Tennis Elbow

Tennis elbow is a condition that affects the common tendon of the muscles that extend the wrist. These muscles all arise from the outside of the (lateral) elbow. The medical term for the condition is lateral epicondylosis or common extensor origin tendonosis. Patients often notice pain performing gripping activities such as lifting a jug or shaking hands.

The mainstay of treatment for this condition are eccentric wrist exercises. These should be slightly painful. To perform the exercises:

  1. Grasp a 1-2kg weight or dumbbell
  2. Keep your elbow extended and support your arm across the edge of a table
  3. Using the hand of your unaffected side, reach across and lift your wrist up. The hand of your unaffected side should do all the work for this phase.
  4. Slowly lower the affected wrist over the count of three.
  5. ‘Up with the good hand, drop down slowly with the bad one’

You should aim to do 3 sets of 15 twice a day, interspersing each set with a stretch as shown. As you improve increase the weight so that the exercises are still slightly painful.

                

1. Use two hands to lift the weight 'up'                             2.  Slowly lower the weight down over 4 secs