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Tennis Elbow After Weightlifting: Form Fixes for Pulling

Published: 10/27/2025Reading time: 4 min readBy: Tenease Medical Team
tennis-elbowlateral-epicondylitis

Understanding Tennis Elbow After Weightlifting

Tennis elbow, or lateral epicondylitis, is a common condition characterised by pain on the outer part of the elbow. While it is often associated with racquet sports, it can also be triggered by repetitive strain from activities such as weightlifting. This article will delve into the causes of tennis elbow related to weightlifting, focusing on pulling exercises, and provide practical advice on form fixes to alleviate and prevent this condition.

Why Weightlifting Can Cause Tennis Elbow

Weightlifting involves repetitive movements that can put significant strain on the forearm muscles and tendons. These muscles are responsible for gripping and lifting weights, and improper technique can lead to excessive stress on the tendons attached to the lateral epicondyle of the elbow. This is particularly true for pulling exercises, which require a firm grip and can exacerbate symptoms if performed incorrectly.

Key Factors Contributing to Tennis Elbow in Weightlifting

  • Grip Size and Technique: Using a grip that is too large or too small can increase strain on the forearm muscles.
  • Excessive Weight: Lifting weights that are too heavy can lead to overexertion and increased tendon strain.
  • Repetitive Motion: Performing high repetitions without adequate rest can lead to chronic strain.

Form Fixes for Pulling Exercises

Improving your form during pulling exercises can significantly reduce the risk of developing or exacerbating tennis elbow. Below are some detailed form adjustments for common pulling exercises.

Deadlifts

  • Grip Width: Ensure that your hands are placed shoulder-width apart. This distribution helps in reducing unnecessary strain on the elbow.
  • Wrist Position: Keep your wrists neutral and avoid bending them during the lift.
  • Engagement: Focus on engaging your core and legs rather than relying solely on your arms for the lift.

Pull-Ups

  • Grip Variation: Use a neutral grip (palms facing each other) to reduce the rotational stress on the forearm muscles.
  • Controlled Movement: Avoid swinging or kipping; perform the movement slowly and with control.
  • Elbow Tracking: Ensure your elbows are tracking straight down rather than flaring out to the sides.

Rows

  • Grip Type: Use an underhand grip to keep the elbows closer to the body, reducing lateral stress on the elbow.
  • Elbow Position: Maintain a slight bend in the elbows to avoid locking them out during the movement.
  • Back Engagement: Focus on engaging the back muscles rather than pulling with the arms.

Common Mistakes and How to Avoid Them

To prevent tennis elbow, it is crucial to identify and correct common mistakes in your weightlifting routine. Here are some errors to watch out for:

Over-Gripping

Many lifters tend to grip the bar too tightly, which can increase strain on the forearm muscles. Instead, focus on maintaining a firm but relaxed grip to minimise unnecessary tension.

Ignoring Pain Signals

Ignoring pain or discomfort during lifting can lead to chronic issues. If you experience pain in your elbow, it is essential to stop the activity and assess your form. Consulting with a GP or a physiotherapist can provide professional guidance.

Poor Warm-Up

Skipping a proper warm-up can increase the risk of injury. Incorporate dynamic stretching and specific exercises targeting the forearm muscles to prepare them for the workout.

Long-Term Strategies for Managing Tennis Elbow

Beyond immediate form corrections, adopting long-term strategies can help manage and prevent tennis elbow. These strategies include strengthening exercises, proper recovery, and professional guidance.

Strengthening Exercises

  • Wrist Curls: Use light weights to perform wrist curls, targeting the forearm flexors and extensors.
  • Reverse Curls: This exercise helps balance the strength between the forearm muscles, reducing strain.

Rest and Recovery

Ensure that you are allowing adequate rest between workouts. Incorporate rest days and consider using ice therapy post-exercise to reduce inflammation.

Seeking Professional Help

If symptoms persist, consulting a physiotherapist or sports medicine specialist can provide tailored exercises and treatments. The NHS provides resources and referrals for physiotherapy services, which can be accessed through your GP.

Conclusion

Weightlifting is a valuable component of physical fitness but can pose risks such as tennis elbow if not performed with proper technique. By understanding the mechanics of pulling exercises and implementing the form fixes outlined above, you can reduce the risk of injury. Remember to listen to your body, prioritise proper warm-up and recovery, and seek professional advice when needed. With these strategies, you can continue your weightlifting journey while managing and preventing tennis elbow effectively.

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