Referred Pain Pattern
Trigger points in biceps may be found in either head of the muscle. When the points are active, pain may refer up the front of the arm and down to the front of the elbow.
While pressing into the trigger point with your thumb, flex your client’s elbow and supinate their forearm so that their wrist is over the point. Find the position where your client does not feel any pain in the trigger point. Hold for 30 - 90 seconds, or until you feel a release, then bring your client back to a neutral position while continuing to hold the trigger point, and ask your client how it feels.
If your client reports less pain when the forearm is pronated, it is likely that the trigger point is in the brachialis which is underneath the biceps.The treatment would be similar except for having the forearm pronated.
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