Article relevant to tennis elbow recovery

[WildVolley]

Saw a clip online from a big podcast talking about grip strength training and tennis elbow based on research on engineered ligaments. The claim is that relatively brief training at sub-maximal effort can lead to a large improvement in ligament strength. The information is from the following paper.

https://www.researchgate.net/publication/315534630_Minimizing_Injury_and_Maximizing_Return_to_Play_Lessons_from_Engineered_Ligaments

The basic takeaway is that you can improve connective tissue strength with brief periods of loading. For grip training with respect to rock climbing, a series of 10 second efforts followed by 50 second rest for about ten minutes were described. The recovery from this exercise should be at least 6 hours, but 8 was also mentioned. So you could do these brief isometric exercises twice a day.

Training for tennis elbow recovery could be performed with isometric twist holds on something like a Theraband Flexbar or perhaps a fixed object that you can grip and attempt to twist. The efforts would only need to be held for ten seconds with about 50 seconds of rest between the repetitions. Then give yourself at least 6 hours of recovery before doing another round of training.

The paper also mentions supplementing protein, collagen (gelatin), and vitamin C to build ligament and tendon strength.

 

[WildVolley]

I looked into this some more and see some implications for recovery from injuries such as tennis elbow. The first and perhaps most important is that while tennis elbow may heal best by taking a break from tennis, rest alone is the wrong treatment. Since ligament and tendons can heal faster from even small loading, it is best to lightly load a tennis elbow injury to hasten healing and reduce the formation of scar tissue. The collagen and vitamin C supplementation should occur prior to loading since connective tissue has very little blood flow and it appears that nutrients can more easily get to the tissue during the loading.

The other implication is for strength training. Connective tissue plays an important role in gaining strength and in athletic performance. The shocking result seems to be that it can be trained in a short period of time and without coming close to maximal loading and while using isometric exercises. This suggests that you can do this training almost every day unlike maximal efforts to build muscle.

Here's a video of the professional rock climber entering a grip strength contest after doing this training along with the regular rock climbing and other training he was doing.

 

[PKorda]

I looked into this some more and see some implications for recovery from injuries such as tennis elbow. The first and perhaps most important is that while tennis elbow may heal best by taking a break from tennis, rest alone is the wrong treatment. Since ligament and tendons can heal faster from even small loading, it is best to lightly load a tennis elbow injury to hasten healing and reduce the formation of scar tissue. The collagen and vitamin C supplementation should occur prior to loading since connective tissue has very little blood flow and it appears that nutrients can more easily get to the tissue during the loading.

The other implication is for strength training. Connective tissue plays an important role in gaining strength and in athletic performance. The shocking result seems to be that it can be trained in a short period of time and without coming close to maximal loading and while using isometric exercises. This suggests that you can do this training almost every day unlike maximal efforts to build muscle.

Here's a video of the professional rock climber entering a grip strength contest after doing this training along with the regular rock climbing and other training he was doing.

I'm confused what is the shocking result or even how this varies from what was previously known, which was take a break from tennis (typically roughly 3-6 months depending on severity) but do exercises w/ a Theraband and light weights to strengthen the tendons. What am I missing?

 

[dannyslicer]

What am I missing?

Nothing.

 

[WildVolley]

I'm confused what is the shocking result or even how this varies from what was previously known, which was take a break from tennis (typically roughly 3-6 months depending on severity) but do exercises w/ a Theraband and light weights to strengthen the tendons. What am I missing?

This is much more specific than that advice. It also suggests that the 3-6 months stuff can probably be thrown out the window.

Here's what surprised me. Unlike training muscle, load doesn't seem very important. Unlike training muscle, response to stimulus is fairly quick. If you want to get muscle hypertrophy, going to failure seems the most efficient method. For healing and thickening connective tissue, major results were seen with ten isometric holds for 10 seconds each done twice a day. The recovery period is quick enough that you should be doing the rehab every day twice a day unlike muscle training in which some muscle groups need more than 48 hours to fully recover. Also, this research suggests you should start your tennis elbow rehab as soon as you are experiencing symptoms assuming you can perform some light exercises.

