Arm and hand pain causes: Opponens muscles for texting

Arm pain, Hand pain, Leg pain, Self-treatment tips, Stretches, Thumb pain, Wrist pain / Tuesday, March 30th, 2010

This is a series on arm and hand pain. If you missed the beginning, go back to the “Checklist of Causes.” In my Neuromuscular Therapy center near Boston, I treat arm and hand pain caused by texting and computer use.

The opponens muscles of the little finger and thumb are on the outsides of the hand and do the cupping motion you use to hold a computer mouse or a hand-held texting device like a Blackberry. (See the previous post for the opponens digiti minimi.)

thumb-oppoens1The triangular opponens muscle of the thumb attaches all along it’s long bone from the base of the thumb to the first joint, pulling on the digit from the heel of the hand (attaching to the wrist ligament and trapezium bone).  Likewise, the triangular opponens of the 5th finger attaches all along it’s long bone (metacarpal) from the base of the pinkie at the wrist to the first joint and pulls on the finger from the heel of the hand (attaching to the wrist ligament and the pisiform bone). Together, the two opponens muscles work from the opposite sides of the hand (thenar and hypothenar eminences) to bring the metacarpal bones of the thumb and 5th fingers together, cupping the palm to hold an object between the two digits.

Above you see the opponens muscle of the thumb (opponens pollicis) and it’s Trigger Point pattern. Pain from the TrP refers into the palm side of the wrist and up into the thumb itself.  The literature doesn’t show specific TrPs for the little finger, but it is safe to assume it has the same pattern as that of the thumb, into the finger and down into the palm side of the wrist. The resulting inner wrist pain can be misdiagnosed as Carpal Tunnel Syndrome.

border1borderSelf-treatment involves compressing the pad of the thenar eminence between the fingers of the opposite hand and/or pressing the muscle against the bone for 8-12 seconds until a release is felt, then stretching the thumb back and away from the palm. The thenar treatment is shown here on the left. and the stretch on the right.

The hypothenar eminence of the pinkie finger can be treated using the same compression procedure.

The hand-cupping motion of the opponens muscles is assisted by the palmaris longus and palmaris brevis muscles that pull the connective tissue in the palm tight. The next post is on the palmaris longus and brevis.

8 Replies to “Arm and hand pain causes: Opponens muscles for texting”

  1. Thank you, Thank you, Thank you! I have been living with this pain for 6-7 years, and this is the only place that I found helpful information. Although I am not a person that texts a great deal, I do have the excruciating pain that you have described above. Some nights, it is so bad it will wake me up. I will do these excersizes religiously for a week or so and repost my progress… thank you again.

  2. First time I started looking into this problem. It started when I got a desk job. Between the texting and the typing, my hands just want to un-attach themselves and walk off. Thanks for the helpful “self-treatment” visuals. I already feel better.

  3. Thank you so much for the information! I was getting freaked out thinking I had the beginning stages of RA, but had to stop and think back to when it started. I got a new BIG FAT phone, the Galaxy Note 2, and my thumbs and fingers have to really stretch around this thing!

    I will start the massage right away!

  4. Many thanks for this. I play drums semi-professionally and have recently started getting pain and numbness in my right hand which seems to centre on the opponens pollicis muscle. I just tried the exercise above and it gave instant relief.

  5. I have had this pain around the middle joint of the right thumb for over a month now. It won’t heal itself and the cream won’t reduce pain. So I am not able to do anything involving this thumb. Doc said to massage it and keep it warm but still no improvement. However, I think this is what’s wrong with my thumb. I’ll keep trying out this treatment. It gave me some relief actually 🙂

  6. Thank you for this simple description. I’m a physiotherapist (read physical therapist for Americans) and a medical student with quite a bit of knowledge myself. I have had chronic wrist pain for 2 years and haven’t been able to do anything about it. Even my physio, a very experienced sports physiotherapist, was unsure and believed that I had arthritis due to the severity of my dysfunction. Until reading this article I wasn’t aware the opponens pollicis was capable of referring to that region of the wrist (my area of pain). I am now very motivated to make self massage a regular part of my week thank you.

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