How long it take for your tennis elbow Rehabilitation ?

Discussion in 'Health & Fitness' started by pigoilcake, Apr 4, 2005.

  1. pigoilcake

    pigoilcake Guest

    I've been playing tennis for 15+ years & never experienced any hurt in my elbow. Since DEC last year I changed my Chang Precision Graphite LB to Head LM Instinct which strung with Tecnifibre Promix 17 String at 62 lbs ( i've never try this string before). After a couple of weeks hitting i starting feeling abit ( just a tiny bit) sore on my eblow but i still carry on play until when I playing my 1 round match in my club tournament against someone who serving very hard then my elbow pain became intensely during the match and forced me to withdraw.
    I have done things like RICE already including seeing a doctor and wearing
    a brace. During my recovery i have rest my arm as much as possible for nearly 3 months, now the initial pain is gone but I still couldn't swing my racquet without pain. I have check some posting here mostly say their injuries took them 6 to 8 weeks off from tennis then it went away but it didn't seem the same on me. it's been more 10 weeks but i still noticing my pain when i swing a racquet.
    I wonder how long it would take on you for a completely recovered ?
    Does my elbow hurt attribute of changing a new racquet with new stung?
     
    #1
  2. Marius_Hancu

    Marius_Hancu G.O.A.T.

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    Great fitness sites
    http://tt.tennis-warehouse.com/showthread.php?t=33800
    check section
    TE (Tennis Elbow) and Golfer's Elbow
    read EVERYTHING there.

    It could take months up to a year to recover from serious cases.

    Stop tennis NOW.
    Do the exercises at the sites in the links, including with small weights.
    When no pain, restart tennis with other equipment.

    Yes, it might be caused by LM and/or by the strings.
    First, change the strings to natural gut, if possible strung lower than what you have, say at 58lbs.

    Second, if that doesn't work, change the racket to something with just graphite, about 60 in stiffness, and heavier, best Volkl or PK. This one has Titanium, which might cause your probs.

    Read more threads on "Elbow", educate yourself. If not, don't expect your condition to improve.
     
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  3. borisboris

    borisboris Semi-Pro

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    Yeah I'm reeling from the TE chink in the armour also. I'm a big baseline bashing Becker style player but decided to work on a big kick out serve for a 2nd serve on the deuce side. I hit a 2nd serve every serve and after 2 hrs of play my elbow was tweaked --- this was back in mid Dec. Then I played 2 more matches with some pain and all hell broke loose, I couldn't even shake someone's hand for 2 months. I let the tendon rest for weeks thens months - I began to do reverse curls in mid-late Feb. Then in mid March I went for it and began playing some matches w/ the Band-It TE brace = which helps even off the court -- I just played 2 sets tonight and am icing as I type. I think if I take the right precautions and don't over extend the elbow it will continue to subside - although I was told I have a bone spur on the elbow. I am just taking week by week---------no cortisone shots for me.
     
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  4. rocky b

    rocky b Guest


    Get a MRI first to see if you tore a tendon. If thats ok get a cortizone shot in the elbow rest for a week. Get a pro kennex racket with gut and wear the band it elbow brace you should be playing in 2 weeks. Tennis elbow is a very slow healing injury
     
    #4
  5. donnyz89

    donnyz89 Hall of Fame

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    good to be young...
     
    #5
  6. Progressive10s

    Progressive10s Rookie

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    Slow process

    I went through 2-3 months of physical theraphy at a local hospital when I developed tennis elbow, not so much from tennis, but from my job as a waiter using very heavy water pitchers. The motion of pouring water put stress on the elbow which was sore from playing tennis. I went through a lot of ultrasound, and implementation of pain reliever through a PT device. In the end, the therapists felt they had done all that they could. What I did is purchase the WristRipper to strength my forearm muscles and I continue to do other exercises like wrist curls, etc. to get stronger. I seems to work. Also, I play with Pro Kennex Ki-5G strung with a gut hybrid. Pro Kennex is very kind to the arm
     
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  7. Marius_Hancu

    Marius_Hancu G.O.A.T.

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    Very interesting.

    Others are getting the elbow troubles from the PC (mouse +keyboard). It's advisable in such cases to change your mouse to the left hand.

    I'd suggest to work out ALL your muscles (shoulders, biceps, triceps, legs, pecs, back, legs) if you want to avoid issues in other areas of your body.
     
