Piercing Finger, Hand, or Elbow Pain?

Radial tunnel syndrome occurs when the radial nerve is entrapped in the supinator muscles, which are the muscles helping to rotate the forearm. This condition is common with people who play racket sports like tennis and with spin bowlers. 


  • Pain around the elbow when resistance is placed on the middle finger during extension (straightening)
  • Cutting, stabbing, and piercing pain at the back of the hand or top of forearm


An orthopedic doctor can correctly diagnose radial tunnel syndrome by conducting a thorough physical exam. Images are usually taken to rule out other possible problems.


Stretching, technique modification, physical therapy, and neoprene bracing are common treatment methods. More severe symptoms may require surgery to reduce pressure on the affected nerve.