top of page
Dr. Brian Abelson

Self-Care for Elbow Pain: Acupressure & Fascial Manipulation


Man With Elbow Pain

For those dealing with elbow pain, there’s more you can do to accelerate recovery beyond standard treatments and exercises. Two proven methods to consider are Traditional Chinese Medicine (TCM) and Fascial Manipulation.


TCM, through targeted acupuncture points, has been used for centuries to relieve pain and support the body’s healing processes. By focusing on these key points, elbow pain can be alleviated, and recovery can be enhanced. Fascial Manipulation takes this a step further by working on the surrounding tissues, activating the nervous system, improving blood flow, and addressing deeper sources of tension and discomfort.


Incorporating these approaches into your routine empowers you to take control of your healing journey. You’ll reduce inflammation, ease pain, and enhance recovery—ensuring long-term relief. These hands-on techniques complement professional treatments, offering you an effective way to speed up your recovery and return to full function faster.


Article Index:


 


Fascia Image

The Role of Fascia in Acupressure and Healing for Elbow Pain


When it comes to elbow pain, research shows that many acupuncture points are aligned with fascial thickenings—areas where layers of connective tissue meet. By applying pressure to these points and addressing fascial restrictions around the elbow, you can unlock significant healing potential.


Fascia, a continuous network throughout your body, plays a critical role in supporting nerve and blood vessel function. Releasing tension in the fascia around the elbow restores proper blood flow and nerve activity, which reduces inflammation and relieves pain. This approach targets both specific acupuncture points and the surrounding tissues, offering more complete and long-lasting relief.


For example, studies have shown that applying pressure along fascial planes creates mechanical tension in the tissue, a principle known as tensegrity. Treating these points not only helps the elbow but also benefits other areas connected through the fascial network. By addressing both the acupuncture points and the fascia in the elbow, you’re likely to experience deeper and more sustained relief from elbow pain.


 

Specific Acupuncture Points



LI 11 Image
Click For Larger Image

LI 11 (Quchi):


Location: LI 11 (Quchi) is found at the outer elbow, located midway between the lateral epicondyle of the humerus and the end of the elbow crease when the elbow is bent at a 90-degree angle. You can easily locate this point by tracing the elbow crease outward towards the bony prominence on the outer side.

Effects on Inflammation and Healing: LI 11 is a key point for addressing elbow, arm, and shoulder pain, commonly used for conditions such as tennis elbow and arthritis. This point helps reduce inflammation, ease pain, and improve joint mobility. It also supports healing by enhancing circulation and reducing stiffness in the affected area, making it a powerful option for those dealing with musculoskeletal issues.

Self-Treatment: To stimulate LI 11, apply firm pressure with your thumb or fingertips directly to the point. Use gentle circular motions for about 1 to 3 minutes, alternating between clockwise and counterclockwise. Kneading the surrounding area can further help relax the tissues and reduce pain. For added precision, this treatment can be more effective if done with the assistance of a partner.

Contraindications: Avoid using LI 11 if you suffer from chronic fatigue, cold intolerance, or low energy, as overstimulation of this point may worsen symptoms of weakness or coldness. If unsure, consult with a healthcare provider before proceeding with self-treatment.



TH5 (Triple Heater 5 - Waiguan) Image
Click For Larger Image

TH 5 (Waiguan - Triple Heater 5)


Location: TH 5 is located on the back of the forearm, approximately two finger-widths (cun) above the wrist crease, between the radius and ulna bones. This point can be easily found by tracing up from the wrist along the outer edge of the forearm.

Effects on Inflammation and Healing: TH 5 is highly effective for relieving pain, stiffness, and weakness in the wrist, hand, and forearm. It's commonly used for conditions like tennis elbow, carpal tunnel syndrome, and general arm discomfort. Stimulating this point helps reduce inflammation, improve joint mobility, and restore strength to the affected areas, making it a valuable tool for treating musculoskeletal pain.

Self-Treatment: To stimulate TH 5, apply firm pressure with your thumb or fingers directly to the point, using circular motions for 1 to 3 minutes. Alternating between clockwise and counterclockwise rotations can help release tension and improve circulation. You can also knead the surrounding muscles to further ease discomfort and promote healing.

Contraindications: Avoid using TH 5 if you have severe blood disorders, local skin infections, or are pregnant, as stimulating this point could potentially interfere with uterine contractions. Always consult with a healthcare provider before using acupressure if you have any underlying conditions.



TH 10 Image
Click For Larger Image

TH 10 (Tianjing):


Location: TH 10 (Tianjing) is found on the back of the upper arm, about one thumb's width (1 cun) above the tip of the elbow (olecranon) when the elbow is bent. It lies near the triceps brachii muscle, between the tendons of the long and lateral heads of the triceps.

