When dealing with tennis elbow (lateral epicondylitis), the best approach to arm positioning depends on the specific activities you are performing. In general, finding a balance between rest and gradual re-strengthening of the affected muscles is necessary to promote healing and recovery.

Here are some guidelines regarding arm positioning with tennis elbow…

1. Rest and Immobilization – During the acute phase of the tennis elbow, when the pain is severe and inflammation is present, it’s beneficial to rest the arm and avoid activities that aggravate the condition. Immobilization through the use of a brace or splint may help reduce stress on the affected tendons and promote healing.
2. Avoid Prolonged Stress – If you engage in activities that involve repetitive wrist movements or gripping, it’s necessary to avoid prolonged stress on the affected arm. Take frequent breaks and modify your technique to minimize strain on the wrist extensor muscles.
3. Keep Arm Straight for Rest – When resting, keeping the affected arm straight may help reduce tension on the inflamed tendons. Use a brace or splint to maintain a neutral wrist position during periods of rest.
4. Bent Arm for Gradual Strengthening – Once the acute pain and inflammation subside, gradually reintroduce gentle exercises to strengthen the forearm muscles. For this, it’s often more effective to perform exercises with a bent arm. For example, perform wrist curls with a light dumbbell or resistance band, keeping your elbow bent at 90 degrees and your forearm supported on a table.
5. Use Proper Technique – Whether during rest or exercise, it’s crucial to maintain proper technique and avoid overloading the affected arm. Be mindful of your wrist and forearm positions during daily activities and sports.
6. Physical Therapy Guidance – Working with a physical therapist is highly beneficial for developing an appropriate exercise and rehabilitation plan tailored to your specific needs and the stage of your condition.

Tennis elbow is a condition that requires patience and gradual progression. It’s necessary to allow sufficient time for healing and avoid rushing back into activities that may exacerbate the condition. If you are experiencing tennis elbow or any other medical condition, consult with a healthcare professional or a physical therapist to receive proper evaluation, guidance, and treatment. They can provide personalized advice on arm positioning and rehabilitation exercises to aid in your recovery.