Anconeus Muscle Pain & Trigger Points

The anconeus muscle is a synergist of the triceps brachii and can give you elbow pain if you overwork it.

1. Pain Patterns & Symptoms of the Anconeus

1.1 Pain patterns

  • If this muscle contains a trigger point, it most certainly will give you pain right at and above your elbow as you can see in the picture below.
  • This way it can contribute to tennis elbow pain.

1.2 Symptoms & complaints

  • If your anconeus is troubling you, you might not be able to extend your elbow without being in pain.
  • Of course, this also means that any forceful pressing or extending action might be impaired due to pain in the elbow.

2. Anconeus Attachment Points

  • The anconeus runs low from the outside of the upper arm/humerus to the olecranon, which is the bony and peaky landmark at the back of your elbow.

3. Function of the Anconeus Muscle

  • The anconeus assists the triceps brachii in the extension of the elbow and …
  • … furthermore, helps to pronate the forearm, which is the act making your palm facing downwards.

Supinated position


Pronated position

4. Trigger Point Activation in the Anconeus

The anconeus gets overworked and develops trigger points by the same activities as the triceps brachii – e.g lots of elbow extension –.

The amount of repetitive extensions of your elbow, that are too much, are an individual matter and depend on factors like training status, diet and the state of your nervous system, etc.

In general, the same activities that can overwork the triceps are relevant.

In sports, this may be exercises like the bench press, dips or swimming.

However, activities which do not seem damaging at the time may be too stressful for a particular individual.

This could be something like pressing down a piece of wood on a bench to stabilize it, so that your partner can cut it, or holding a heavy drill in order to place a bolt in rock or dense wood.

5. Anconeus Muscle Palpation

Finding the anconeus is not too difficult.

  • Hold your arm across your chest, then straighten it.
  • Feel the tendon of your triceps running to your olecranon.
  • Move one finger a little to the side and down to your forearm.
  • Extend your elbow again and again and search for this little muscle, which contracts with every extension.
  • It is a small muscle and to feel it, you need to locate it accurately.

6. Anconeus Self-massage

Use your fingers for the massage. A massage ball might already be too big and thus will not get on the muscle properly, but your fingers will be just fine.

  • Grab around your arm, with your thumb in your elbow crease and your first one or two fingers on the anconeus.
  • You do not have to search for tender spots here.
  • The muscle is so small that there is not a lot of area to cover.
  • Either there are tender spots or there are not.

6.1 Pressure-motion technique

  • Press in the muscle and then make it move by extending and flexing your elbow.

6.2 Precise massage strokes

  • Press in the muscle and massage it with short strokes.


  • Calais-German, Blandine. Anatomy of Movement. Seattle: Eastland Press, 1993. Print
  • Davies, Clair, and Davies, Amber. The Trigger Point Workbook: Your Self-Treatment Guide For Pain Relief. Oakland: New Harbinger Publications, Inc., Print
  • Simons, David G., Lois S. Simons, and Janet G. Travell. Travell & Simons’ Myofascial Pain and Dysfunction: The Trigger Point Manual. Baltimore, MD: Williams & Wilkins, 1999. Print.
  • Schünke, Michael., Schulte, Erik, and Schumacher, Udo. Prometheus: Lernatlas der Anatomie. Stuttgart/New York: Georg Thieme Verlag, 2007. Print