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Tennis Elbow: Step-By-Step Instructions For Treating Elbow Pain Using A Flexbar (Tyler Twist) | Tennis Champions | TennisChampions.com

Tennis Elbow: Step-By-Step Instructions For Treating Elbow Pain Using A Flexbar (Tyler Twist)

Posted on March 31, 2013 
Filed Under Videos

http://www.austinspineandsport.com/ Lateral epicondylitis, otherwise known as “tennis elbow”, is a common condition and famous for becoming a chronic, naggin…

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27 Responses to “Tennis Elbow: Step-By-Step Instructions For Treating Elbow Pain Using A Flexbar (Tyler Twist)”

  1. midiboy3 on March 31st, 2013 8:00 am

    Ronny – what you’re describing is the standard Tyler Twist, which? avoids the concentric movement, or the motorcycle throttle motion shown in the video. If you’re experiencing pain while you do the concentric movement, it’s probably best to do what you were taught, which concentrates on the eccentric movement. When you’re feeling better, you can work in some concentric movement with the bar.

  2. Ronny Søberg on March 31st, 2013 8:00 am

    I was taught that you should go back to the starting position every time you do a rep. that is, you skip the motorcycle throttle grip motion, which will shorten your muscle because you’re basically just flexing it. Wouldn’t flexing your muscles do more harm than good?? For me it increases the pain significally when I do any excercise like that.

  3. onecut on March 31st, 2013 8:00 am

    Hello and thanks for the video.
    Will? you NOT recommand using the flexbar while being under a “shockwave treatment” (wich im doign right now).

    It is better to see how goes the shockwaves and then go for flexbar?

  4. Nadeera Bandara on March 31st, 2013 8:00 am

    They laughed when I told them? I would get ripped with “H6x Muscle Monster”, but then I showed them the results. Google H6x Muscle Monster to see their reaction. (You should see their faces!)

  5. AustinSpineAndSport on March 31st, 2013 8:00 am

    If your pain was increased significantly after performing these exercises, something needs to change. Either reduce the intensity of the twist (don’t twist as far) during each rep, or skip a day between treatment sessions. If? your discomfort doesn’t become manageable very quickly using one or both of these modifications, schedule a visit with your doctor to make sure that you don’t have something other than tennis elbow causing your symptoms. Good luck, and let us know how you do!

  6. dowemix on March 31st, 2013 8:00 am

    Just got this bar today and following the video it causes a lot of pain? in the tennis elbow area, hope it gets better

  7. AustinSpineAndSport on March 31st, 2013 8:00 am

    The research on this method tested using this technique only once per day, at 3×15 reps, and showed impressive results at this frequency and volume.? I don’t recommend more than once session per day for our patients, or doing any additional reps, partly because it may not be necessary and partly because it is possible to go into overtraining of these particular muscles. We see good results clinically at the recommended frequency and volume with our patients.

  8. rtsang17 on March 31st, 2013 8:00 am

    Do you recommend doing sets throughout the day or doing sets consecutively? Also, would doing more than? 3×15 be harmful?

  9. midiboy3 on March 31st, 2013 8:00 am

    I would? emphasize that adults start with the red bar, rather than one of the heavier ones. I tweaked a wrist tendon or something when I first started, and that was with the red bar. You can easily get more resistance from any of the bars simply by cranking more twist into a repetition. But take it easy when starting out.

  10. midiboy3 on March 31st, 2013 8:00 am

    The Flexbar method you demonstrated in the video is the way I’m now doing my exercises. I find the traditional Tyler Twist to be a little awkward. Clearly, the Tyler Twist used in Tim Tyler’s? study was to determine the effectiveness of eccentric vs. concentric exercise, so it eliminated the concentric movement. The study proved that eccentric works; like you said, nothing wrong with throwing in some concentric movement as well.

  11. AustinSpineAndSport on March 31st, 2013 8:00 am

    You can’t go wrong with that approach. ? :)

  12. AustinSpineAndSport on March 31st, 2013 8:00 am

    All versions of the FlexBar are suitable for adult use; they just all offer different levels of resistance. For all practical purposes, any (or all) of these bars could be used to perform this therapeutic exercise effectively, simply by “twisting” harder on the bar to create greater resistance if it is needed.

    If I had to make? recommendations, I’d say if you’re 120 lbs or less, use the red bar. 121-180, green bar. And above 180, perhaps the blue bar.

  13. AustinSpineAndSport on March 31st, 2013 8:00 am

    You’re absolutely correct that the reason the? “Tyler Twist” works is because it exaggerates and emphasizes ECCENTRIC contraction — or “contraction while lengthening”.

    The concentric part of the movement you’re referring to is necessary simply to “reload” the movement and begin the next repetition. As I’m sure you know, there’s nothing wrong with concentric movements :)

    Thanks for joining the conversation!

  14. AustinSpineAndSport on March 31st, 2013 8:00 am

    I’m? glad to hear it, and thanks for sharing! I’d love to hear about your results, too!

  15. Brad Harmon on March 31st, 2013 8:00 am

    Really appreciate your post here. I acquired tennis elbow from weight-lifting and? have had to stop as it progressively worsened. Just ordered one of these (green) and look forward to some relief and get back into the gym.

  16. midiboy3 on March 31st, 2013 8:00 am

    This really isn’t? the Tyler Twist though, as indicated in the video title. The Tyler Twist, as performed by the patients in Tim Tyler’s study, avoids the concentric (shortening) contraction that the doctor demonstrates at 1:40, when he says “crank down on it.” The Tyler Twist, when done properly, focuses on the eccentric (lengthening) contraction.

  17. midiboy3 on March 31st, 2013 8:00 am

    I’m just a patient, but have been using the Flexbars. I would get the red and green Flexbars. start with the red, and when you can do 3 sets of 15 comfortably, move up to the heavier green bar. I don’t believe the blue bar would? be necessary for elbow tendonitis exercises.

  18. imhotep38 on March 31st, 2013 8:00 am

    What about the? blue heavy flexbar? Is it recommended for adult males?

  19. AustinSpineAndSport on March 31st, 2013 8:00 am

    Eccentric wrist flexor and extensor exercises are an excellent tool for addressing tendon issues caused by lateral and medial epicondylitis. Should other? deficits exist, other tools are needed. :)

  20. doczac on March 31st, 2013 8:00 am

    Yes, great exercise? for wrist extensors, but does not address one of the key factors in complete rehab, strengthening & balancing of the elbow – finger muscle imbalance. Repetitive gripping cause static contraction of supportive finger extensor muscles. i.e. shortened flexors weak extensors. Watch your results improve using Flexbar & Handmaster Plus (to easily address complete finger flexor vs. extensor balance to offset rep grip habits & imbalances) for rehab. Keep up the good work.
    doczac

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