Maybe this isn't news to most people, but I was under the impression that training connective tissue was much like training muscle.

 

[PKorda]

This is much more specific than that advice. It also suggests that the 3-6 months stuff can probably be thrown out the window.

Here's what surprised me. Unlike training muscle, load doesn't seem very important. Unlike training muscle, response to stimulus is fairly quick. If you want to get muscle hypertrophy, going to failure seems the most efficient method. For healing and thickening connective tissue, major results were seen with ten isometric holds for 10 seconds each done twice a day. The recovery period is quick enough that you should be doing the rehab every day twice a day unlike muscle training in which some muscle groups need more than 48 hours to fully recover. Also, this research suggests you should start your tennis elbow rehab as soon as you are experiencing symptoms assuming you can perform some light exercises.

Maybe this isn't news to most people, but I was under the impression that training connective tissue was much like training muscle.

Not buying the 3-6 month stuff can be thrown out the window, this would go against my personal experience (have had TE several times, but not in many years), and for the most part of what I've read of the experience of others.

Think the other stuff is fairly obvious, at least to me, but it's good that you learned it for yourself.

 

[johnmccabe]

One takeaway is to play through it somewhat. Not totally resting. My experience would agree with that.

 

[Fintft]

What worked for me is something I read here: straight arm lifting (20 LBs or 9kgs in my case), at least 2 sets of 5, laterally and in front. Granted I only had a twinge, but now I went back to full bed poly from gut/poly hybrid.
I was already using a chest expander and lifting the same 20 LBs, but not this way. Apparently is good for shoulder as well.

 

[WildVolley]

What worked for me is something I read here: straight arm lifting (20 LBs or 9kgs in my case), at least 2 sets of 5, laterally and in front. Granted I only had a twinge, but now I went back to full bed poly from gut/poly hybrid.
I was already using a chest expander and lifting the same 20 LBs, but not this way. Apparently is good for shoulder as well.

The straight arm lifts will stretch the tendons attached to the extensor muscles, so that stretch and load is probably beneficial for loading that tissue and encouraging it to heal faster. According to that paper, it is ideal to have protein/collagen components available in the bloodstream prior to the exercise.

If the research I cited is to be believed, the big takeaway is that the load isn't that important, but these should be done twice a day with at least 6 hours between the workouts.

 

[WildVolley]

One takeaway is to play through it somewhat. Not totally resting. My experience would agree with that.

Depending on how severe the injury, I'm not sure playing through it is practical. But you're correct that the current research says that rehab should start very quickly. The benefit of the training cited is that it can be done at a very low level. The return to play research seems to suggest that getting the injured area into motion as soon as possible without causing reinjury hastens the ability to get back into sports.

Connective tissue has very little blood flow, so it is important to move the area to increase blood flow and also get the lymph system functioning. The lymph system, unlike blood flow, relies on movement to clear damaged tissue and bring nutrients for repair. I think this is the idea of using a TENS system around an injured braced joint. The muscular contractions can help move lymph fluid. I think it is more common to avoid putting a brace on the injured area because this probably slows healing to the extent it limits movement around the elbow joint.

 

[johnmccabe]

Depending on how severe the injury, I'm not sure playing through it is practical. But you're correct that the current research says that rehab should start very quickly. The benefit of the training cited is that it can be done at a very low level. The return to play research seems to suggest that getting the injured area into motion as soon as possible without causing reinjury hastens the ability to get back into sports.

Connective tissue has very little blood flow, so it is important to move the area to increase blood flow and also get the lymph system functioning. The lymph system, unlike blood flow, relies on movement to clear damaged tissue and bring nutrients for repair. I think this is the idea of using a TENS system around an injured braced joint. The muscular contractions can help move lymph fluid. I think it is more common to avoid putting a brace on the injured area because this probably slows healing to the extent it limits movement around the elbow joint.

In my recent episode, I stopped playing for 2 weeks. Outside of those two weeks, there were days the elbow noteably felt better after light hitting.

