Never thought it would happen to me: tennis elbow

Tmano

Hall of Fame
So i talked to a friend pf mine at home who actually plays tennis and had the same TE issue and his long time PT told him to do this exercise which i have never read about or seen on any US video.
Extend in front of you palm down the arm with the issue , place the palm of the other hand on top of the arm extended and push down toward the floor. Meet the same force with the extended arm. Try to raise the fingers.
I personally like it.
 

yossarian

Professional
So i talked to a friend pf mine at home who actually plays tennis and had the same TE issue and his long time PT told him to do this exercise which i have never read about or seen on any US video.
Extend in front of you palm down the arm with the issue , place the palm of the other hand on top of the arm extended and push down toward the floor. Meet the same force with the extended arm. Try to raise the fingers.
I personally like it.
Literally a resisted wrist extension isometric exercise which is a staple in this rehab. Just using manual resistance
 

Tmano

Hall of Fame
When and how is TE going to get better?
A month and a half and almost nothing has changed! I'm doing the exercises (maybe too much) but i still can't do the fist without pain and weakness.
I feel like i'm in a battle that i have already lost!
Could it be that there is a more severe problem that just TE?
 
When and how is TE going to get better?
A month and a half and almost nothing has changed! I'm doing the exercises (maybe too much) but i still can't do the fist without pain and weakness.
I feel like i'm in a battle that i have already lost!
Could it be that there is a more severe problem that just TE?
Personally when I had TE, exercises and Theraband made my elbow worse.
My TE eventually cleared up when I just let it rest for a few months, including brushing teeth, using computer mouse, etc,...all with my non-dominant hand.
 

Tmano

Hall of Fame
Personally when I had TE, exercises and Theraband made my elbow worse.
My TE eventually cleared up when I just let it rest for a few months, including brushing teeth, using computer mouse, etc,...all with my non-dominant hand.
I have the same feeling! any PT exercise i'm doing seems to aggravate the TE. It's so confusing!
 

fullgarage

New User
When and how is TE going to get better?
A month and a half and almost nothing has changed! I'm doing the exercises (maybe too much) but i still can't do the fist without pain and weakness.
I feel like i'm in a battle that i have already lost!
Could it be that there is a more severe problem that just TE?
go to a doc, have an RMI if not done yet, will be clearer then
 

PKorda

Professional
In a couple of weeks i'm going home visiting and i'm thinking it could be worth to get an MRI, plus it's so inexpensive compared it to here
i doubt you need an MRI, TE takes time as stated by many in this thread, keep using Theraband, make sure you're using it correctly and along with rest, it will get better. There are also other exercises you can do if you google, do not skip the rehab piece.
 

Jst21121

Rookie
When and how is TE going to get better?
A month and a half and almost nothing has changed! I'm doing the exercises (maybe too much) but i still can't do the fist without pain and weakness.
I feel like i'm in a battle that i have already lost!
Could it be that there is a more severe problem that just TE?

Overall, it’s better, but I’ve given up my tennis membership. I don’t think I will play competitively again.

Just the thought of rehabbing it to the point of competitive play while also getting back into tennis conditioning is not worth it for me anymore. 3x a week changing my game to better strokes and re learning serve and getting back into tennis shape… no thx. I tried playing a lil bit and I was totally off my game and could feel some discomfort flare up. Got two toddlers to raise and that comes first.

I am doing all the pt exercises and day by day it is getting better but I know I am to far from competitive tennis. I can run bike swim without issue.

As for everyday use- I’m pretty much back at 100%. No pain, or discomfort. Full range of motion, it’s like I never had an issue. I recommend just continuing your pt exercises and not playing tennis. I’m already 3 months in without tennis.

I personally will go back to tennis when my kids are older and can play which will be a few years.

I know this is a large change from playing doubles in July and august etc but my wife talked some sense into me and said to focus on priorities. Ironically the first month off I was dying to get back on the court but 3 months later I now don’t really care for it anymore. Take some time off tennis and revisit the sport in a year or two. See if you want to get back into it. Rushing back in- is asking for problems. Just my 2 cents
 
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Tmano

Hall of Fame
Overall, it’s better, but I’ve given up my tennis membership. I don’t think I will play competitively again.

