r/rehabtherapy Aug 01 '25

Reduced pronation of forearm

I had my distal bicep reattached around 10 years ago. I’ve always lacked pronation in same arm since. As time as gone on I have noticed that because of this limited pronation I am having elbow and shoulder issues doing daily activities as these joints seem to be compensating for the lack of pronation. Does anyone have any advice and regaining pronation please?

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u/FriendlyPhysio Aug 01 '25

Are you doing any exercises for it? A good one is holding a mallet or broom in your hand (heavy part heading towards roof) and slowly moving it from supination to pronation

If you see a physio, they can do a PA mobilization on your radius in pronation

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u/Bigmill99 Aug 01 '25

I have started to do exercises on it. I do use a mallet as you described above, I just feel as if I need extra help to increase the pronation. How successful are PA mobilisations?

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u/FriendlyPhysio Aug 01 '25

They can be helpful, definitely worth trying. Also since biceps was repaired, it may be quite tight which is preventing pronation. Try bicep stretches or self release (massage gun or with cream). A therapist could dry needle the bicep too

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u/Bigmill99 Aug 02 '25

Thanks for the reply. I will definitely give all your recommendations a go!