    #7
  8. joe sch

    joe sch Hall of Fame

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    Ideally you want your elbow to heal and not keep re-injuring it. Its really hard to continue the activity that injured it without making some major changes. Doctors will recommend letting it heal without the activity so you dont reinjure. If you must continue playing, try to greatly decrease the tension on your string and/or get a much more flexible racket. I played a soft wood racket with natural gut strings for 6 months .. 1 year and my tennis elbow was healed. I now play very flexible graphite rackets with the string tension in the low 50s which is more than 10 lbs less than my prior setup including stiffer strings, problends and polys. No problems in the last 5 years and Im hitting the ball as hard as ever, just not with the same amount of topspin.
     
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  9. dozu

    dozu Banned

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    definitely do a search on this site.... but I am willing to post again and again because I remember how it feels not being able to play... at one point I was so desperate I started practising with my left hand.... any way, here are the tricks again (for my golf elbow, but TE is similar)

    1. very flexible racket, preferably with stiffness < 60.... if you use wood, I'd recommend adding lots of lead on the butt to make it head light.... most woods are even balanced as most modern rackets are head light. you need to experiment around.. ironically the often recommended volkl and PK didn't work for me... I found an old Dunlop Revelation Select Pro that did the trick.. it's so flexible it feels like a hitting ball with a pillow.

    2. low string tension.. I use 55-58lbs, and proportional string (big believer), so that hits off-center don't feel as harsh.

    3. change stroke... use heavy racket and just guide the weight into the ball using leg and body muscles, with a flat stroke and slight topspin just for control purpose. generating extra spin for offensive purpose puts lots of strain on the elbow.

    4. moderation... once you do the above 3, you should see improvements, but still it took me >2 years to completely heal, so take it easy.
     
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  10. KOtennis

    KOtennis Semi-Pro

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    dozu, i am doing all 4 of ur suggestions.
    1st time having tennis elbow after 15 years of playing.
    it sucks not being able to play tennis.

    i am hoping it will be gone within a couple of months.

    no playing for me until its healed.
     
    #10
  11. Marius_Hancu

    Marius_Hancu G.O.A.T.

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    what conditioning have you done lately, BEFORE the onset of tennis elbow, for your arms and shoulders?

    that might be another contributor, muscle deterioration. then the tendons take in the shocks directly.
     
    #11
  12. Marius_Hancu

    Marius_Hancu G.O.A.T.

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    I am reposting this for you, not sure if you have read the threads:

    Do you have pain when you do the flexibility exercises at:
    http://www.nismat.org/ptcor/tennis_elbow

    Only if the answer is negative should you proceed to this:

    Do you have pain when you do the exercises here
    http://www.physsportsmed.com/issues/1996/05_96/nirscpa.htm
    with light weights, say 3lbs, say 3 series of
    up to 20 each?

    Only if the answer is negative to both of the above should you proceed with tennis.

    I had to interrupt for 2 months any tennis, because of TE, could not even wash my hair without pain. When pain was gone as detected by the flexibility exercises in the above, I started working out with light weights as in the above. Now I am able to work out my arm and bicep with 20lbs and have no problems with TE.

    In my case it was a Wilson 6.1 tennis racket which was too harsh on my arm. Can play with 6.0 no problem. Thus I am playing with rackets around 13lbs now, strung at 68lbs (could be way too much for you, don't try that), with NXT Tour 17.

    Also, I had neglected my arms for quite a while. Thus, it was a combination of factors. Now I am doing all those flexibitlity exercises before and after each fitness workout and after tennis.

    I'd very strongly suggest to take a break from tennis, until you can do the above flexibility and light weights with no problem.

    Then, use your old racket for a while and see if you still have TE problems. If you do, change the racket and go to a coach and ask him to have a look at your shots: are they wristy, do they favor TE? Hell, you should pay for one hour, it's your body, don't be too cheap:)). But a good coach, with experience, including on TE.

    If you can, use natural gut. If not, strings which are tolerant, not harsh. Thus, don't use poly, but multifilaments.
     
    #12
  13. Marius_Hancu

    Marius_Hancu G.O.A.T.

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    Read the comments for the string you'll be using.
    If there are ANY comments on arm problems, avoid that string. Like for the one you choose:

    ---------------
    http://www.tennis-warehouse.com/feedback.html?pcode=TPMS
    Tecnifibre Promix 16 String Customer feedback

    Comments: Maybe I got my ProStaff 6.0 95 strung with this string too tight (60lbs on a constant pull, electric machine). I've never had a wrist or forearm problem before (I've been playing tennis for 10 years), but I had a few days ago with this string. The ProStaff 6.0 95 is stiff enough, so I gotta move to other soft strings or lower the tension a little bit.
    From: Jun, Seoul, Korea. 9/04
    -----------

    Same about your racket of choice.