 

[PKorda]

If you're able to play through it, that's great, but you had a very mild case. For anyone who has something more severe playing through it will be unlikely to work. It may not make it worse but it will not recover until you are able to rest it
for an extended period, in conjunction with doing exercises.

 

[Marius_Hancu]

Check my advice in this great thread:

Thread 'I Have Elbows Made Of Steel'

May 8, 2005

ok i was having elbow trouble from being a lifter , tennis player and semi pro football player. I was desparate, then found an article from first mr olympia larry scott about blood flowing to heel . I did this for 4 days in a row, for about 2 weeks and it worked.

The key to heeling is fresh blood flowing through your injured elbow.
Do tricep pushdowns. I used a different grip each day. I would do one arm pushdowns with my elbows tucked at the sides on monday.
Next day i would do v bar, next day straight bar and next day I would find a pain free exercise like overhead...

• ttwarrior1
• Replies: 138
• Forum: Health & Fitness

• 

 

[Fintft]

After reading about it here, this what made the twinge in my TE go away (and I've switched back to poly from gut/poly hybrids): straight arm lifting 20 Lbs(9kgs), daily (not a couple of times per week).

 

[WildVolley]

Check my advice in this great thread:

Thread 'I Have Elbows Made Of Steel'

May 8, 2005

ok i was having elbow trouble from being a lifter , tennis player and semi pro football player. I was desparate, then found an article from first mr olympia larry scott about blood flowing to heel . I did this for 4 days in a row, for about 2 weeks and it worked.

The key to heeling is fresh blood flowing through your injured elbow.
Do tricep pushdowns. I used a different grip each day. I would do one arm pushdowns with my elbows tucked at the sides on monday.
Next day i would do v bar, next day straight bar and next day I would find a pain free exercise like overhead...

• ttwarrior1
• Replies: 138
• Forum: Health & Fitness

• 

Some good links in your post. My only quibble would be that the person doing the exercise should assess the pain level. Almost all the "return to play" research I've been reading for sports injuries shows that mild exercise through lower levels of pain hastens return to play for athletes.

This doesn't hold for high pain levels, but for moderate pain levels, it seems that continuing to exercise at a low level helps with healing. Good judgement is needed, but I think most of us as we get older become a little more serious about listening to our bodies and reject the no pain no gain mindset.

I believe I've become better at discerning between tolerable pain and reinjury pain. Unfortunately, I'm getting more injuries I have to deal with (but not tennis elbow).

 

[johnmccabe]

One more thing I'll add. there are multiple muscles connected to the lateral epicondyle. the typical PT exercises may not reach all of them. It may take some effort to identify and release the tension on the specific problematic muscle.

 

[cha cha]

Every pain is mild pain when you're not soft.
My last tennis elbow, I was driving home from the hospital shifting gears with my left hand. I couldn't lift the right one 3 inches to place it on the stick. I was playing tennis in 10 days.
Overcoming pain is the whole point of sports. If you want to be comfortable, do arts - music, theatre, those don't hurt.

 

[WildVolley]

Every pain is mild pain when you're not soft.
My last tennis elbow, I was driving home from the hospital shifting gears with my left hand. I couldn't lift the right one 3 inches to place it on the stick. I was playing tennis in 10 days.
Overcoming pain is the whole point of sports. If you want to be comfortable, do arts - music, theatre, those don't hurt.

I don't agree. Some pain shouldn't be ignored or attempted to play through. Your body sends a pain signal to tell you that something is wrong.

I play tennis for fun and for health. I try to use intelligence and exercise to extend the amount of time I can play without pain and while feeling great. I'll eventually age out of tennis, but most of the time I play without any pain. I'm not a masochist and I'm not playing for money.

 

[cha cha]

I don't agree. Some pain shouldn't be ignored or attempted to play through. Your body sends a pain signal to tell you that something is wrong.

I play tennis for fun and for health. I try to use intelligence and exercise to extend the amount of time I can play without pain and while feeling great. I'll eventually age out of tennis, but most of the time I play without any pain. I'm not a masochist.

Yes, I know you don't agree. Because you are soft.

