Forearm pain from gym pulling exercises — 6 months in, still looking for answers. Anyone dealt with this? [35M]
Been going through a frustrating few months and hoping someone here has had a similar experience.
How it started
Pain during heavy pulling exercises — pronated grip rows and pull-ups mainly. Assumed overuse, rested, came back, same story. Eventually spread from gym-only pain to hurting during normal daily movements like opening jars, carrying bags, anything with a palm-down grip.
What I've tried so far
- Physio #1 — dry needling and forearm strengthening. No improvement.
- Ortho surgeon — diagnosed radial nerve tunnel syndrome, prescribed nerve gliding exercises. Got an ultrasound done. Nothing structural found. Exercises didn't help either.
- Physio #3 — most promising so far. Found weak rhomboids and scapular stabilisers through a postural assessment. Theory is that poor scapular control meant my forearms were compensating during every pulling movement for years, leading to chronic overload of the extensor and supinator muscles. Started scapular activation work, swimming, and returning to gym with lighter weights and neutral grip only.
Current symptoms
- Stretching and activation work gives temporary relief
- Pain comes back with normal daily use
- No tenderness at the classic radial tunnel point
- No nerve damage signs — no numbness, weakness, or night pain
- Both the extensor and supinator side are affected, supinator feels more sensitive currently
Where I'm at
Physio #3's explanation makes the most sense so far and I'm following the programme — scapular work daily, neutral grip in the gym, swimming, no pull-ups. Marginal progress but daily symptoms are still there. Still not fully confident I have the complete picture.
Questions for anyone who's been through something similar
- Did weak scapular stabilisers show up as your root cause too?
- How long did it take before daily symptoms settled, not just gym symptoms?
- Anything that made a significant difference that you wish you'd known earlier?
- Anyone had both extensor and supinator involvement simultaneously?
Not looking for a diagnosis obviously — just real experiences from people who've been through something similar. Six months of this is starting to wear on me mentally more than physically at this point.
Use Claude to summarise.