    I'd suggest Volkl or PK, or whatever which is not stiff (should be about 60-62).
     
    #13
  14. Jonnyf

    Jonnyf Legend

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    i have an odd case my Lm radical was killing my elbow first few games nothing 1 set a tingle mid 2nd pain geussed maybe the grip shape made it too small for me so put 2nd tourna grip on which slightly stopped the tingle then when it got too much i switched racquets to my apparent HARSHER racquet a PD+ and guess what the pains gone away
     
    #14
  15. Jonnyf

    Jonnyf Legend

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    i have an odd case my Lm radical was killing my elbow first few games nothing 1 set a tingle mid 2nd pain geussed maybe the grip shape made it too small for me so put 2nd tourna grip on which slightly stopped the tingle then when it got too much i switched racquets to my apparent HARSHER racquet a PD+ and guess what the pains gone away. check the grip size and maybe try an overgrip or 2
     
    #15
  16. esrb

    esrb Rookie

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    I Know what it feels like.....the pain s*cks !!
    That happenes when i changes from Head Radical OS (the old yellow/black) to the Ti Radical....too light....then...research on the net (the same web page we all know) and got a POG OS....cold and shockwave therapy....some healing...but dissapointed for the lenght of the threatment: patience.
    When i felt better....got an I Prestige mid but strung with LuxPolys: wrong.
    After reading a LOT here...the perfect choice is LM Prestige Mid and Babolat multis. Reengineering your technique will help too....take some lessons to make little adjustements.
    IMPORTANT: After a game, fill a bucket with ice, add some water into and put your elbow in there for 5 minutes: not 4 not 6. That's better than Vio*x !! Hehehe and a lot cheaper too.
    That's my 2 peruvian cents.
     
    #16
  17. goober

    goober Legend

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    Well I thought I had my tennis elbow problem solved after I took off about 5 weeks and then started playing with a headlight, 12 oz flexy racquet. At first it was great. I did some drills and just hit the ball around for an hour with no pain. I then played a ladder match that ended up going to a 3rd set. I was fine the first 2 sets but the third I started getting elbow pains again and had to retire. I took off another couple weeks and hit with a ball machine for about an hour with no problem. I tried to play another match but at the end of the second set my elbow started hurting again. So now I pretty much figured I have to give up competitive tennis for at least the summer since I can't make it deep into 2 sets. :(
     
    #17
  18. Sir

    Sir New User

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    I bought a Power ball and just played on (to addicted to stop playing). Dont have problems anymore only when playing longer then 2,5 hours I can feel it again.
     
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  19. Tennisaurus

    Tennisaurus Rookie

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    Hi PigOilCake,
    Recovery time is a very personal thing - there is no fixed standard. The time that it will take depends on the extent of your injury, the methods of rehab you are using, rest, technique, your age, etc. You are getting a lot of good advice from everyone on these boards. Its been over a year for me and I am still dealing with it - however, I am back playing as of a month ago.

    The best advice I found is rest, massage, gentle exercise until the pain goes away. (Also consider acupuncture). Then gently return to the sport.

    I'll share with you my personal horror story :

    I first experienced golfer's elbow (probably from topspin FH and Serving - with a new racquet and higher tension than I've previously used - also, I was working out in the gym - possibly the bicep curls and tri-extensions added to the problem).

    I started feeling the pain in May 2004 (didn't even know what it was, at the time) and had to stop by June 2004. I returned too early, as I started playing again in Sept 2004. (2x per week). Started feeling the elbow pain again and went to an ortho (took xrays, etc. and he confirmed GE) However, he said I could still play during physiotherapy. I started physio in Sept : went the ice, electro-stim, ultra-sound, execrcise, hydrocortisone creme route. When I asked the therapists, if I should stop playing tennis since my pain was not going away, and that the inflammation was greater after I played, they said no, I could keep playing the therapy would help it. Well, after two months, by Nov 2004, I took matters into my own hands as the pain was worse than when I started physio. I stopped physio, tennis and the gym and just rested in Nov and Dec - there was a little progress. However, I wanted to accelerate the healing process.

