Symptoms
Carpal tunnel-like symptoms
Numbness and tingling in the hand can be reproduced by pronator teres and scalene trigger points, in addition to true median compression.
Overview
Numbness and tingling in the hand can be reproduced by pronator teres and scalene trigger points, in addition to true median compression. Identifying which muscle reproduces the patient's familiar pain on palpation guides treatment and often produces meaningful change alongside standard care.
Clinical notes
Coordinate with neurology for severe or progressive cases.
Red flags — when to refer
Constant numbness, thenar wasting, severe nocturnal symptoms — refer.
Muscles often involved
References
- • Travell & Simons — Myofascial Pain and Dysfunction