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Muscles

Flexor Digitorum Superficialis Trigger Points

Symptom Area: Forearm and Hand

Flexor Digitorum Superficialis 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. Flexes the proximal interphalangeal joints of fingers 2–5.

Where you feel it

When the Flexor Digitorum Superficialis holds active trigger points, you usually notice it as volar finger pain. Where the pain spreads: Palmar surface of the fingers, palm, and anterior wrist. What often sets it off: Climbing, musicians, sustained gripping.

Overview

Flexes the proximal interphalangeal joints of fingers 2–5. Trigger points here are common in everyday and athletic populations and frequently contribute to the referred pain patterns described below.

Trigger point locations

Anterior forearm middle third.

Referred pain pattern

Palmar surface of the fingers, palm, and anterior wrist.

Palpation & testing

Palpate the muscle belly along its accessible course. Reproduction of the patient's familiar pain on palpation supports involvement.

Common causes

Climbing, musicians, sustained gripping.

Self-care & clinical treatment

Stretches into extension, eccentric work. Clinically: needling.

Treatment protocol

For Flexor Digitorum Superficialis, 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.

Read the full trigger point treatment protocol →

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:

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