    In Jan 2005 I went for acupuncture and I believe that it reduced the inflammation approx 85-90%. The acupunturist gave me more satisfaction and guidance : for ex, since my GE was chronic - I benefitted more from daily heat wraps rather than ice. The goal was to increase the blood flow (if it was acute tendonitis, then, ice would be reccomended). I applied heat wraps daily, heating sports creme, daily squeezing a ball, stretching, etc. and then about two months ago I started gently hitting the ball again with my kids and started to feel good again. So I resumed my week-end league play and serving practice as carefully as I can. I started gym exercises again - however, I do Hammer Curls (less flexor stress) and modified tri-ext with a forearm brace. I had never dealt with an injury that has been so reistant to healing.

    I am still dealing with it, but playing and exercising. Daily, especially, before tennis, I use a heat wrap for 20-30 minutes and massage in a sports creme. For tennis I put on a forearm brace and a wrist brace for tennis session. I am still squeezing that tennis ball and doing very very light standard curls to re-acclimate the tendon to minor controlled stress.

    Oh yes, btw, this time, I resumed play using a ProKennex 5G and it has been a blessing as I am hitting hard again and not re-injuring myself. Additionally, I am correcting certain prior bad habits - (sometimes I "wristed" the ball on an extended FH to save a point on wide out shots - also, I am forcing myself to use my feet better to get into proper position so I don't get jammed and have to make unnecessarily physically riskier shots.)

    The tendonitis hasn't completely yet gone away, but, I feel it is on the mend, and I am back in the game!

    I wish you the best of luck and a speedy recovery!
     
    #19
  20. goober

    goober Legend

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    So it has been over a year Tennisaurus and you are still not over it? That is is depressing :( I am really hoping that I will be over mine in a month or two. I am not actually that bad now I just can't play more than about 1.5 hours before something starts acting up.
     
    #20
  21. Tennisaurus

    Tennisaurus Rookie

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    Hi Goober, don't be depressed. My situation was due to not knowing enough about the condition and making the injury worse, being older ~50, receiving poor guidance from "the medical experts".

    Most conditions tend to take much less time than my experience to heal. One lesson I learned was not to push it and aggravate the condition before it heals. Its ok to lose some playing time (as sacriligeous as that may sound) to heal properly. You will know when you are crossing the line and increasing the injury.

    Keep a positive attitude, you may heal faster than you are anticipating!

    Good luck!
     
    #21
  22. tennismx

    tennismx New User

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    NVM!!!!!!!!!!!
     
    #22
  23. Revman

    Revman Rookie

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    From my own bout with tennis elbow totally agree that the Dunlop Select Pro might very well do the trick. In fact that whole mid '90s family of Dunlops -- the Select Pro (gold), the Classic Pro (blue), and the Tour Pro (maroon) are among the most arm-friendly rackets ever made. My recommendation would be first to try to find a Classic Pro on that auction-site we all know and love, since that racket is the most manueverable and the most flexible of the three. If you don't have any success there -- and please understand I'm not trying to sell a racket or anything -- I have a Select Pro with a 4-5/8 grip in excellent shape that I'd be willing to part with as well as a never-played-with Tour Pro with a 4-3/8 grip. (I bought the latter as a backup for my main Tour Pro, which saved my arm before I moved to a PT280). Mainly, though, do hang in there -- it's a terribly frustrating affliction, but it does get better and in my experience you don't have to stop playing entirely. Just find the right racket and you should be able to start working your way back to hitting -- forehands only at first -- in 3 or 4 weeks.
     
    #23
  24. sharona1973

    sharona1973 New User

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    I have a question about stiffness, in a previous post someone mentioned that stiffness should be around 60-62 and I've been looking at PK recommendations, especially the PK5 and it actually has a stiffness rating of 65, whereas my current Wilson H6 racquet has a stiffness rating of 61 and that's what caused my tennis elbow? Maybe it wasn't the racquet, but my lack of arm strength? I always said that I was really weak in my hands...in fact, my main complaint is that my racquet often twists out of my hands when I'm hitting....especially those off -center shots and I always seem to hit off the frame. So sounds like it's my technique and muscle weakness, huh? I have been off tennis for 7 weeks and I still can't swing a racquet without pain (and this is without hitting a ball even).

    I am just wondering if I will need to get a replacement racquet?
     
    #24
  25. TennsDog

    TennsDog Hall of Fame

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    "How long does it take for tennis elbow to heal?"
    TOO LONG!
     
    #25
  26. goober

    goober Legend

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    The H6 racquet has some elbow unfriendly properties. It is head heavy by 7 points and it is very lightweight (9.6 oz). Both of these factors will make your elbow worse as well as your technique. You could keep the H6 though if you tailweight it by adding 2 oz or so and making it 11.5-12 oz and headlight.
     
