Module 6: Elbow, Forearm, and Hand Myofascial Disorders
From overuse syndromes to hand fascial nodules — a complete fascia-based view of the upper limb
Course Overview
This module focuses on fascia-related syndromes of the elbow, forearm, wrist, and hand. We’ll examine overuse injuries such as tennis elbow and flexor entrapment, as well as fascial disorders of the palmar aponeurosis and carpal tunnel.
You’ll learn how to identify fascial nodules and bands, perform segmental palpation, and apply safe, effective fasciapuncture to complex upper limb areas.
Learning Objectives
- Understand the layered fascial structure of the elbow, wrist, and hand.
- Differentiate lateral vs medial epicondylitis with fascial diagnostic criteria.
- Recognize fascial entrapment patterns contributing to neuropathy and overuse pain.
- Identify palmar nodules, cords, and their impact on hand function.
- Apply safe and effective fasciapuncture techniques in the upper limb.
- Localize key fascial trigger zones using palpation and anatomical landmarks.
6.1 Elbow/Forearm Fascial Anatomy / 肘部与前臂筋膜解剖
Explore fascial compartments of the forearm and elbow, including deep forearm fascia, interosseous membrane, and entrapment-prone zones.
6.2 Tennis Elbow & Pronator Syndrome / 网球肘与旋前圆肌综合征
Diagnose and treat lateral elbow pain and deep pronator teres entrapment using fascia-based palpation and targeted release.
6.3 Medial Epicondylitis & Flexor Entrapment / 内侧上髁炎与屈肌卡压
Explore fascial mechanisms behind medial epicondylitis and flexor-pronator tunnel syndromes with functional and anatomical testing.
6.4 Wrist & Carpal Tunnel Fascial View / 手腕与腕管筋膜分析
Understand the fascial tunnel architecture of the carpal region. Learn fascia-safe strategies for carpal tunnel decompression.
6.5 De Quervain's Syndrome / 狄奎凡狭窄性腱鞘炎
Identify fascial thickening and tunnel inflammation along the first dorsal compartment. Apply effective fasciapuncture techniques to release restrictions.
6.6 Palmar Aponeurosis Syndrome / 掌腱膜筋膜综合征
Study palmar fascial contractures and nodules. Learn how fasciapuncture can delay or reduce Dupuytren’s-related dysfunction.
6.7 Fascia of the Hand: Nodules & Cords / 手部筋膜结节与纤维索带
Explore how small fascial nodules and fibrotic cords form in palm and fingers. Learn precise finger palpation and release points.
6.8 Fasciapuncture Safety Zones in Upper Limb / 上肢筋膜针刺安全区
Review key safety principles when treating the arm, elbow, wrist, and hand. Includes neurovascular avoidance and depth guidance.
How to Learn
Watch video demonstrations for each case and fascia layer. Use annotated diagrams and slow-motion releases to follow anatomical details. Practice palpation on yourself and demo partners.
How to Get Started
- Begin with 6.1 to learn fascial anatomy of the upper limb.
- Follow the chapters in sequence to identify regional patterns.
- Compare fascial tension zones with patient-reported pain to refine your diagnostic logic.
- Prepare for Module 7: Thoracic and Upper Back Myofascial Disorders.
Course Highlights
- Regional Mastery: Learn fascia-specific dysfunctions of forearm and hand.
- Palpation Skills: Practice identifying nodules, cords, and fascia bands.
- Safety Emphasis: Review vascular and neural landmarks in high-risk areas.
- Integrative Diagnosis: Combine symptom mapping with layered anatomical insight.