In addition, there's very often numbness or a pins and needles sensation in hands, thumb, forefinger, and middle finger that seems very much the same routine as seen in Carpal Tunnel Syndrome. There are a number of serious ailments that are similar Pronator Teres Syndrome which could call for immediate medical attention. There are several causes of Pronator Teres Syndrome including direct blunt trauma to the muscle itself and elbow injuries, nevertheless this syndrome is most commonly caused by overuse and/or repetitive stress of the pronator teres musclefatigue. In addition to working around the pronator teres muscle it could be required to provide therapy for different muscles around pronator teres and to muscles external pronator teres to improve muscle equilibrium. In some cases though, the nervous system is NOT working properly.