Brachioradialis muscle. A Trigger Point within the Anconeus may also refer pain to the lateral epicondyle) Other muscles associated with the Supinators Myotatic Unit that may be involved Saints Willie Snead Jersey , but do not refer pain to the Lateral Epicondyle: Brachialis Biceps Brachii Palmaris Longus Testing the Extensor Muscles:If the Tennis Elbow symptoms are directly related to the Extensor muscle group , the patient will first experience pain in the lateral epicondyle, and later, experience the pManuel Neuer Ag.