And don't get me wrong, you have actually started a thread about the TE which is the closest to manliness in the history of this sad place.
Everything else on the TE so far has been "You have an inflamed elbow nerve. If you don't stop immediately, you will die. Take a year off, do absolutely nothing, and practice your religion."

I salute you for this thread.
Which is why I will not resort to swearing, my natural reaction to people telling me that they do an extremely explosive, repetitive sport for health.

 

[WildVolley]

Yes, I know you don't agree. Because you are soft.

...

I salute you for this thread.
Which is why I will not resort to swearing, my natural reaction to people telling me that they do an extremely explosive, repetitive sport for health.

Taking the globe as a whole, I'm not a hard man, but in terms of the United States I'm not on the soft side of average. For example, I'm old enough to have been in many fights (though in my class we don't socially fight as adults except in martial arts studios), and I'm a hunter.

The longevity statistics (though they're also confounded) would tend to suggest you're not a good judge of sports for health, especially if we're not talking about professionals. I balance the lopsided nature of tennis with things like weight lifting, swimming, and rope flow. Explosive sports can be good as long as you have adequate recovery and nutrition. Being an amateur allows you to schedule recovery that isn't available to those playing for money.

 

[PKorda]

Cha Cha can tow an 18 wheeler with his teeth.

 

[cha cha]

Taking the globe as a whole, I'm not a hard man, but in terms of the United States I'm not on the soft side of average. For example, I'm old enough to have been in many fights (though in my class we don't socially fight as adults except in martial arts studios), and I'm a hunter.

The longevity statistics (though they're also confounded) would tend to suggest you're not a good judge of sports for health, especially if we're not talking about professionals. I balance the lopsided nature of tennis with things like weight lifting, swimming, and rope flow. Explosive sports can be good as long as you have adequate recovery and nutrition. Being an amateur allows you to schedule recovery that isn't available to those playing for money.

Have you ever been good at any sport?
At tennis?

No judgement. I am from Eastern Europe. I got bigger issues here than insulting Americans on the internet. I just can't put my finger on someone believing tennis is healthy. That's insane.

 

[cha cha]

Cha Cha can tow an 18 wheeler with his teeth.

There was a person earlier today complaining about a blister.
Go tell him to take 3 months off to heal it.

 

[WildVolley]

Have you ever been good at any sport?
At tennis?

No judgement. I am from Eastern Europe. I got bigger issues here than insulting Americans on the internet. I just can't put my finger on someone believing tennis is healthy. That's insane.

Good yes. I'm more athletic than average, and have mostly relied on natural ability over training. I held a sports record at my high school, which was later broken by a brother who got an All-American award when in college. I competed in University level Track & Field.

I've been better than average at tennis (4.5ntrp) but never played at a high level. When I've hit with higher level players (as an adult) I realized the only area I matched well with them was build and court speed. They did everything else better than I did.

I don't think professional tennis or serious junior tennis is good for long term health. I think that recreational tennis can be fine for health with avoidance of overuse injuries and supplementary exercise. Tennis players live longer than the average person. I believe some of that difference is due to socioeconomic factors, but I think just being willing to get outside and exercise is good for your health.

Perhaps your negative view is due to a belief that it is best to grind through injuries.

 

[WildVolley]

The awful truth about sports performance is a lot of it is simply genetics. While tennis requires many hours of training, the old school view that success is guaranteed in sports to those who grind the hardest is largely an artifact of many coaches being athletically less gifted grinders.

Many athletes have been ruined by coaches who see athletics as proving who is more macho rather than training to optimize a talent set in an intelligent way. I noticed this in my high school and college track days. I'd get slower as the season progressed because coaches were giving me too much load and too much non-specific exercise.

This thread was started because I found it intriguing that connective tissue can perhaps best be trained in what was to me an non-intuitive way (twice a day sub-maximal loading isometrics). The lesson is to train smarter rather than just harder..

 

[cha cha]

Good yes. I'm more athletic than average, and have mostly relied on natural ability over training. I held a sports record at my high school, which was later broken by a brother who got an All-American award when in college. I competed in University level Track & Field.

I've been better than average at tennis (4.5ntrp) but never played at a high level. When I've hit with higher level players (as an adult) I realized the only area I matched well with them was build and court speed. They did everything else better than I did.