Just the thought of rehabbing it to the point of competitive play while also getting back into tennis conditioning is not worth it for me anymore. 3x a week changing my game to better strokes and re learning serve and getting back into tennis shape… no thx. I tried playing a lil bit and I was totally off my game and could feel some discomfort flare up. Got two toddlers to raise and that comes first.

I am doing all the pt exercises and day by day it is getting better but I know I am to far from competitive tennis. I can run bike swim without issue.

As for everyday use- I’m pretty much back at 100%. No pain, or discomfort. Full range of motion, it’s like I never had an issue. I recommend just continuing your pt exercises and not playing tennis. I’m already 3 months in without tennis.

I personally will go back to tennis when my kids are older and can play which will be a few years.

I know this is a large change from playing doubles in July and august etc but my wife talked some sense into me and said to focus on priorities. Ironically the first month off I was dying to get back on the court but 3 months later I now don’t really care for it anymore. Take some time off tennis and revisit the sport in a year or two. See if you want to get back into it. Rushing back in- is asking for problems. Just my 2 cents
I hope you can recover very soon!
I associate this TE to the sciatic nerve issue as it's not terrible but it is always there bothering you
 

Tmano

Hall of Fame
i doubt you need an MRI, TE takes time as stated by many in this thread, keep using Theraband, make sure you're using it correctly and along with rest, it will get better. There are also other exercises you can do if you google, do not skip the rehab piece.
you are probably right again but i have no idea what is like the TE because i have never had it. In my case the discomfort comes from the main two muscle on top of the arm and only when i lift moderately heavy things or as i mentioned when i make the fist
 

Jst21121

Rookie
I hope you can recover very soon!
I associate this TE to the sciatic nerve issue as it's not terrible but it is always there bothering you

Yeah I’m pretty much good to go- just not for tennis.

I chalk it up to age- eventually it catches up to all of us. Lots of pros retire early in their late 20s… and trying to catch up in my mid 30s to relive my 20s well not a good recipe. Tennis is a really hard sport on the joints etc- Emma radacanu or however you spell it just underwent surgery on two wrists and an ankle… at 20!


I’m sure I’ll pick up a racket again- when my kids are older and play in the 40s league and instead of trying to go for 100 mph serves- just get the ball in and have a good rally. =)
 

PioloAskal

New User
Almost always prevention is better than a cure. Making sure all the forearm muscle groups, hand instrinsics/extrinsics muscles are well maintained with the use of grip strengthening exercises for both opening and hand closing.

What tends to happen is the overuse. It's a fact of life that most of our time in our older age, we use for work. Repetitive stress on the forearms or wrist like typing, hammering, twisting motions with gripping, repetitive movement through fatigue.

Currently going through this phenomenon is really helping me as a PT understand us tennis players better and how I can help people like us more! Prehab/rehab is definitely the way to go for most cases.
 

SystemicAnomaly

Bionic Poster
you are probably right again but i have no idea what is like the TE because i have never had it. In my case the discomfort comes from the main two muscle on top of the arm and only when i lift moderately heavy things or as i mentioned when i make the fist
If making a fist bothers your forearm, close to your elbow, than it might very well be GE (golfer's elbow) rather than TE.

Golfers-Elbow.jpg


Note that turmeric is often not easily absorbed by the body when taken as a supplement. It is usually assimilated more readily in food (cooked). As a supplement, turmeric should be taken with a healthy fat (like lecithin) and black pepper (or piperine / bioperine) to make it bioavailable.

Omega-3 fatty acids can also help minimize inflammation. Salmon & sardines are 2 of the best sources of this.
 

Tmano

Hall of Fame
Yeah I’m pretty much good to go- just not for tennis.

I chalk it up to age- eventually it catches up to all of us. Lots of pros retire early in their late 20s… and trying to catch up in my mid 30s to relive my 20s well not a good recipe. Tennis is a really hard sport on the joints etc- Emma radacanu or however you spell it just underwent surgery on two wrists and an ankle… at 20!


