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Gym Training with Tennis Elbow: Safer Pulling and Pressing

Published: 11/7/2025Reading time: 5 min readBy: Tenease Medical Team
tennis-elbowlateral-epicondylitis

Gym Training with Tennis Elbow: Safer Pulling and Pressing

Tennis elbow, or lateral epicondylitis, is a common condition that affects many individuals, particularly those engaged in repetitive arm and wrist activities. In the UK, it is estimated that 1-3% of the population experiences this issue at some point. The pain and discomfort associated with tennis elbow can significantly impact daily activities, including gym training. This article offers comprehensive guidance on how to safely engage in pulling and pressing exercises while managing tennis elbow.

Understanding Tennis Elbow

Tennis elbow is characterised by pain and tenderness around the outer part of the elbow. It results from inflammation of the tendons that attach to the lateral epicondyle of the humerus. This condition is often caused by repetitive stress and overuse of the forearm muscles. Common symptoms include pain during lifting or bending the arm, difficulty gripping objects, and discomfort during wrist extension.

Consulting Healthcare Professionals

Before making any adjustments to your gym routine, it is crucial to consult with a healthcare professional, such as a GP or physiotherapist. In the UK, the National Health Service (NHS) provides access to these services, where you can receive a proper diagnosis and personalised treatment plan. Physiotherapists can offer tailored exercises and modifications to prevent further strain on the elbow.

Adapting Gym Training for Tennis Elbow

When dealing with tennis elbow, it’s essential to modify your gym routine to prevent exacerbating the condition. Here are some strategies to safely engage in pulling and pressing exercises:

Warm-Up and Stretching

Begin each session with a thorough warm-up to increase blood flow and prepare the muscles for exercise. Focus on dynamic stretches that involve the forearms, wrists, and shoulders. Consider the following routine:

  • Wrist Flexor Stretch: Extend your arm in front, palm up, and gently pull back on your fingers with the opposite hand.
  • Wrist Extensor Stretch: Extend your arm in front, palm down, and gently pull back on the hand with the opposite hand.
  • Forearm Rotations: Rotate your forearm clockwise and counterclockwise to enhance mobility.

Safer Pulling Exercises

Pulling exercises can be modified to reduce strain on the elbow. Consider these adjustments:

  • Use Lighter Weights: Opt for lighter weights to minimise tension on the tendons. Gradually increase the weight as your condition improves.
  • Focus on Form: Ensure proper form by engaging the back muscles rather than relying on the arms. This reduces the load on the elbow.
  • Use Resistance Bands: Incorporate resistance bands for exercises like rows and pull-downs. They provide controlled resistance and are less harsh on the joints.

Safer Pressing Exercises

Pressing movements can also be adapted for those with tennis elbow:

  • Neutral Grip: Use a neutral grip (palms facing each other) on dumbbells or machines to place less stress on the elbow.
  • Reduce Range of Motion: Limit the range of motion during pressing exercises to avoid excessive extension of the elbow.
  • Incline Presses: Opt for incline presses to change the angle of the lift, which may be more comfortable for the elbow.

Practical Tips for Gym Training

Implement these practical tips to enhance your gym experience:

  • Rest and Recovery: Allow adequate rest between workout sessions to promote healing. Avoid overtraining, which can aggravate the condition.
  • Use Ice Therapy: Apply ice to the affected area post-exercise to reduce inflammation and pain.
  • Strengthen Supporting Muscles: Focus on strengthening the shoulder and upper back muscles to support the elbow joint.

Common Mistakes and How to Avoid Them

Many individuals make errors that can hinder recovery. Here are common mistakes and how to avoid them:

  • Ignoring Pain: Do not push through pain. Stop any exercise that causes discomfort and consult a professional if needed.
  • Skipping Warm-Ups: Always include a warm-up and stretching routine to prepare the muscles and joints.
  • Incorrect Form: Prioritise proper form over lifting heavier weights to prevent additional strain on the elbow.

Long-Term Strategies and Implementation

Adopting long-term strategies is vital for managing tennis elbow and preventing recurrence:

  • Regular Physiotherapy: Attend regular physiotherapy sessions to receive ongoing guidance and adjustments to your exercise programme.
  • Ergonomic Adjustments: Make ergonomic adjustments in daily activities to minimise stress on the elbow.
  • Gradual Progression: Progress slowly with weight increments and exercise intensity to avoid sudden stress on the tendons.

Conclusion

Managing tennis elbow while maintaining a gym routine requires careful planning and adjustments. By consulting with healthcare professionals, adapting exercises, and implementing practical tips, you can continue to engage in pulling and pressing activities safely. Remember the importance of proper form, gradual progression, and listening to your body’s signals. With the right approach, you can alleviate symptoms and prevent further injury, ensuring a balanced and effective fitness journey.

Key takeaways include consulting with a GP or physiotherapist, adapting exercises to reduce strain, focusing on form and lighter weights, and ensuring adequate rest and recovery. By incorporating these strategies, those with tennis elbow can continue to enjoy and benefit from gym training safely and effectively.

Important: This article is for informational purposes only. Always consult with qualified healthcare professionals for personalized medical advice.