I don't think professional tennis or serious junior tennis is good for long term health. I think that recreational tennis can be fine for health with avoidance of overuse injuries and supplementary exercise. Tennis players live longer than the average person. I believe some of that difference is due to socioeconomic factors, but I think just being willing to get outside and exercise is good for your health.

Perhaps your negative view is due to a belief that it is best to grind through injuries.

Respectable.
Stop talking about longevity then. Longevity is not the point here.
We're talking about pain. And at your level, you understand the inevitability of pain as well as I do.


As for the topic,
Tennis elbow is the gayest of all injuries. Unless the tendon is torn, which is what, 1% of the cases?
Taking any time off because of it is completely ridiculous. You rehab and rehab. That's how sports work.

I'll advocate for some logic here.
If you've taken a nose dive off the roof, landing on your arms, you can't move your arm, and there's a hematoma around your elbow, you're probably not good.
If your arm is sore from clicking your mouse too hard, start your damn rehab.

Tennis elbow is treated with extremely light biceps, triceps, and forearm excentric and concentric work, done as often as recovery allows.
I've seen hundreds of tennis elbows, dozens on myself. The absolute majority gone in a week.

Isometric work for arms is mostly useless, unless you are 90 years old. You article says nothing about isometric work. You made that part up. It says light work, limited range of motion if necessary, not isometric.

We are talking to sports people here, not retirees in a care home, I hope.
Take two water bottles, fill them with water and perform a ton of controlled biceps, triceps, and forearm work with good technique. It will take 5 minutes. Do it in the morning and again in the evening.
If it's not helping, your technique is bad.

Leave the isometric work to your grandmother.

Only start with the isometrics (holds) if you're completely unable to bend the elbow.
But I don't see how that's even possible. I've literally flown over the handle bars of my bike, tearing both tricepses, elbow so sore I couldn't hold a mug in the hospital, and I was still able to start with some range of motion two days later. (Yes, yes, Mr. Korda. I know. I'm so tough.)

 

[tennishabit]

There was a person earlier today complaining about a blister.
Go tell him to take 3 months off to heal it.

a few yrs ago i complained the multi-ugly thick caluses on my palm/fingers but i solved the problem by wearing gloves, just simple/cheap cotton garden gloves........started w/ 1 then found bit thin so i doubled. super comfy n sweat absorbent as well. also the 2x layers cotton allowed the strap/tether taking over the grip w/o cutting into my skin so i'd got 0 grip since, totally free 0 tension on my hand/wrist/arm to max the thrilling throwing swing lololololololol. now my hand's almost free from caluses lololololololol......

 

[cha cha]

a few yrs ago i complained the multi-ugly thick caluses on my palm/fingers but i solved the problem by wearing gloves, just simple/cheap cotton garden gloves........started w/ 1 then found bit thin so i doubled. super comfy n sweat absorbent as well. also the 2x layers cotton allowed the strap/tether taking over the grip w/o cutting into my skin so i'd got 0 grip since, totally free 0 tension on my hand/wrist/arm to max the thrilling throwing swing lololololololol. now my hand's almost free from caluses lololololololol......

Two weeks ago, I saw a gentleman wear a glove for tennis at 90F.
I respect that.

 

[tennishabit]

One takeaway is to play through it somewhat. Not totally resting. My experience would agree with that.

better listen to ur body n have a rest when the alarm went off which's pain.........a lot better to improve ball striking technique to avoid the injuries instead of 'strengthening' watava way. leave all or most or as much as you can wearing/tearing toll btwn ur outer soles of ur tennis shoes n the ground surface which r outside of ur body. i really don't mind all my tennis shoes' outer soles only got inner front n toes section worn out though all the rest of shoes perfectly fine, but still i found something visually terrorible/shocking dat my 2nd 3rd(bit less) toes nails on my both feet growing ~45° sideway kind of 'outside in' leaning towards big toe due to on the toes all the time n push forward ~45° sideway. no pain at all but they'r really really ugly when shoes/socks off. wonder if any1 has the same problem n hw to deal w/ the issue:?))..........

 

[tennishabit]

Two weeks ago, I saw a gentleman wear a glove for tennis at 90F.
I respect that.

i'v bn doing dat for yrs n all yr around, warm in winter n sweat-wiping in summer. all pros except 1con, my both hands wrists down colored normal but wrists up very tanned in summer. i started wearing garden glove on my left hand as well after found my left hand so dark but right hand so white which's politically incorrect for a unified ppl lololololololol......

 

[WildVolley]

Respectable.
Stop talking about longevity then. Longevity is not the point here.
We're talking about pain. And at your level, you understand the inevitability of pain as well as I do.

...

Isometric work for arms is mostly useless, unless you are 90 years old. You article says nothing about isometric work. You made that part up. It says light work, limited range of motion if necessary, not isometric.

The isometric work for tennis elbow was from the Tim Ferriss interview clip with Professor Baar (such as putting your racquet under a counter and twisting against it for a set time). But you're correct that you can load it various ways. The earlier advice I've seen always focused on eccentric movements, but Baar's research suggests it is just load during the roughly 10-minute window that's important.

I find the twice a day loading advice more important than the exercise technique, but I don't know how many people are trying it. For example, if you do weight lifting in the morning, you're probably loading the tendon. That still suggests you should load it again after 8 hours, even if you're just at home.

Baar is also a believer in collagen supplementation prior to the exercise. I've been experimenting with that for a non-tennis elbow injury.

 

[Roforot]

Good yes. I'm more athletic than average, and have mostly relied on natural ability over training. I held a sports record at my high school, which was later broken by a brother who got an All-American award when in college. I competed in University level Track & Field.

I've been better than average at tennis (4.5ntrp) but never played at a high level. When I've hit with higher level players (as an adult) I realized the only area I matched well with them was build and court speed. They did everything else better than I did.

I don't think professional tennis or serious junior tennis is good for long term health. I think that recreational tennis can be fine for health with avoidance of overuse injuries and supplementary exercise. Tennis players live longer than the average person. I believe some of that difference is due to socioeconomic factors, but I think just being willing to get outside and exercise is good for your health.

Perhaps your negative view is due to a belief that it is best to grind through injuries.

Are you suffering from TE? I find it uncommon to see 4.0s with elbow braces and very rare in 4.5s.
Obviously part of it is some players are hindered by TE, but I also believe there's more efficient use of muscle contraction and hand-eye contact allows cleaner contact.
I had TE when I was 3.5 and I've found hanging from a pullup bar is a good strength and seems to also reset the shoulders.

 

[WildVolley]

Are you suffering from TE? I find it uncommon to see 4.0s with elbow braces and very rare in 4.5s.
Obviously part of it is some players are hindered by TE, but I also believe there's more efficient use of muscle contraction and hand-eye contact allows cleaner contact.
I had TE when I was 3.5 and I've found hanging from a pullup bar is a good strength and seems to also reset the shoulders.

No, I don't have TE. Given I play with a Babolat racquet with poly string, I want to avoid the possibility. I wish my ball striking was always clean, but unfortunately I have my share of shots off the frame.

My main tennis injuries have been to my shoulders, and I also find hanging from a bar to be a must to maintain shoulder health. I hang from a bar after I play, and I hang almost daily when I'm not playing. I also do some of the throwers 10 exercises regularly, but I found hanging from a bar invaluable to eliminating shoulder pain.

 

[tennishabit]

.......... I find it uncommon to see 4.0s with elbow braces and very rare in 4.5s.

ofc higher the level lower the chance mainly due to techniques. simple, if hurt n on/off often mostlikely<3.5......

Obviously part of it is some players are hindered by TE, but I also believe there's more efficient use of muscle contraction and hand-eye contact allows cleaner contact.

abv ur 'hand-eye contact' = hand-eye coordination:?)) hw abt 'leg-eye coordy':?)) te's caused by the illusional 'hand/wrist/arm' factor. tennis' played by legs, not arm/wrist/hand/fingers.......

I had TE when I was 3.5 and I've found hanging from a pullup bar is a good strength and seems to also reset the shoulders.

most of them had if stay 3.5(danger zone:?)) long enough otherwise either moved up or dropped out soon or later. wonder why pickled balls r so popular n so many die hard courts got pickled:?)).......

No, I don't have TE. Given I play with a Babolat racquet with poly string, I want to avoid the possibility. I wish my ball striking was always clean, but unfortunately I have my share of shots off the frame.

yep 000s x better to learn watava from others' mistakes instead of own.......who cares shots off frame or not ala hand/wrist/arm safe. i use the best rkt ever babo pd x2 pa x2 all the time but tried 00s different rkts wooden/alloy/steel/etc >10yrs n 'restringing'(not whole bed, only patch-up snapped or badly notched 1s mainly in the hitting zone) by myself w/ all sorts of 'dead strings' cut-offs from a few tennis shops n some die-hard 'tennisors' lolololololol.........all abt technique n hw to strike, nothing to do w/ watava u use.......

My main tennis injuries have been to my shoulders, and I also find hanging from a bar to be a must to maintain shoulder health. I hang from a bar after I play, and I hang almost daily when I'm not playing. I also do some of the throwers 10 exercises regularly, but I found hanging from a bar invaluable to eliminating shoulder pain.

much better to alter/improve watava needed n work on the fundamental techniques instead of re-enforcing/strengthening..........u don't want to re-invest on a wrong/failed business model or to find deeper pockets to entertain $uckers/$cammers, right:?)).......

 

[chic]

Not buying the 3-6 month stuff can be thrown out the window, this would go against my personal experience (have had TE several times, but not in many years), and for the most part of what I've read of the experience of others.

Think the other stuff is fairly obvious, at least to me, but it's good that you learned it for yourself.

Conversely this is fairly in line with my GE and TE experience. I'm a fiend for tennis and when I was having these issues I never really took more than 2 weeks off, I usually added rehab the second week and following that. No flare ups or recurrence until at least a year later, just completely resolved.

The TE and GE were from cold,dead, poly in winter (prob technique driven but this is the only time I felt it) and incorrect kick serve technique (too much brush from flexion and ulnar deviation rather than pronation) respectively. At least that was my diagnosis when they happened and how I got them to stop happening after a few years.

 

[tennishabit]

Conversely this is fairly in line with my GE and TE experience. I'm a fiend for tennis and when I was having these issues I never really took more than 2 weeks off, I usually added rehab the second week and following that. No flare ups or recurrence until at least a year later, just completely resolved.

The TE and GE were from cold,dead, poly in winter (prob technique driven but this is the only time I felt it) and incorrect kick serve technique (too much brush from flexion and ulnar deviation rather than pronation) respectively. At least that was my diagnosis when they happened and how I got them to stop happening after a few years.

lolololololol tennis n golf'r the only sports directly glorified by the over-used injuries 'tennis/golf elbow' even extended to some poor production line workers of factories who never ever knew 'tennis' for generations in 3rd, 4th......bottom world. no such a thing or 2 like 'football foot', 'soccer's socket', 'volleyball vomit', 'handball hand', 'netball neck', '@sureshs rash'............etcetcetc........

 

[chic]

lolololololol tennis n golf'r the only sports directly glorified by the over-used injuries 'tennis/golf elbow' even extended to some poor production line workers of factories who never ever knew 'tennis' for generations in 3rd, 4th......bottom world. no such a thing or 2 like 'football foot', 'soccer's socket', 'volleyball vomit', 'handball hand', 'netball neck', '@sureshs rash'............etcetcetc........

UCL injuries are pretty common unless we're just claiming baseball isn't a real sport. Which, like, fair enough

Jokes aside though the amount of weight swinging through in tennis does allow for some pretty odd overuse cases. Racquet is light enough any scrub can accelerate it and heavy enough that if you don't find a good deceleration path is can stress the joints.

Most other sports with a stick, bat, etc restrict the range by being two handed to deal with the incoming force or have a lighter or slower paddle or racquet that can be whipped around.

 

[tennishabit]

UCL injuries are pretty common unless we're just claiming baseball isn't a real sport. Which, like, fair enough

Jokes aside though the amount of weight swinging through in tennis does allow for some pretty odd overuse cases. Racquet is light enough any scrub can accelerate it and heavy enough that if you don't find a good deceleration path is can stress the joints.

Most other sports with a stick, bat, etc restrict the range by being two handed to deal with the incoming force or have a lighter or slower paddle or racquet that can be whipped around.

ucl's not specifically named aft baseball n never heard of 'baseball wrist' etc. only 'tennis/golf elbow' come to ppl's mind so it does show the popularity of injuries hv bn sososo widely recognized for very long time since ~1800s dat ppl got it even not knowing tennis at all but well suffered from n knew well it's 'tennis elbow' as doc n pt told them lololololololol wata disaster for such a wonderful sport......the only sport can generate at maximum the crucial happy anti-aging dopamine.........

+, the royal/noble kingship sympolic swordy ceremonies should'v bn marked/accompanied by 'sword elbow' for 000x yrs hd most losers survived the bloody battles n lined up at front of their primo clinics afterwards. unfoutunately most got killed w/o mercy but saved medical bills n the wouldbe clinical term 'sword elbow' never emerged.........

 

[johnmccabe]

Have you ever been good at any sport?
At tennis?

No judgement. I am from Eastern Europe. I got bigger issues here than insulting Americans on the internet. I just can't put my finger on someone believing tennis is healthy. That's insane.

Tried some clay courts in Prague. The courts are so nice and so cheap. It's a crime not to play my elbow off here as an American.

 

[tennishabit]

Tried some clay courts in Prague. The courts are so nice and so cheap. It's a crime not to play my elbow off here as an American.

'elbow off'...........dat's hurt. better play ur legs off, at least u can enjoy tennis b4 dat happens........

 

[PKorda]

Conversely this is fairly in line with my GE and TE experience. I'm a fiend for tennis and when I was having these issues I never really took more than 2 weeks off, I usually added rehab the second week and following that. No flare ups or recurrence until at least a year later, just completely resolved.

The TE and GE were from cold,dead, poly in winter (prob technique driven but this is the only time I felt it) and incorrect kick serve technique (too much brush from flexion and ulnar deviation rather than pronation) respectively. At least that was my diagnosis when they happened and how I got them to stop happening after a few years.

You likely had a very mild case like a minor tweak, like any injury, severity can vary greatly

 

[PKorda]

Here's the google AI overview:

The recovery time for tennis elbow (lateral epicondylitis) can vary, but most individuals experience improvement within 6 to 12 weeks with conservative treatments like rest and physical therapy. However, some cases can take several months or even up to a year to fully recover.

Factors Influencing Recovery Time:

• Severity of the condition: Mild cases may resolve within weeks, while severe cases can take longer.
  
  
• Treatment approach:Conservative treatments like rest, ice, and physical therapy are often effective, but some individuals may require injections or, in rare cases, surgery.

• Individual response: People heal at different rates, and some may experience setbacks or flare-ups during the recovery process.

 

[Enkitec]

It’s confusing how they keep pushing conservative care when the pain is obviously structural. My main symptom was a sharp, burning pinch right in the outer elbow after just 20 minutes of mouse work.
That's not just a weak muscle, right? That's damage. You have to find someone who specializes in what happens when the tendon is actually shredded. In my case I used this tennis elbow surgeon Dr Thornton since I have given up on injections. And I can tell you surgery isn't the failure; but the six months of useless PT was

 

[Move]

F

 

[PKorda]

It’s confusing how they keep pushing conservative care when the pain is obviously structural. My main symptom was a sharp, burning pinch right in the outer elbow after just 20 minutes of mouse work.
That's not just a weak muscle, right? That's damage. You have to find someone who specializes in what happens when the tendon is actually shredded. In my case I used this tennis elbow surgeon Dr Thornton since I have given up on injections. And I can tell you surgery isn't the failure; but the six months of useless PT was

For most people, PT done correctly and rest will allow tendon to heal, if you had a very acute case of TE maybe it didn't work but that is not common.