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Applying a Tennis Elbow Strap: A Guide for Rehab Professionals

Updated: Jun 19

As rehabilitation professionals, we understand the importance of proper technique in therapy. Today, we’re focusing on the correct application of a tennis elbow strap during the rehabilitation phase, particularly as patients resume their regular activities.

Known as a counterforce brace, this device is instrumental in redirecting the force exerted by the wrist extensors away from their insertion on the lateral epicondyle, thus aiding in the recovery process. However, it’s crucial to note that incorrect placement can lead to radial nerve compression at the radial tunnel, an outcome we all strive to avoid.


  1. Positioning: Slide the strap around the forearm, ensuring the counterforce bubble is directly over the extensor wad.

  2. Adjustment: Before securing the strap, ask the patient to actively extend their wrist. This action elevates the wrist extensors.

  3. Fastening: While the wrist remains extended, fasten the strap snugly.

  4. Comfort Check: Once the wrist relaxes, the strap should feel secure but not overly tight, avoiding any markings on the forearm upon removal.

The tennis elbow strap serves a dual purpose: it provides a counterforce to the irritated lateral epicondyle during active use of the wrist extensors and offers valuable feedback to the patient regarding the activation level of their wrist extensors during various activities.

Incorporating this technique into your practice will enhance the therapeutic experience for your patients, ensuring a smoother transition back to their daily routines.

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