Bracing has been shown to be effective in the treatment of tennis elbow. Two common brace types are used, an epicondyle bandage (commonly called a counterforce brace) and a resting wrist splint. The counterforce brace works by providing pressure on the tendons below the elbow, which decreases the amount of tension on the lateral epicondyle.
With the elbow bent and the wrist supported perform the following exercises: Wrist Extension Place 1 lb. weight in hand with palm facing downward (pronated); support forearm at the edge of a table or on your knee so that only your hand can move. Raise wrist/hand up slowly (concentric contraction), and lower slowly (eccentric contraction).
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The use of an elbow counterforce brace can be helpful because it plays the role of a secondary muscle attachment site and relieves tension on the insertion at the lateral epicondyle. The brace is applied around the forearm (below the head of the radius) and is tightened enough so that, when the patient contracts the wrist extensors, he or she does not fully contract the muscles.
The extensor carpi radialis brevis (ECRB) muscle helps stabilize the wrist when the elbow is straight. This occurs during a tennis groundstroke, for example. When the ECRB is weakened from overuse, microscopic tears form in the tendon where it attaches to the lateral epicondyle. This leads to inflammation and pain.
The counterforce brace worn around the forearm to treat tennis elbow can be a cause of radial tunnel syndrome so that both clinical conditions can exist in the same patient. View chapter Purchase book
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