    #26
  27. bewmson

    bewmson New User

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    The best advice I found is rest, massage, gentle exercise until the pain goes away. (Also consider acupuncture). Then gently return to the sport.


    You have experienced exactly what I have and durinig the same time perod. I did the rehab thing, added chiropractor, rested for 5 months, massage. I finally got back into tennis last Nov. I was fine until last week. I worked out, and I think the weight machines messed up my elbow again. I was considering accupunture.
    I hate this pain. Glad it worked for you.
     
    #27
  28. raftermania

    raftermania Banned

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    #28
  29. AJK1

    AJK1 Hall of Fame

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    I messed around for 2 years doing everything and more mentioned here, then decided to have the operation and it was the best thing i could have done. It would never have healed if i kept going the way i was. Oh, and use racquets with a flex no more than 63, multi-filament or gut strings, lower the tension, and go up 1/2 grip size, usually with overgrip. Magic!!
     
    #29
  30. Marius_Hancu

    Marius_Hancu G.O.A.T.

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    that's much too light, he should change it and do some strengthening exercises. more than 320g is recommended for the racket. it will slow down the racket head speed, but the extra mass/inertia will compensate and he will feel less shocks.

    such rackets are a crime to the community, IMO.
     
    #30
  31. Aykhan Mammadov

    Aykhan Mammadov Hall of Fame

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    It doesn't heal already 4 months. I rested enough and did hydrocortizone, ultrasound and etc... , I didn't play these 4 months. I don't have pain but still it is not completely like my left elbow.
     
    #31
  32. redtennis55

    redtennis55 Rookie

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    I have tennis elbow, but the pain goes away withing a half hour after playing. It does not hurt enough to keep me away from the courts, and sometimes hurts so little i can ignore it completely. I ice whenever i can.
     
    #32
  33. raftermania

    raftermania Banned

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    Tennis elbow is a much more serious condition than that. It sounds like you got something like I got, just a little tenderness/soreness after playing. I've had TE in the past, and that's a nasty beast - you can't hold anything without feeling pain.
     
    #33
  34. Marius_Hancu

    Marius_Hancu G.O.A.T.

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    no, he just has a preliminary mild condition.

    next, when this continued, I couldn't wash my hair without serious pain, and I had to stop tennis for several months.
     
    #34
  35. raftermania

    raftermania Banned

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    Yeah my TE didn't get that bad. As Yours! pointed out earlier, there is a silver lining to every dark cloud, you've turned into a TE expert because of your (bad)experience ;)

    Pumped up about Roger's Cup? It's a shame Federer can't make it. Which players will you be keeping a lookout for???
     
    #35
  36. Aykhan Mammadov

    Aykhan Mammadov Hall of Fame

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    redtennis, I though the same as you and continued playing but it led to the serious TW. I recommend you to stop until you don't feel any pain - even slight.
     
    #36
  37. redtennis55

    redtennis55 Rookie

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    thanks for your advice guys
     
    #37
  38. njboy

    njboy Rookie

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    The second link is dead. Can you still dig it out? Many thanks.
     
    #38
  39. Aedan

    Aedan New User

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    use large noise and just guide the weight into the football using leg and body muscle tissue, with a flat action and minor topspin just for control objective, producing extra rotate for unpleasant objective places lots of stress on the shoulder.....
     
    #39
  40. Raul_SJ

    Raul_SJ Professional

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    In the cases of TE that is bought on solely through playing tennis, has it been determined which specific tennis strokes lead to TE?

    I have heard claims that if one has the proper playing form, he should not develop TE.
     
    #40
  41. Chas Tennis

    Chas Tennis Hall of Fame

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    I have looked and not found very much.

    One exception is the research of biomechanical researcher D. Knudson who says that for the one hand back hand many amateurs stroke with a flexed wrist while the pros stroke with an extended wrist. Looking at videos of pro one-hand backhands it does seem true that they strike the ball with the wrist extended. Use the link to my reply and see the links in my quote.

    See reply #42 -
    http://tt.tennis-warehouse.com/showthread.php?p=7419679#post7419679

     
    Last edited: Jun 4, 2013
    #41
  42. kid-tennis-1980

    kid-tennis-1980 New User

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    I would have to agree with others who have commented in regards to recovery time. It can vary depending on whether you commit to re-evaluating your tennis stroke and racquet size, string type and tension. IMO, the only way to fully recover is by doing tennis elbow exercises.

    Good luck.
     
    #42

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