Lateral Epicondylalgia Exercises | Tennis Elbow Rehab

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These exercises focus on both concentric and eccentric strengthening of the common extensor tendons affected in lateral epicondylalgia also known as tennis elbow
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📚 ARTICLES: Peterson et al. (2011): https://www.ncbi.nlm.nih.gov/pubmed/22066975
Peterson et al. (2014): https://www.ncbi.nlm.nih.gov/pubmed/24634444
Coombes et al. (2016): https://www.ncbi.nlm.nih.gov/pubmed/26889612
Kenas et al. (2015): https://journals.lww.com/nsca-scj/Abstract/2015/10000/Eccentric_Interventions_for_Lateral_Epicondylalgia.7.aspx

Magnusson et al. (2010): https://www.ncbi.nlm.nih.gov/pubmed/20308995

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This is not medical advice! The content is intended to be educational only for health professionals and students. If you are a patient, seek care of a health care professional.

Comments

Zahra Saifuddin says:

Why is the elbow always kept at 60degree flexion

Walter Mauricio says:

Thank you so much!!!!

Debby Rubin says:

Your video is excellent; thank you for the exercises, which I will begin today! I attend a daily kickboxing class (Body Combat, Les Mills). Should I stop this class until my elbow is better?

IAN Buick says:

I got TE from playing tennis. After many many months of searching on the Internet. I hope this comment can help another tennis player.

The answer is :

Stop playing immediately when your wrist start to hurt. Your elbow will be next when muscle start get tight and pulling your tendon. Rest for a few day.

If your wrist or elbow hurt again after a few days rest. Then you must do the following if you want to play tennis:

Equipment modification:

1. Don't play with stiff racket (less or equal than 63RA). Don't flirt around with light and power racket, they're stiff to better at power transfer and shock. I'm currently use Gravity MP. Smooth like butter.

2. Switch to softer string, try multi filament when you're recovering from TE. I use Velocity 17G now (take natural color for better spin) at 48 lbs first then now 52 that my elbow are getting better.

Don't get cheap on the equipment like i did ( dead poly + stiff frame). Racket and string is the first point of contact with tennis ball. Nothing else can protect you: dampener and shock absorber won't help much and give you false sense of clean ball contact, the elbow brace only works if you have minor injury but can cause muscle pain/numbness/dystrophy and only for short term.

Rehab:

1. Get the flexbar. Can't afford flexbar? start washing your bath tower by hand, same concept but flexbar is better. Follow the video but DONT do straight arm especially if you just start rehab. Keep the elbow bend first. You should feel tension but not pain. Pain is not good.

2. Keep playing tennis at slower pace like hitting ball with orange ball or use ball machine at slow speed. Don't play match! Trust me, it's not fun when you lose a match because elbow keep hurting. Tennis game is a mental game!

3. Cold ice for muscle but hot water for tendon. Try it out for yourself. Have you wonder why old people get joint pain when it's cold? Remember to microwave your elbow before playing tennis (just kidding).

4. Grab a massage gun, roller or just stretch. Tendon hurts because muscles pull it.

Technique: This is the hardest, no one will admit their technique is wrong. Step 2 -3 steps back to move forward.

1. Contact the ball IN FRONT and OUT of body. Sound vague? Work on using left hand for proper spacing and clean contact.

2. Don't grip the ball too tight. Search video about how tight to hold racket.

3. Don't arm the ball. It happens at faster pace without realizing it. Work on early preparation, split step, watch the ball closely

My case was playing with heavy flat hitter 5.0 made me slight late and therefore arming the ball + dirty ball contact.

Alan Arruda says:

In brief, in your own general practice, are you adding concentrics or just the eccentric exercices?

Siva Azer says:

Perfect video ,i`d love it
I have patient with tennis elbow and carpal tunnel syndrome at the same limp , i need to know what el best exercise for that Case

Joshua Koehler says:

A tip for those wanting to increase the resistance on the hammer supination – use a sledgehammer and move your grip further and further away from the heavy end to increase resistance.

Ajitesh Sinha says:

Hey there, does tennis elbow cause popping at the elbow when pronated or supinated?
About 2 weeks back I started experiencing constant popping at the elbow whenever I supinated my arm(I work all day on laptop). Whenever I supinate I feel a certain tightness opposing the supination and when I do supinate full I makes loud popping sound. After few days I started noticing pain in certain motions whenever it involved elbow on the lateral side. So if start doing that banded and hammer supination exercise, it's gonna aggravate it cause it will cause constant popping.

Safaa Freeman says:

Thank you very much 🙏

anomnomnom says:

1. 2:22 Wrist Extensions (start palm down, curl dumbell straight upwards)
2. 3:04 Twist Bar Wrist Extension (start with bar twisted, curl one hand downward)
3. 4:32 Banded Supination (hold elastic band, twist palm up, slowly return)
4. 5:40 Hammer Supination (hold hammer/dumbell vertical, slowly rotate to horizontal)

1 wrist extension + 1 supination exercise per session, 3 x 10 reps, 3x/week (>24 hr rest in between).

Progressive overload (increase the reps, sets, or resistance) is recommended if no pain.

Stella Murray says:

I'm not sure but ,if anyone else is searching for cure tennis elbow naturally try Panlarko Tennis Elbow Planner (just google it ) ? Ive heard some decent things about it and my mate got excellent results with it.

The Muted says:

Wait a minute, that logo, i know it, you are the Institute!! You are replacing people with SYNTHS!!

kishhanifclub CEO&MD says:

How many exercises I have to do at one sitting? And how many times in a day?

Nexus Anesthesia says:

1. 2:25
2. 3:12
3: 4:33
4: 5:45

Akshit Tuli says:

Is there a good role of counterforce bracing?

Vova Klim says:

It's can help me vs tennis and golfers elbow?

O`Din says:

The twist bar won’t be a good option for me as I have bilateral TE. Thanks for your video.

Steven Hallberg says:

Which strengths resistance band and twist bar were you using on the video? There are a range of strenghs to buy and I don't want to waste money getting the wrong one

Arek Rogozinski says:

Brilliant video for rehab purposes, I will use the references in my exam! Thanks Kai and Andreas

Sagar says:

If doing weight training for the specific extensor muscles caused the injury.
How will doing exercises that also target those muscles, help?

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