Posture & Corrective Exercise — all lessons

Elbow and wrist

Corrective and loading strategies for the elbow and wrist — lateral and medial elbow tendinopathy, grip strength and wrist mobility.

Intermediate Evidence: Strong evidence 3 min read Reviewed 2026-10-31 Status: draft

Learning objectives

  • Describe key anatomy and function of the elbow and wrist relevant to training
  • Select strength and mobility exercises for the elbow and wrist
  • Apply load management and progression
  • Recognise when to refer

Before this lesson

Why this matters

Elbow and wrist pain (e.g., “tennis elbow” and “golfer’s elbow”) is common in lifters, climbers and racquet sports and often relates to grip-intensive load.

Key concepts

  • Lateral elbow tendinopathy management should be individualised; education and progressive loading are central [coombes2015].
  • Tendons respond to graded load following the tendon continuum [cook2009].
  • Forearm muscles cross both elbow and wrist [neumann2017].

Exercise menu

GoalExamples
Tendon loadingIsometric wrist extension → slow eccentric/concentric wrist extension with dumbbell
Grip strengthFarmer carries, hangs, plate pinches
Forearm rotationSupination/pronation with hammer
Wrist mobilityWrist circles, quadruped rocking
Load managementGrip variations, straps, modify volume temporarily

Common mistakes and misconceptions

Case study

A recreational lifter reports elbow and wrist discomfort during training. After screening for red flags, the trainer temporarily modifies the aggravating exercise, adds the strength and mobility work above 2–3 times weekly, and progresses load each week. Symptoms settle over 6–8 weeks while training continues.

Further learning: video lessons

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Knowledge check

Knowledge check · 0/5

1. Lateral elbow tendinopathy involves…

Answer B. “Tennis elbow”.

2. A suitable early exercise is…

Answer B. Low irritability loading.

3. Coombes et al. (2015) emphasise…

Answer B. One size does not fit all.

4. A load-management option for a lifter is…

Answer B. Modify, not stop.

5. Elbow pain after a fall with swelling and deformity needs…

Answer B. Possible fracture.

Short-answer & application questions

  1. Design a 4-week elbow and wrist strength and mobility block.
  2. Write three client-friendly explanations for this region.
  3. List referral signs for this region.

Key takeaways

  • Most elbow and wrist complaints in active people respond to progressive strength and range work.
  • Findings matter when they relate to symptoms, function or goals.
  • Modify load rather than stopping all activity where possible.
  • Refer red flags promptly.

Connected topics

References

  1. Coombes BK, Bisset L, Vicenzino B (2015). Management of lateral elbow tendinopathy: one size does not fit all. Journal of Orthopaedic & Sports Physical Therapy, 45(11):938–949. Narrative review check pending
  2. Cook JL, Purdam CR (2009). Is tendon pathology a continuum? A pathology model to explain the clinical presentation of load-induced tendinopathy. British Journal of Sports Medicine, 43(6):409–416. Narrative review check pending
  3. Neumann DA (2017). Kinesiology of the Musculoskeletal System: Foundations for Rehabilitation (3rd ed.). Elsevier. Textbook check pending

Educational content only — not medical advice. Consult a qualified clinician for diagnosis or treatment.