Effects on Inflammation and Healing: TH 10 is effective for relieving pain, tension, and stiffness in the elbow, upper arm, and shoulder. It's particularly useful for conditions like tennis elbow and triceps tendonitis, as it helps reduce inflammation, improve joint mobility, and ease muscle tightness in these areas.

Self-Treatment: To stimulate TH 10, apply firm pressure to the point with your thumb or fingers, using gentle circular motions for 1 to 3 minutes. Alternating between clockwise and counterclockwise movements can help release muscle tension and enhance circulation. For additional relief, kneading the surrounding tissues can support deeper relaxation.

Contraindications: Avoid using TH 10 in individuals with significant fatigue or low energy levels, as stimulating this point could exacerbate these symptoms.



GB 34 Image
Click For Larger Image

GB 34 (Yanglingquan):


Location: GB 34 is located on the outer side of the leg, just below the knee, in a noticeable depression in front of and below the head of the fibula. It is easily found when the knee is bent or in a seated position.

Effects on Inflammation and Healing: Known as the "Hui Meeting Point of the Sinews" in Traditional Chinese Medicine, GB 34 is essential for treating musculoskeletal problems, especially those involving tendons and ligaments. While commonly used for hip, knee, and lower leg pain, it also provides relief for conditions like elbow tendonitis, tennis elbow, and golfer’s elbow. By improving the flow of Qi and blood, GB 34 helps reduce inflammation, relieve tension, and improve mobility in the affected joints and muscles.

Self-Treatment: To stimulate GB 34, apply steady pressure with your thumb or fingers in a circular motion for 1 to 3 minutes. Focus on creating a balance of firm but gentle pressure, ensuring you cover the surrounding tissues to release tension and promote circulation.

Contraindications: Avoid using GB 34 if you have any local skin infections, open wounds, or significant swelling near the knee. Caution should also be taken if you’ve experienced recent trauma, fractures, or surgery in the area, as direct stimulation may aggravate the condition. Always consult with a healthcare provider if unsure.




 

Contraindications Overview for Elbow Pain


When using acupressure for elbow pain, it's essential to be aware of potential contraindications, particularly if there are fractures, dislocations, or severe inflammation in the elbow joint. Acupressure points like LI 11 (Quchi) and TH 5 (Waiguan) should be applied with caution in cases of acute injury or underlying conditions like tendonitis or bursitis. Additionally, avoid applying pressure if there are skin infections, open wounds, or significant swelling near the elbow, as this could worsen the condition.


Caution and Safety Guidelines

When performing acupressure on the elbow, be careful not to press too hard on sensitive areas, such as blood vessels or nerves. If you feel a strong pulse or experience sharp, radiating pain, adjust your pressure to avoid compressing major blood vessels or nerves. Be mindful of areas with inflammation, swelling, or bruising, and avoid pressing on those spots to prevent further irritation. If you are pregnant, avoid points that could potentially affect uterine activity, and always consult a healthcare provider if you have any pre-existing conditions or concerns about the safety of acupressure.



 

Tennis Player

Conclusion: Acupressure & Fascial Manipulation for Elbow Pain


In conclusion, applying acupressure to key points such as LI 11 (Quchi), TH 5 (Waiguan), TH 10 (Tianjing), and GB 34 (Yanglingquan) can significantly alleviate elbow pain, stiffness, and tension. For optimal results, combining acupressure with complementary treatments like fascial manipulation, osseous adjustments, and a personalized exercise program aimed at improving strength and mobility can lead to faster recovery. Daily acupressure not only helps manage pain but also reduces inflammation, boosts circulation, and eases muscle tension, making it an essential part of your self-care between professional treatments.


Maximizing Your Healing with Daily Acupressure

In many cultures, daily acupressure is practiced to enhance healing, a method that can be applied to your elbow pain recovery as well. While treatments in North America may happen once or twice a week, incorporating daily acupressure on key points allows you to maintain the therapeutic benefits and speed up your recovery. Consistent, mindful self-care ensures the healing process remains active between sessions, leading to sustained relief and improved function.


Final Note

Including a friend or family member in your acupressure routine can further enhance the healing process, especially for points like TH 10, which is located on the back of the upper arm and can be harder to reach. With assistance, you can ensure proper application of pressure and technique. Whether you practice acupressure independently or with support, integrating these techniques into your daily routine will promote natural healing and offer lasting relief from elbow pain.