I’m sure I’ll pick up a racket again- when my kids are older and play in the 40s league and instead of trying to go for 100 mph serves- just get the ball in and have a good rally. =)
That's a good news, you'll see as you feel better and better you will find the joy of hitting again coming back! You can't just give up!
 

Tmano

Hall of Fame
Almost always prevention is better than a cure. Making sure all the forearm muscle groups, hand instrinsics/extrinsics muscles are well maintained with the use of grip strengthening exercises for both opening and hand closing.

What tends to happen is the overuse. It's a fact of life that most of our time in our older age, we use for work. Repetitive stress on the forearms or wrist like typing, hammering, twisting motions with gripping, repetitive movement through fatigue.

Currently going through this phenomenon is really helping me as a PT understand us tennis players better and how I can help people like us more! Prehab/rehab is definitely the way to go for most cases.
You are right! i did change my take back from a full take back to a way shorter in the last two year and that could have cause issue with my back fist then with the elbow but age and working out a little to excessively did the rest in my opinion.
 

Tmano

Hall of Fame
If making a fist bothers your forearm, close to your elbow, than it might very well be GE (golfer's elbow) rather than TE.

Golfers-Elbow.jpg


Note that turmeric is often not easily absorbed by the body when taken as a supplement. It is usually assimilated more readily in food (cooked). As a supplement, turmeric should be taken with a healthy fat (like lecithin) and black pepper (or piperine / bioperine) to make it bioavailable.

Omega-3 fatty acids can also help minimize inflammation. Salmon & sardines are 2 of the best sources of this.

That's a bummer! I got to figure out how to cook the turmeric then.
My issue is not there, it is definitely not GE. Mine is on top of the arm. I'll try to find a pic.
 

FloridaAG

Hall of Fame
I have TE for the first time - I am 51 and have been playing tennis seriously for over 40 years. I believe the cause is actually computer related not tennis but . . . anyway, a friend of mine who had TE previously gave me his Recoup Cryosleeve which I highly recommend. Ice and compression together. Has been incredibly helpful.
 

Tmano

Hall of Fame
Do you have any radial nerve tension? Did your PT screen that
No i don't as far as i know. No my Pt did not do any screen for it. That's something i will bring to her attention when i see her, but it would be in a while as i'm going home in two weeks.
However i have already a PT appointmet at home with and the Pt will also do an ultrasound.
 

PioloAskal

New User
No i don't as far as i know. No my Pt did not do any screen for it. That's something i will bring to her attention when i see her, but it would be in a while as i'm going home in two weeks.
However i have already a PT appointmet at home with and the Pt will also do an ultrasound.

May as well get your median and ulnar nerve tension tested as well. Check the integrity of your wrist joint, have your PT assess for grip strength, have them test for lateral epicondylitis with PT special tests to figure out which you need to work on more.

Just know that so far, rest and prehab before playing is my go to. I play about 3x a week, 3-4 hours per session.
 

yossarian

Professional
No i don't as far as i know. No my Pt did not do any screen for it. That's something i will bring to her attention when i see her, but it would be in a while as i'm going home in two weeks.
However i have already a PT appointmet at home with and the Pt will also do an ultrasound.
You can do nerve tension tests on your own to rule on any neural contribution
 

Tmano

Hall of Fame
May as well get your median and ulnar nerve tension tested as well. Check the integrity of your wrist joint, have your PT assess for grip strength, have them test for lateral epicondylitis with PT special tests to figure out which you need to work on more.

Just know that so far, rest and prehab before playing is my go to. I play about 3x a week, 3-4 hours per session.
Thank you these are all good info i need to ask my PT when i see her again!
 

Jono123

Semi-Pro
Hi OP- you and I are in the same boat. I played competitively, would arm the ball, short back-swing etc sounds identical. I also ignored it , then took a hiatus only to return too quickly whilst still going to the gym etc.

I think you've got some good advice from some people here. You need to strengthen your arm with the exercises (fullgarage) gave some good ones. I made the mistake of icing my arm which is no good as the swelling aids the recovery.

