Muscles
Adductor Pollicis Trigger Points
Symptom Area: Forearm and Hand
Adductor Pollicis Trigger Points are explored here through their location and referred pain pattern. Muscle knots is an everyday term used for tender muscular spots; myofascial pain describes pain involving muscle and its surrounding connective tissue. Adducts the thumb toward the index finger.
Where you feel it
When the Adductor Pollicis holds active trigger points, you usually notice it as handwriting difficulties, thumb & radial hand pain and thumb pain and tingling numbness (dysesthesia). Where the pain spreads: Local web-space pain, sometimes spreading into the palm. What often sets it off: Pinch-grip overload, manual tools, gardening.
Overview
Adducts the thumb toward the index finger. Trigger points here are common in everyday and athletic populations and frequently contribute to the referred pain patterns described below.
Trigger point locations
Web space between thumb and index finger.
Referred pain pattern
Local web-space pain, sometimes spreading into the palm.
Palpation & testing
Palpate the muscle belly along its accessible course. Reproduction of the patient's familiar pain on palpation supports involvement.
Common causes
Pinch-grip overload, manual tools, gardening.
Self-care & clinical treatment
Web-space release, ergonomic correction. Clinically: gentle needling.
Treatment protocol
For Adductor Pollicis, the general protocol applies: sustained pressure release on the taut band, then stretch and active movement in the newly gained range.
Position and palpation: Palpate the muscle belly along its accessible course.
Regional precaution for clinicians: In the forearm and hand the median nerve at the pronator teres, the ulnar nerve at the cubital tunnel and Guyon's canal, the radial nerve in the supinator arcade and the radial artery at the wrist are all superficial and must be avoided; needles are short and angled away from the neurovascular bundles.
Primary Symptoms
Often confused with
These muscles cause the same primary symptoms, so they are checked together:
Related muscles in this region
Related articles
References
- • Travell & Simons — Myofascial Pain and Dysfunction
Medically reviewed by: Marco Aruffo — physiotherapist since 2006, specialised in myofascial pain · Last reviewed:
