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Tennis Elbow Exercise “Tyler Twist”

hi i’m Dr. Pedersen and we’re going to
be going over an exercise to help with tennis elbow something that is really
good in rehabbing tennis this exercise is fantastic for helping to strengthen
the muscle in what we call eccentric loading something you should understand
about muscles, muscles can contract while they shorten as in my biceps
shortening as it contracts but they can also lengthen as they contract that’s as
I bring the weight back down. Most muscles get hurt from a sports
perspective in eccentric loading which is muscle lengthening as it contracts
and so this exercise is all based on creating eccentric strength. So what
we’re going to do is take, and these steps are very important so we’ll go
through them slowly. First thing we’re going to do is put our wrist back in
extension and our elbow by our side. We’re going to put the Thera bar in our
hand stay in this position we’re going to take our other hand facing away from
us put it up on top of the Thera bar and with it back as far as it can go, our
elbow as far as we can, rotate and then we’re going to take keeping our
wrist back bring our arms straight and then we’re going to slowly let our wrist
go out. With that we’re going to get eccentric loading of this, a lengthening
of the muscle as we contract against the bar, we’re also going to get a good
stretch right at the end. That shouldn’t be painful for you.

David Frank



  1. AnoushBotanical Posted on December 6, 2011 at 4:45 am

    We will share this with our Tennis Players…

  2. rico300zx Posted on October 10, 2012 at 1:13 pm

    Good vid, many of the guys in grip sports develop this and I feel your vid will help, thanks

  3. Steven Zak Posted on October 10, 2014 at 6:53 am

    How would you suggest choosing from among the four flexbars available? I noticed that you are holding the blue (heaviest of the four), while she is using the red (second lightest).

  4. Raymond Ihrig Posted on March 26, 2015 at 8:23 pm

    Excellent video. It shows how to do the exercise and for that I am truly grateful. I do feel the stretching as I work through the simple process. I am hopeful the exercise will help. Thank you!

  5. Cyclops Media Posted on June 21, 2015 at 5:39 pm

    I'm assuming this is for your right elbow.  What does the movement for your left arm do?

  6. Gizmojan Posted on August 4, 2015 at 3:40 pm

    Thank you for posting this! I bought the Flexbar awhile now, but I guess I was using it wrong. One try with your instructions, I feel much better already! I have problem with both arms, tennis and golf elbow pains. Would this exercise be good for golf elbow pains as well? I love your videos on rotator cuff pains as well!

  7. Charles Wakefield Posted on June 16, 2016 at 11:16 am

    I've been researching treating tennis elbow at home and discovered a great website at Freds Elbow Helper (google it if you are interested)

  8. lovefeist Posted on March 18, 2017 at 7:50 pm

    Given that tennis elbow occurs from overuse of the extensor muscles, and the exercises are designed to stretch and stengthen
    these muscles, wouldn't it be prudent to start gradually with the flexbar that offers the least resistance, the yellow one?
    The Yellow TheraBand™ FlexBar takes 6 lb. of force to bend to a u-shape, Red 10 lb., Green 15 lb., and Blue 25 lb. Also, though
    it might appear obvious, wouldn't it be a good idea to point out that you should hold the flexbar in the hand on the affected side?

  9. canefan17 Posted on September 5, 2017 at 4:39 am

    Would this be good for repetitive strain injury/carpal tunnel? Like from playing piano and typing too much?

  10. FairwayJack Posted on January 7, 2019 at 6:23 am

    Tyler twist ….The release is similar to throttling back (slowing down) a motorcycle

  11. A Palmer Posted on March 4, 2019 at 4:48 pm

    For some reason it annoys me that the guy has the blue theraband. It’s like he’s flexing on me because I can only tolerate the red. 👿

  12. David Silva Posted on September 9, 2019 at 10:51 pm

    Is this for prevention, treatment or both?