I have also just started a course of Shocktherapy. Some of my tennis buddies who have also had TE swear by it and it seems the fastest way to recovery. Im doing strengthening exercises too. I'll post here to keep you updated.
 

Jst21121

Rookie
Thank you these are all good info i need to ask my PT when i see her again!

The best piece of advice is just accept that it will take time to heal… 1 month, 3 months, 6 months, 1 year… 2 year.

I think once you find acceptance- it actually heals better. Work at pt, stop using your dominant hand for your phone, personally for me I noticed what worked the best is doing a PT exercises at home- then taking the next day off- letting it "recover" then starting the next day with exercises. Of course- every injury is different- so I would consult with your doc/PT first- but I found that to be the most helpful.

I did go back and hit 2-3x times when I felt like I was ready- but one or two bad strokes and I felt the pain again- and then the next few days- I feel like I SET myself BACK a good 1-2 weeks of healing. On the last time I played- I tried serving- and that set it off. It was a good 1 week of discomfort- and during the 1 week of discomfort- I kept asking myself- why did I do that and beating myself up over it. Thankfully after a week- everything healed back to baseline- and that was just off ONE bad serve form.

So that's why I would say- quit tennis completely until you feel 100000000% that your arm is healed. And most likely tennis elbow will take 6-12 months+ to recover to 10000000%. I think going back to early just sets you back and will frustrate you even more. 1-2 weeks is generous- if you are IGNORING it and say whatever I'll work through the pain- then you can see yourself setting yourself back months- and possibly even need surgery.

If you have tendonitis- then maybe you can work through it- but once you have tendinopathy- its a long healing process. I would assume a lot of the advice given about working through it refers to tendonitis- while the posters saying you need complete rest and away from the game is tendinopathy. I would say if you are 1 1/2 months into your healing process and not seeing much results- you are going to be in the 6-12+ months camp of not playing tennis.

Not every injury is the same- of course consult your doc- this isn't medical advice.
 
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Tmano

Hall of Fame
Hi OP- you and I are in the same boat. I played competitively, would arm the ball, short back-swing etc sounds identical. I also ignored it , then took a hiatus only to return too quickly whilst still going to the gym etc.

I think you've got some good advice from some people here. You need to strengthen your arm with the exercises (fullgarage) gave some good ones. I made the mistake of icing my arm which is no good as the swelling aids the recovery.

I have also just started a course of Shocktherapy. Some of my tennis buddies who have also had TE swear by it and it seems the fastest way to recovery. Im doing strengthening exercises too. I'll post here to keep you updated.
Thanks!
It is so kind of absurd, cause it all happened so quickly, after i literally played twice after coming back from a 3 months injury. Should i blame the strings, or my technique which i thought it was good, or the swing pattern change which it could be the main reason, or age, which fit's the bill as i'm 49? I think it is all of it unfortunately.
Well i have been icing it too :laughing:
 

Tmano

Hall of Fame
The best piece of advice is just accept that it will take time to heal… 1 month, 3 months, 6 months, 1 year… 2 year.

I think once you find acceptance- it actually heals better. Work at pt, stop using your dominant hand for your phone, personally for me I noticed what worked the best is doing a PT exercises at home- then taking the next day off- letting it "recover" then starting the next day with exercises. Of course- every injury is different- so I would consult with your doc/PT first- but I found that to be the most helpful.

I did go back and hit 2-3x times when I felt like I was ready- but one or two bad strokes and I felt the pain again- and then the next few days- I feel like I SET myself BACK a good 1-2 weeks of healing. On the last time I played- I tried serving- and that set it off. It was a good 1 week of discomfort- and during the 1 week of discomfort- I kept asking myself- why did I do that and beating myself up over it. Thankfully after a week- everything healed back to baseline- and that was just off ONE bad serve form.

So that's why I would say- quit tennis completely until you feel 100000000% that your arm is healed. And most likely tennis elbow will take 6-12 months+ to recover to 10000000%. I think going back to early just sets you back and will frustrate you even more. 1-2 weeks is generous- if you are IGNORING it and say whatever I'll work through the pain- then you can see yourself setting yourself back months- and possibly even need surgery.

