How to Train the Medial Head of the Triceps

The triceps brachii muscle makes up a significant portion of the upper arm’s mass and is divided into three sections: the long head, the lateral head, and the medial head. All three heads work together to straighten the elbow, but specific exercises can influence each head differently. Developing a balanced arm requires a training approach that deliberately targets all three. The following strategies focus on maximizing the contribution and development of the medial head.

Understanding the Medial Triceps Head

The medial head is the deepest and smallest of the three triceps heads, sitting closest to the elbow joint. It originates from the posterior surface of the humerus and inserts onto the ulna at the elbow. Because it attaches only to the humerus, its function is solely focused on elbow extension.

The medial head is active during virtually all elbow extension movements, often serving as the workhorse for triceps exercises. It has a higher proportion of Type I, or slow-twitch, muscle fibers compared to the lateral and long heads. This composition means the medial head is well-suited for sustained effort and responds effectively to higher repetition ranges. Its constant engagement makes it a primary contributor to the final, complete straightening of the arm, known as the lockout.

Key Exercises for Targeted Development

Selecting exercises that restrict the involvement of other heads or place the elbow in a mechanically advantageous position helps emphasize the medial head. The Reverse Grip Cable Pushdown is a highly effective isolation movement for this purpose. Using an underhand grip, with palms facing upward, shifts the mechanical stress more directly onto the medial head compared to a standard overhand grip.

The Close-Grip Bench Press also places a significant load on the medial and lateral triceps heads when the elbows are kept tightly tucked. This tucked position minimizes the recruitment of the chest muscles and the long triceps head. For a bodyweight alternative, Diamond Push-ups require placing the hands close together under the chest. This narrow hand placement forces the elbows to stay tucked, increasing the activation of the medial and lateral heads.

The Dumbbell Tate Press is a specialized exercise that biases the medial head by emphasizing a unique elbow path. This movement involves lying on a bench and pressing two dumbbells upward while rotating the hands so the ends of the weights nearly touch at the top. The motion stresses the triceps at a shortened length, which is beneficial for stimulating the medial head. Incorporating a variety of these movements ensures the medial head is addressed from different angles and resistance profiles.

Technique Cues for Maximum Activation

Maximizing the medial head’s involvement relies more on the quality of execution than the specific exercise. The most important technique is achieving full elbow extension in every repetition. Since the medial head contributes significantly to the final degrees of straightening, consciously squeezing the triceps to achieve a complete lockout is essential for peak activation.

Avoid using excessively heavy loads that compromise form and require momentum or the assistance of larger muscle groups. Lifting too much weight prematurely recruits the larger long and lateral heads, diminishing the targeted stimulus. Instead, select a moderate resistance that permits a controlled tempo, especially during the eccentric, or lowering, phase of the movement.

Due to the medial head’s higher density of slow-twitch fibers, training it with a higher repetition range is beneficial. Aiming for sets in the 15 to 30 rep range, particularly for isolation movements, optimizes the stimulus for these endurance-focused fibers. Focus intently on flexing and contracting the medial triceps head throughout the entire range of motion to ensure a strong mind-muscle connection.