Muscle knots in the Ring Finger Extensor are typically found on the back of the forearm, just below the elbow, and can extend toward the wrist. These knots may refer pain up the side of the elbow, down the back of the forearm, into the ring finger, and sometimes into the hand and knuckles. This discomfort can make gripping or extending the fingers difficult. Such tension often results from repetitive hand use, such as typing, playing instruments, or gripping tools.