If you have tendonitis- then maybe you can work through it- but once you have tendinopathy- its a long healing process. I would assume a lot of the advice given about working through it refers to tendonitis- while the posters saying you need complete rest and away from the game is tendinopathy. I would say if you are 1 1/2 months into your healing process and not seeing much results- you are going to be in the 6-12+ months camp of not playing tennis.

Not every injury is the same- of course consult your doc- this isn't medical advice.
Thanks!
I agree with you that once you calm down your body responses to injuries are stronger and so it heals faster.
Well i think i'm right about there accepting the fact i will not be able to play for at least this summer if not even longer. I have not played since it started bothering me and i'm not going to try to hit till well fully recovered. To be honest i'm not sure what's the real issue, i assume it is TE but there could be more to it or less. I will find it out soon though!
Once healed i will probably be scared to even go out there and hit very lightly thinking it could flare up again!
It is such a weird injury!
I can only keep doing my PT exercises and hoping for the best.
i hope you stay healthy and can play some good tennis!
 

Jono123

Semi-Pro
Thanks!
It is so kind of absurd, cause it all happened so quickly, after i literally played twice after coming back from a 3 months injury. Should i blame the strings, or my technique which i thought it was good, or the swing pattern change which it could be the main reason, or age, which fit's the bill as i'm 49? I think it is all of it unfortunately.
Well i have been icing it too :laughing:

My condition is more golfer's elbow. I've had TE before which never really stopped me playing. Just go for a high flex racket like a Blade with a multi string setup.

The GE is more debilitating, hence the shocktherapy. Certianly cant play through it but Im hoping the exercises combined with the treatment will see it repair quicker.
 

Tmano

Hall of Fame
My condition is more golfer's elbow. I've had TE before which never really stopped me playing. Just go for a high flex racket like a Blade with a multi string setup.

The GE is more debilitating, hence the shocktherapy. Certianly cant play through it but Im hoping the exercises combined with the treatment will see it repair quicker.
I'm glad you were able to keep playing!
As now i'm not sure what's going on with my arm, which kind of worries and makes me think of a more serious injury.
It's the almost burning pain i feel on the upper part of the forearm when i do my fist that leave me very puzzled.
 

FloridaAG

Hall of Fame
I have been playing through my TE - some days better than others. Saturday I shanked a high backhand volley which was not pleasant. I have switched to my old Ezone DR 98 which is softer than my E Zone 98 and my arm was much better yesterday. Anyway, I am off tennis for the next 8-9 days and hoping to see some improvement
 

SystemicAnomaly

Bionic Poster
I'm glad you were able to keep playing!
As now i'm not sure what's going on with my arm, which kind of worries and makes me think of a more serious injury.
It's the almost burning pain i feel on the upper part of the forearm when i do my fist that leave me very puzzled.
From your description, not too sure that it's really TE. Pain from squeezing the fingers tightly (making a fist) is usually a sign of GE rather than TE. But you indicated that the pain location does not appear to be consistent with GE. So, perhaps it's something else

TE can be caused by a number of overuse activities. In tennis, more often than not, it is the result if an improper of subpar one-handed backhand. Is your backhand primarily 1-handed or 2-handed?
 

Tmano

Hall of Fame
From your description, not too sure that it's really TE. Pain from squeezing the fingers tightly (making a fist) is usually a sign of GE rather than TE. But you indicated that the pain location does not appear to be consistent with GE. So, perhaps it's something else

TE can be caused by a number of overuse activities. In tennis, more often than not, it is the result if an improper of subpar one-handed backhand. Is your backhand primarily 1-handed or 2-handed?
I'm starting thinking it ight not be TE although it effect a little the elbow but i think it is the result of something else. I feel it where the xtension muscle is but also where the "area of pain and inflammation is according to this link. It's a mix of tightness and burning sensation almost like there were needles.
I have a tow handed back hand but i did change a little my take back by shortening the forehand over almost 2 years ago. however before it happened i was doing way too many hammer curls which it the muscle effected now.
https://www.istockphoto.com/vector/...on-on-white-background-gm1142652266-306576572
 

SystemicAnomaly

Bionic Poster
That's a bummer! I got to figure out how to cook the turmeric then.
My issue is not there, it is definitely not GE. Mine is on top of the arm. I'll try to find a pic.
Turmeric can be more readily absorbed when used in cooking. However, it is also possible to subject turmeric to too much heat and diminish its effectiveness. Have you ever tried golden moon (turmeric) milk? This can have health benefits -- either hot/warm or cold.

