Elbow, Wrist & Hand Self-Assessment

Elbow, Wrist Or Hand Pain That Keeps Coming Back? Start Here.

You rested it. You wore the strap. You changed your grip. And it keeps flaring back up.

Here is the truth most athletes never get told. Tennis elbow, golfer's elbow, and grumpy wrists are rarely just a local problem at the sore spot. Far more often the arm above is not sharing the load, so the forearm and hand grip harder to make up for it. Grip too hard for long enough and the tissue where the muscle meets the bone gets angry.

Same story as the rest of the body. It is not only about what hurts. It is about what has stopped sharing the work.

The Basics

Meet The Team Around Your Elbow, Wrist And Hand

Keep this simple. A few key players decide how it all feels.

Front and back

Your forearm muscles

These run from around the elbow down into the wrist and hand. They control your grip and your wrist. When you grip everything for dear life, this is where the strain lands, right at the elbow where they anchor. That is the tennis elbow and golfer's elbow story.

The relay

Your hand and your elbow

How you load your hand changes everything above it. Load through the heel of the hand and the fingers, not just the palm, and the forearm and elbow work together properly. The elbow itself is rarely the villain. It passes force between your shoulder and your hand.

The bit people miss

Your shoulder blade and shoulder

If the shoulder blade is not stable and the shoulder is not sharing the load, the arm compensates by gripping harder down at the hand. Fix the elbow without fixing the shoulder and it keeps coming back.

When these share the work, your grip feels easy and your elbow stays quiet. When the shoulder goes offline and the hand over-grips to cope, that is when the elbow and wrist start to complain.
Pathology Assessments

Elbow, Wrist & Hand Assessment: Signs You Need A Professional

Is It Something To Get Checked?

Before anything else, we rule out the things that need a professional eye. These checks do not diagnose anything. They tell you whether it is sensible to get it looked at before you load it.

The Red Flag Check

Some signs mean stop and get it looked at. Tick any of these and book an assessment.

  • Numbness, pins and needles, or tingling in the hand or fingers that will not settle.
  • Grip failure. Your hand gives out, you drop things, or the hand feels weak.
  • It followed a real trauma. A fall onto the hand, a heavy knock, or a moment you felt something go. Suspected fracture.
  • A joint that is hot, red, swollen, and painful to move, especially with no injury to explain it.
  • Loss of colour, coldness, or a change in circulation in the hand or fingers.
  • Severe pain that stops you using the hand, or that wakes you every night.
  • Fever or feeling generally unwell alongside a swollen joint.

A word on nerve symptoms. Pins and needles and grip weakness can come from a nerve being compressed anywhere from the neck down to the wrist. It is usually not serious, but it deserves a proper look rather than pushing through it, because training around a compressed nerve tends to make it louder. If the numbness is constant, or the hand is genuinely weak, get it assessed.

When in doubt, get it checked.

These checks are for peace of mind and understanding your body. They are not a diagnosis and they do not replace medical advice. If you have constant numbness, real grip weakness, a suspected fracture, or a hot swollen joint, stop training and see a doctor or physio.

If nothing above fits you, your pain is far more likely about load and how the arm shares it. That is good news, and it is exactly what the next part is for.

Coordination Assessments

Is Your Body Sharing The Load?

No red flags? Then the question changes. It is not "what is damaged". It is "who has stopped doing their job".

The coordination test for this region is being built

Here is the honest bit. The Resilient Athlete programme was built lower limb first. Knee, ankle, hamstring, hip. That is where the coordination checks and drills exist today. The upper body work is being added.

So there is no elbow, wrist, or hand coordination test to hand you here yet. We are not going to invent one to fill a box. When it is ready, it will do the same job the Midfoot Bridge does for the knee. It will show you whether your shoulder and hand are sharing the load, or whether your forearm is gripping to cover for the rest of the arm.

Want it first? Book an assessment and we will do the coordination testing with you directly, online or in person.

Book My ProSport Online Assessment
Get The Basics Right

The Drills

The drills that go here are still being built for the arm and hand. The lower limb library is live. The upper body library is on the way.

Arm and hand drills are being built

We are not going to drop in drills that have not been tested in our clinics. When they are ready they will follow the same three phase shape as the knee. Isometrics to wake it up. Load tolerance to share the load. Deceleration tolerance to control it.

The direction it is heading. The book already teaches part of this in the "Move Well in the Gym" chapter. How you spread pressure across your hand through a press up changes which muscles work, and brings the often ignored deep forearm and finger muscles back into the job. That co-contraction is what builds real elbow and wrist integrity. Pulling that starts from the fingertips instead of yanking with the biceps does the same up the chain.

In the meantime. If you have the book, the press ups and rowing sections of "Move Well in the Gym" cover hand pressure and grip directly. Start there.

Progress

Elbow, Wrist & Hand Pain Recovery: How To Know The Drills Are Working

Your grip starts to feel easy again. You stop white knuckling the bar.

Gripping, carrying, and pressing stop lighting up the elbow.

You feel the load spread up into the shoulder and back, not stuck in the forearm.

The sore spot at the elbow settles during and after sessions.

Note

Markers stay general for now

These are kept general on purpose. The specific drill markers get added once the arm and hand drills are built and tested in clinic.

Stop guessing

When to get help

If the pain is not settling after a couple of weeks of sensible work, or any red flag from the pathology checks shows up, get it assessed.

Your Sport

Elbow, Wrist & Hand Pain By Sport: Gymnastics, CrossFit, Pressing Sports

CrossFit and gymnastics work
Pull ups, toes to bar, cleans, and long grip heavy workouts hammer the forearm and hand. When the shoulder blade and shoulder do not do their share, the hand grips harder to hold on, and the strain lands at the elbow and wrist. That is where we see tennis elbow, golfer's elbow, and cranky wrists in this crowd.
Grip and pressing sports
Anything with heavy repeated gripping or a lot of pressing loads the forearm and wrist again and again. If the arm above is not sharing, the forearm carries too much. The fix is up the chain, not just at the sore spot.