elbow & wrist focus
Slow Wrist Extension
Lifting the wrist with help and lowering it slowly under load. The mainstay of tennis elbow rehab, and the part people skip.
Key cue: Use your other hand to lift, then take three seconds to lower.
Area
elbow & wrist
Level
intermediate
Volume
3 × 15, lowering over 3 seconds
Goal
recovery
How to do it
- 1Rest the forearm on a table, palm down, hand over the edge, holding a light weight or a tin.
- 2Use your other hand to lift the weighted hand up.
- 3Let go, and lower it back down over three slow seconds using only that hand.
- 4Help it back up again each time.
Easier and harder versions
- Easier
- Use no weight at all, lowering just the weight of your own hand over three seconds.
- Harder
- Once 15 slow lowerings feel easy and your elbow is no worse the next day, move up to a slightly heavier weight, such as a 500 ml bottle of water.
Helps with
Commonly used for:
Tennis elbowWeak or painful gripElbow pain lifting a full kettle
Part of these condition plans
Where it fits in the step-by-step plans on our condition pages.
Benefits
- Rebuilds tendon capacity at the outside of the elbow
- The best-evidenced loading approach for tennis elbow
- Restores pain-free grip
Muscles worked
Strengthening. Strengthens your forearms and wrist extensors.
ForearmsWrist extensors
Form tips
- Start with something lighter than feels necessary — a 400g tin is plenty.
- Mild ache during the exercise is expected; sharp pain is not.
Common mistakes
- Lifting with the sore side instead of helping it up.
- Dropping the weight instead of lowering it.
When to avoid or modify
- Elbow pain following a fall or dislocation: skip it and get it checked
- Pain that is worse at rest or at night, or that keeps getting worse: stop and speak to your GP or physiotherapist
- Sharp pain during the exercise: stop. A mild ache is expected, sharp pain is not
- A weight so heavy that you cannot lower it slowly: use a lighter one
If in doubt, check with a qualified physiotherapist before continuing.
Where to go from here
More for the elbows & wrists
