What Are The Best Tennis Elbow Rehab Exercises?

To make a full, lasting recovery from your injury you'll need a set of Tennis Elbow Exercises that target the specific muscles and tendons involved.

But don’t just dive in and start doing them all at once. That can be a recipe for re-injury! There’s a reckless way and a smart way to start!

The three best Tennis Elbow exercises, which ones to start with, and why the “indirect approach” is the best way to begin your rehab program.

Podcast: What Are The Best Exercises For Tennis Elbow Rehab?

(Podcast is downloadable at SoundCloud but can't seem to get it to work here.)

The 3 Key Exercises For The "Tennis Elbow Muscle"

The three main exercises that work the main muscle involved in your injury are:

  1. Wrist Deviation – (The “hammering” motion)
  2. Wrist Supination – (The “door-knob-opening” motion)
  3. And Wrist Extension – (The “ringing-out-wet-towel” motion or the direction of opening your hand if your wrist follows your fingers backwards)

Some Tennis Elbow sufferers may be able to begin their strengthening program with all three,

Graphic: What are the best exercises for Tennis Elbow rehab?

What Are The Best Tennis Elbow Exercises?

But the safest way to begin is with just one or two, (when you’re at the right point in your healing process, of course)

Because even if you’re confident your injury is relatively minor, you’re still dealing with a tendon injury, which by nature is unpredictable, doesn’t heal well and gets re-injured easily…

So, the idea is, rather than targeting the injured muscles and tendons directly, (at first) it’s much safer to start out with exercises that work indirectly.

The first two exercises, deviation and supination (the hammering and doorknob-opening motions) involve the main Tennis Elbow muscle group, but in a synergistic or “complimentary” way.

In other words, your injured muscle is not taking on the full burden and doing all the work by itself – It’s working in tandem, sharing the load with other muscles, which is a safer way to begin.

Pure wrist extension requires the full participation of your Tennis Elbow muscle, (Extensor Carpi Radialis Brevis) since wrist extension is that muscle’s main job.

Whereas, in wrist deviation (that’s the hammering motion) and in supination (which is the doorknob-opening motion) your Tennis Elbow muscle plays a supportive role.

Wrist deviation involves both your Tennis Elbow muscle AND it’s opposite (Flexor Carpi Radialis) in 50/50 partnership, which I think is a great way to start.

And supination involves your supinator muscle and your bicep primarily, as your Tennis Elbow muscle plays a supportive, “back-seat” role doing less than half the work.

The Best Exercise To Begin Strengthening With

I recommend starting with wrist deviation and then adding supination, and eventually including wrist extension.

(And possibly beginning the exercises in an “eccentric-only” fashion – which will be covered separately in another article and video soon.)

I think Deviation, (the hammering motion) is the best, first choice starting exercise for several reasons:

  • It’s a simple motion,
  • It’s usually the least painful,
  • It’s hard to do wrong,
  • AND it’s easy to do eccentrically!

Be careful with supination though… (that’s the door-knob-opening motion – or we could call it the windshield-wiper motion)…

If you’re not cautious you can easily go too far in your range of motion and place too much stress on your tendons especially as you start reversing direction.

Of course, if you only do the eccentric part when you’re starting your strengthening program this is not really a concern.

And once you’re making progress with deviation and supination…

Once you can tell you’re getting stronger and the exercises haven’t aggravated your Tennis Elbow – (or they don’t cause pain or aggravate it very much any longer – If they did at first)…

THEN you can start including wrist extension – possibly doing only the eccentric part of the motion at first, though.

(It’s also a very good idea to work the muscles on the opposite side of your forearm and wrist that perform the opposing motions: Wrist deviation in the opposite direction, pronation and wrist flexion.)

What are the goals of rehab exercise?

Naturally, there are right ways and wrong ways to do these exercises.

For example, in several photos and videos I’ve seen the wrist deviation exercise demonstrated with a hammer or dowel where the elbow is fully extended (straightened) and the arm held out in front of the person at shoulder level.

This is a bad idea because it unnecessarily places more strain on the shoulder AND the elbow. It’s a somewhat unnatural position to hold and there’s no need to hold it.

A better way to do it is with your arm at your side with your elbow bent at 90 degrees – just like the position you ideally type on a keyboard OR with your arm slightly in front of your body and your elbow a little straighter than 90 degrees.

And last but not least, there’s a very important question to ask:

When Should You Start Doing The Exercises?

At what point in your treatment and healing process should you begin the rehab exercises? Or in what order?

In my experience, therapy should be first, followed by stretching and then exercise later on, once the healing process is well under way.

That’s not an absolute rule, by any means – It depends on how serious your injury is.

Some Tennis Elbow sufferers can start therapy, stretching and exercising all at once (not that I’d recommend it, but it does work for some with milder injuries)

But those with moderate to severe, chronic injuries may need to do the therapy part first, for some time, before attempting any exercises.

And when I say therapy, what I mean is direct, hands-on manipulation of the muscles and tendons (I hesitate to call it massage, because that’s too general a term for this)

And that’s the most important thing I teach members here in "The Classroom!"

I believe that's the missing link is in treating this stubborn injury and breaking its vicious cycle of tension, degeneration and pain.

So, I invite you to learn the best self-treatment "massage" techniques from a real Neuromuscular Therapist who treats Tennis Elbow every day.

I'm standing by ready to be your tutor! Check out the Gold Membership Program:

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A complete video-based Tennis Elbow self-help program - including therapies, stretches and of course rehab exercises!

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