 

References


  1. Bordoni, B., & Zanier, E. (2014). Anatomic connections of the diaphragm: influence of respiration on the body system. Journal of Multidisciplinary Healthcare, 7, 299-310. doi: 10.2147/JMDH.S66724

  2. Langevin, H. M., & Yandow, J. A. (2002). Relationship of acupuncture points and meridians to connective tissue planes. The Anatomical Record, 269(6), 257-265. doi: 10.1002/ar.10185

  3. Schleip, R., & Müller, D. G. (2013). Training principles for fascial connective tissues: Scientific foundation and suggested practical applications. Journal of Bodywork and Movement Therapies, 17(1), 103-115. doi: 10.1016/j.jbmt.2012.06.007

  4. Stecco, C., & Hammer, W. I. (2018). Functional Atlas of the Human Fascial System. Elsevier Health Sciences.

  5. Vickers, A. J., Vertosick, E. A., Lewith, G., MacPherson, H., Foster, N. E., Sherman, K. J., ... & Linde, K. (2018). Acupuncture for chronic pain: Update of an individual patient data meta-analysis. The Journal of Pain, 19(5), 455-474. doi: 10.1016/j.jpain.2017.11.005

  6. Yang, M., Yang, J., Zuo, Z., Liao, X., Wen, Y., Fan, L., ... & Xia, J. (2016). The role of traditional Chinese medicine in the regulation of oxidative stress in treating coronary heart disease. Oxidative Medicine and Cellular Longevity, 2016. doi: 10.1155/2016/5691949

  7. Yu, X., & Ding, G. (2012). Acupuncture mechanisms: Anesthesia, analgesia and protection on organ functions. World Journal of Traditional Chinese Medicine, 1(1), 59-66. doi: 10.15806/j.issn.2311-8571.2012.0013

  8. Deadman, P., Al-Khafaji, M., & Baker, K. (2007). A Manual of Acupuncture. Journal of Chinese Medicine Publications.

  9. Maciocia, G. (2015). The Foundations of Chinese Medicine: A Comprehensive Text. Elsevier Health Sciences.

  10. Kaptchuk, T. J. (2000). The Web That Has No Weaver: Understanding Chinese Medicine. McGraw-Hill Education.



 

Disclaimer:

The content on the MSR website, including articles and embedded videos, serves educational and informational purposes only. It is not a substitute for professional medical advice; only certified MSR practitioners should practice these techniques. By accessing this content, you assume full responsibility for your use of the information, acknowledging that the authors and contributors are not liable for any damages or claims that may arise.


This website does not establish a physician-patient relationship. If you have a medical concern, consult an appropriately licensed healthcare provider. Users under the age of 18 are not permitted to use the site. The MSR website may also feature links to third-party sites; however, we bear no responsibility for the content or practices of these external websites.


By using the MSR website, you agree to indemnify and hold the authors and contributors harmless from any claims, including legal fees, arising from your use of the site or violating these terms. This disclaimer constitutes part of the understanding between you and the website's authors regarding the use of the MSR website. For more information, read the full disclaimer and policies in this website.



 

DR. BRIAN ABELSON, DC. - The Author


Photo of Dr. Brian Abelson

With over 30 years of clinical practice and experience in treating over 25,000 patients with a success rate of over 90%, Dr. Abelson created the powerful and effective Motion Specific Release (MSR) Treatment Systems.


As an internationally best-selling author, he aims to educate and share techniques to benefit the broader healthcare community.


A perpetual student himself, Dr. Abelson continually integrates leading-edge techniques into the MSR programs, with a strong emphasis on multidisciplinary care. His work constantly emphasizes patient-centred care and advancing treatment methods. His practice, Kinetic Health, is located in Calgary, Alberta, Canada.



 


MSR Instructor Mike Burton Smiling

Why Choose Our MSR Courses and MSR Pro Services?


Elevate your clinical practice with our Motion-Specific Release (MSR) courses and MSR Pro services, designed to provide a comprehensive, evidence-based approach to musculoskeletal care. Here’s why you should join us:


  • Proven Methodology: Developed by Dr. Brian Abelson, an international best-selling author with over 30 years of clinical experience, MSR integrates the most effective elements of osseous and myofascial therapies. With a success rate exceeding 90%, our approach helps set a new industry standard.

  • Comprehensive Training: Our courses blend rigorous academic content with innovative techniques. You’ll master essential areas like orthopedic and neurological examinations, myofascial treatment, fascial expansions, and osseous adjusting and mobilization.

  • Extensive Resources: As an MSR Pro subscriber, access a vast library of over 200 MSR procedures, fillable PDF forms, instructional videos, and in-depth articles. From patient intake to tailored exercise prescriptions, our resources equip you for clinical success.

  • Tailored Support: Refine your diagnostic skills and expand your treatment techniques with ongoing support through over 750 videos, including 200 technique videos, 250 exercise videos, and 160 MSK articles. This extensive library features over 50 musculoskeletal condition articles, all designed to support you in clinical practice. Our resources are dynamic, with regular updates to articles, technique videos, and new additions to our educational curriculum.

  • Innovation and Growth: We emphasize continuous learning and innovation, giving you the tools to adapt and thrive in complex clinical scenarios. Our courses and resources are designed to foster professional growth, keeping you at the forefront of musculoskeletal therapy.


Unlock your practice's full potential with our MSR courses and MSR Pro services. Achieve outstanding clinical outcomes and join a community of forward-thinking practitioners dedicated to excellence in patient care.




Comentários


bottom of page