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u/kindwit · 2 pointsr/10s

/u/woogie_2901 is similar to what I had done. Ultimately I took some time off because of another injury, and now the golfer's elbow is completely gone when I play. I am back to playing about 4-5 times a week now and as long as I maintain flexibility/pliability I think I will be able to avoid pain. This is something I wrote to another tennis player experiencing the same issue you and I experienced.

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I don't know how bad yours is.  For me it was only affecting me on serves, and I felt a small pop one day serving a lot (it was nagging a bit in the weeks leading up to the minor acute incident).  A couple weeks later it was getting to the point that it would hurt the next day after a match.  Simple daily tasks started to irritate my elbow (anything that involved concentric muscular activation of my bicep, such as bending over and picking up my dog).  At that point I stopped serving, didn't play matches for about 5 weeks, limited hitting to once or twice a week for a few weeks, and began searching for a rehab program.  After three weeks of no match play and a week after finding a good rehab protocol, I tested serving again to no success (pain was significant on warm up serves and any throwing motion).  After another week I could serve about 60% and then 5 weeks after stopping I got through a good 3 setter with no ill effects.  I still am trying to rehab it because it is not 100% (minor discomfort in warmup and rehab), but it is good enough to play without thinking about it.  

I ice my elbow after tennis and after rehab in the mornings (max 20 minutes).  I also wear a compression sleeve for a few hours, after icing and apply biofreeze (probably better to use actual heat, though).  There is little scientific evidence for compression wear assisting in healing or mitigating injury, but my thought process is to restrict blood flow a little bit to muscles to hopefully increase it to the ligament.  The sleeve helps a little with incidental contact with the arm and stressing the ulnar collateral ligament throughout the day.

Tennis player XXX suffered from this ailment for months and contemplated stopping altogether until he found a protocol that worked for rock climbers.  Local chiro suggested some exercises that I believe similarly stimulate blood flow to the affected ligament, but not as effectively as the rehab exercises I currently do.  He also had suggested I wear the sleeve for playing, which I agree may be beneficial, but I am impatient and the sleeve feels too restrictive.  If I had time to get used to it I may end up using it.

The rehab I do consists of a protocol similar to what Steven Low suggests:

http://stevenlow.org/overcoming-tendonitis/

https://www.reddit.com/r/overcominggravity/comments/8jzr8q/overcoming_tendonitis_gathering_data_on_overuse

I suggest checking out his site and bio, and even reaching out to him if you have questions.  He is much more of an expert than I.  The first link gives a good overview of the common misunderstandings of the injury, and some concepts to follow.  If you're super adventurous you can try reading his published works (I probably will do this when I have time).

My summarized understanding of what Steven is arguing is that low weight, high repetition, eccentric exercises has a high success rate of helping athletes suffering from "tendinitis" related injuries back to a high performing state.  The eccentric exercises help with improving the overused muscles to extend and lengthen.  It also helps with not starving the ligament of blood needed to help heal.  

I started my road to rehab by really digging in to my forearm and tricep area with a roller similar to this:

https://www.amazon.com/dp/B07BXVN1JJ/ref=cm_sw_r_cp_awdb_t1_4UaZBbKXJZH9J

I had neglected stretching adequately my forearms and this made it really obvious.  When I first started digging in I could feel minor pain rushing to my pinky and ring finger.  Now the massage roller doesn't affect me as much, but I do it to try to stay pliable.

I then started using the Taylor twist rubber sticks, but I don't think those are super effective.  Now I do the low weight high rep eccentric exercises (2 types).  

First exercise: basically I will hold a 25lb dumbbell in my affected hand in a supinated position and let gravity pull it down slowly over 3-5 seconds, hold, then pull back up with the opposite hand.  25lb may be too much, but I found 10lb was too light for me and 25 is what Steven suggested for rock climbers.  You will need to find a weight that works for you (I would guess between 5-15lbs).  

https://youtu.be/0_BcOI3By5E

Second exercise: get a weight and do eccentric pronation.  Tennis player XXX had suggested a tennis racket with a towel wrapped around it.  I have a dumbbell that I can pull the weights off of the ends and use one end to grab (I currently have 5lbs on the dumbbell about 8 inches above where I grip it).  You can also use a stick:

https://youtu.be/iwtm43B1CLs

Keep in mind you are not doing the exercises until failure, but should be able to do them through to completion.  For exercise one I am currently doing 3 sets of 30 reps and exercise two I am doing 2 sets of 40 reps.  I do them every other day or so (no more than 4 times a week).  Steven references 36-72 hours is required for tendons/ligaments to heal.  You should feel minor discomfort, but not significant pain.  If it is painful try using a lower weight until you only feel discomfort.  After a week or two of a weight try incrementing it up until you get to something reasonable.  

Playing tennis while doing rehab should not be a big deal.  I just recommend not doing the rehab immediately following playing, but space it out at least a few hours (generally I rehab in the morning and hit in the evening).  Coincidentally my gf picked up Tom Brady's fitness book, and he stressed pliability.  He suffered a lot of arm issues just due to the nature of his profession.  His work is a lot less scientifically structured than Steven's, but I think it concurs with his findings.  

Again, I recommend you check out the links, and if you have questions feel free to reach out!

u/aceh40 · 2 pointsr/10s

Not sure if this will help short term... Being mentally strong is a skill, and you can gradually learn it, just like you can learn to hit a serve.

Subscribe to the Essential Tennis podcast and listen to their old podcasts on the mental side of the game. They are not available on the website, but if you use a podcast app, you will find them. The casts are really good and will give you a very clear idea what you are battling with.

Also, there is a vast number of blogs, articles, books on the mental side of tennis. Here are three of them:

https://www.amazon.com/Inner-Game-Tennis-Classic-Performance/dp/0679778314/ref=sr_1_1?ie=UTF8&qid=1526928034&sr=8-1&keywords=mental+tennis

https://www.amazon.com/Vic-Bradens-Mental-Tennis-Yourself/dp/0316105171/ref=sr_1_2?ie=UTF8&qid=1526928034&sr=8-2&keywords=mental+tennis

https://www.amazon.com/Winning-Ugly-Mental-Warfare-Tennis-Lessons/dp/067188400X/ref=sr_1_3?ie=UTF8&qid=1526928034&sr=8-3&keywords=mental+tennis