If you have been suffering from arm pain, elbow pain or wrist pain, with conditions such as tennis elbow, golfer’s elbow, or repetitive strain injury, or spending excessive time on the computer, this one’s for you. I’m going to demonstrate a technique that I use on many of my clients. I have a lady here who’s been spending way too much time on the computer and has some very tight forearms. So, this technique is called myofascial release, and it really has several aspects. The way I approach it is first through a careful exam; I want to find out what really is going on. We are going to check these muscles and typically, especially in her case with computers and all the keyboard and mouse work is involved, we’re going to find some tension and injuration in the muscles in the forearm.
In this particular case, the extensors have some trigger points just right below the lateral contact. So I’m going to approach it three ways; the first part, I’m going to find a trigger point, an area in the muscle that is very tight. Part of the treatment will be to find this spot, and it may be very painful, with tingling, numbness, and it may even refer into the wrist and into the hand. So we’ll find the spot, find the trigger point, apply pressure and hold. not very pleasant, but necessary. The second part of the treatment, I will also work this muscle but I will go below the area of tension, and I will use the wrist motion to shorten the muscle, pin the area that requires treatment, and then slowly lengthen while applying pressure. So, this is a passive technique that we use. We just kind of find the spot, go right below, and just work several bands to release the tension.
The third way to work it is where I’m going to involve the client or patient, and she’s going to make a fist to shorten that muscle. I will also apply pressure onto that area of tension and then she will slowly move the wrist, and at the same time I will apply pressure to this muscle and the area of injuration. These treatments will last for, typically, it will require several visits to clear up. But we’ve been having some really good results with these conditions.