You can also derive benefits from turmeric w/o cooking. Just be sure to take it with black pepper or black pepper extract (piperine or Bioperine). Many turmeric supplements contain this. Also take it with lecithin (or some other healthy fat like avocado, olive oil, etc)

Not sure what you mean by the top of the arm. If you extend your arm with your palm up, the biceps tendon attaches to the elbow near the crease (on the forearm side of the crease). You might have a distal biceps tendinopathy (like a tear or tendonitis) from your hammer curls (and some tennis actions). But not sure that this explains the pain felt when making a fist.
 

SystemicAnomaly

Bionic Poster
I found this article that kind of would explain it and the image is spot on regarding the location of the discomfort, so it might be TE

Anything there other than the location that leads you to believe that it is TE? That, alone, might not enuff to establish it as TE.

Have any wrist pain in addition to the "elbow" pain? Your site and the one below indicates that wrist extension or actions might be part of the TE equation. For one of my TE episodes, it was preceded by some wrist pain the prior week. Some ppl develop wrist pain after the initial elbow pain.

 

Humbi_HTX

Semi-Pro
One thing that helped me when dealing with GE was heat therapy using a portable heat sleeve like Sunbeam GoHeat USB powered which I plug in the car and do "therapy" while driving.

Heat like impact, vibrations, shocks and massages all increase blood flow towards the affected area.
 
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Jst21121

Rookie
I found this article that kind of would explain it and the image is spot on regarding the location of the discomfort, so it might be TE


I mean if you are convinced its something more then your normal tennis elbow- the only thing that can answer it is an MRI. All the information that I have read is that MRI is reserved for cases that have not resolved- and if you are early <1 year in your tennis elbow journey- they will basically say PT and cease all cessation of activity (tennis) and revisit the situation in a year. PRP/injections is something that can be considered but talked with your doc.
 

Tmano

Hall of Fame
Anything there other than the location that leads you to believe that it is TE? That, alone, might not enuff to establish it as TE.

Have any wrist pain in addition to the "elbow" pain? Your site and the one below indicates that wrist extension or actions might be part of the TE equation. For one of my TE episodes, it was preceded by some wrist pain the prior week. Some ppl develop wrist pain after the initial elbow pain.

Not actually wrist but more a sensation on the top of my hand where the tendons are, specifically the ring/tendon finger.
To clarify i'm not in any pain it's only when i lift weights or do my fist or move object in an unusual way. However now i have a sensation going on my arm where the triceps is...i guess the same tendon?
It is very confusing!!!!
 
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Tmano

Hall of Fame
One thing that helped me when dealing with GE was heat therapy using a portable heat sleeve like Sunbeam GoHeat USB powered which I plug in the car and do "therapy" while driving.

Heat like impact, vibrations, shocks and manages all increase blood flow towards the affected area.
That is a great idea i want to try as the ice did not help! Thanks
 

Tmano

Hall of Fame
I mean if you are convinced its something more then your normal tennis elbow- the only thing that can answer it is an MRI. All the information that I have read is that MRI is reserved for cases that have not resolved- and if you are early <1 year in your tennis elbow journey- they will basically say PT and cease all cessation of activity (tennis) and revisit the situation in a year. PRP/injections is something that can be considered but talked with your doc.
Right, in fact i will try to have an MRI once i'm home 10 days. It will cost me almost nothing compare to have done here.
I have stopped any activity besides doing planks since it started hurting. I' not in pain at all by any means it is only when i lift weights or do the fist.
 
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