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Tennis Elbow Exercises

Complete home exercise program for lateral epicondylitis. These exercises are proven to reduce pain by up to 81% when done consistently.

Before You Start

These exercises should be done after initial pain subsides (usually 2 weeks). Stop any exercise that causes sharp pain. Mild discomfort (3-4/10) is acceptable. Consult Dr. Reddy if pain worsens.

Stretching
1. Wrist Extensor Stretch
3 sets Hold 30 seconds 3 times daily
1

Extend your arm straight out with palm facing down

2

Use other hand to gently bend wrist downward

3

Keep elbow straight throughout

4

Feel stretch on top of forearm

5

Hold for 30 seconds, release slowly

Tip: Don't force the stretch - mild tension only
Strengthening
2. Tyler Twist (Eccentric Exercise)
3 sets 15 repetitions 2 times daily
1

Hold FlexBar vertically with affected arm at top

2

Twist bar with unaffected (bottom) hand

3

Extend both arms in front, keeping twist

4

Slowly release twist using affected hand only

5

This is the 'eccentric' strengthening phase

Tip: This is the gold standard exercise - 81% pain reduction in studies
Strengthening
3. Wrist Curls (Eccentric)
3 sets 15 repetitions Once daily
1

Rest forearm on table, wrist hanging over edge, palm down

2

Hold light weight (0.5-1 kg)

3

Use unaffected hand to lift weight up

4

Slowly lower weight using affected wrist only (3-5 seconds)

5

This eccentric lowering is the key movement

Tip: Start with very light weight - increase gradually over weeks
Mobility
4. Forearm Pronation/Supination
2 sets 20 rotations 2 times daily
1

Hold a hammer or similar weighted object

2

Rest elbow on table at 90 degrees

3

Rotate forearm palm up, then palm down

4

Keep elbow still - only forearm moves

5

Move slowly and controlled

Tip: Use heavier hammer for more challenge as you progress
Grip Strength
5. Ball Squeeze
3 sets Hold 5 seconds × 10 2 times daily
1

Hold a soft stress ball or tennis ball

2

Squeeze firmly for 5 seconds

3

Release completely

4

Repeat 10 times

5

Rest between sets

Tip: Only do this if pain-free - skip if squeezing hurts

Daily Exercise Schedule

Morning

  • Wrist Extensor Stretch
  • Tyler Twist
  • Ball Squeeze

Afternoon

  • Wrist Extensor Stretch
  • Pronation/Supination

Evening

  • Wrist Extensor Stretch
  • Tyler Twist
  • Eccentric Wrist Curls

Progression Guidelines

  • Week 1-2: Focus on stretching and gentle mobility only
  • Week 3-4: Add Tyler Twist with lightest FlexBar
  • Week 5-8: Add eccentric wrist curls, increase FlexBar resistance
  • Week 9+: Gradual return to activities, continue maintenance exercises

When to See Dr. Reddy

Seek Consultation If:

  • • Pain worsens with exercises
  • • No improvement after 6 weeks
  • • Pain interfering with sleep
  • • Unable to grip objects
  • • Numbness or tingling in hand

Book Appointment

If exercises aren't helping, Dr. Reddy can assess for PRP injection or other treatments.

Consult Dr. Deepthi Nandan Reddy – Elbow Specialist

Get expert diagnosis and personalized treatment for your elbow condition. Book your consultation today.

For appointments and complete profile, visit the main website