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Suspicion of Muscle Injury in the Forearm and Biceps: Diagnosis and Advice

Do you suspect that you have a muscle injury in your forearm and biceps? Read how this reader's symptoms of muscle damage - and possible lodging syndrome - presented themselves clinically.

There can be a number of possible causes for muscle damage - one of the most common is overload without adequate recovery and healing between sessions. Feel free to follow and like us too via social media.

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Reader: I do some weight lifting and have developed something in both arms that is similar to inflammation. The injury is between the elbow and wrist. Have had the same pain before, but then it went over eventually. I have no visible symptoms, but incredibly pain at times in my arms. at first it was only when I was exercising. but now it hurts to put your arms on the desk at school.

The pain comes most strongly when I exercise biceps. but it does not hurt as I take the exercise, it is in that I release the rod, it stings / sting throughout my forearm, almost feels like an intense cramp. Tried to have 2 weeks off the rod and tried again yesterday, but the pain is just as great. Any tips? Suggestions?

ANSWER # 1

As you describe it, it sounds like a muscle injury (stretch or tear) due to overload and repetitive strain (bar) - suspicion of pronator teres syndrome or damage to the wrist extensors (extensor carpi radialis for example). It is also not inconceivable that this is a mild version of lodge syndrome where the muscles become too large in relation to possible muscular membrane capacity and thus cause pressure and rupture in the forearms. Need a little more information to be able to give you specific advice and information - appreciate if you answer as comprehensively as possible (the smallest detail in your answer can be important to give the right advice).

1) What movements trigger the pain? Does it hurt to bend your wrist back or twist your forearm? Even without load?

2) Please describe more specifically where the pain is located and how the pain is felt.

3) Do you have night pain or the like?

4) Do you have a family history with similar problems in your forearms?

5) Have you had any treatment for arm / shoulder pain before?

6) Do you train varied? Do you change almost every time you are in the gym - or does it become a bar every time? Please describe the training exercises you do.

RESPONSIBILITY OF THE READER

1) What triggers the pain is mostly biceps exercise. But it is sometimes constant, then not as bad, but noticeable. Pressing the forearm in some places may also trigger it. It hurts when I turn completely, so it is not painful to move the arm, but when I twist the arm until it no longer hurts it hurts! It is most painful after the load, for example, if I take biceps curls with cords, then the biggest pain comes when I stretch out my arms and release the bar.
2) The headache is quite in the middle between the elbow and small finger, but extends over large parts of the forearm. When I push, it feels sore. It's the same pain that comes when I exercise, just that I feel it in my entire forearm.
3) Do not have night pain.
4) No one else in the family who has the same.
5) Have had problems with my left shoulder, went to the physio then, and it got better, then I did not have the pain, it starts to be 2-3 years ago.
6) I roll on what I exercise every day, I usually have 2 times a week with biceps. Then I tend to warm up with calm, and light weights like Curls standing and sitting. When I'm hot, I tend to take curls with heavier weights sitting and standing, bar and strings with the straight bar that I pull up.

ANSWER # 2

It sounds like a muscle drive in brachioradialis, pronator teres, supinatorus or extensor carpi radialis. Load damage due to excessive load with too little healing / recovery over an extended period of time.

You can also not rule out lodging syndrome, so this should be considered by clinicians. So this should be reviewed by a public health authorized clinician. Because here, a diagnostic imaging examination may be necessary to see the extent of the damage. The two publicly authorized professions with the right to refer to imaging and musculoskeletal expertise are chiropractors and manual therapists.

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