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Blacksmith's Elbow
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Lateral Humeral Epicondylitis - "A Strain of the lateral forearm muscles (extensor wad) near their origin on the lateral epicondule of the humerus. It is caused by repetive strenuous supination of the wrist against resistance, as in manual screwdriving, or by violent extension of the wrist with the hand pronated (palm down), as in tennis (or blacksmithing). It can be disabling. The disorder must be differentiated from that involving the radiohumeral joint.

From The Merck Manual
14th Edition - page 1226


Get a medium size and strength rubber band. Loop it around the cuticles of the hand connected to the offending tendon. Spread your fingers outward. Start with a weak rubber band, and increase the reps and then graduate to a stronger band. If you feel any pain, ANY pain, stop, rest it for an hour or so, and begin again. Remember, quit immediately if you feel any discomfort at all! The phrase "no pain no gain" does not apply here, you have already damaged yourself, pain means you are doing it again.

Within three days, you should be used to the mild rubberband, find a stronger one, or use two medium ones. I started with one of the bands you get with broccoli at the store. If you get one that's too strong, cut it in half lengthwise. Remember, start low and slow, and work up. What you need to do is strengthen the muscles which OPEN your hand, since the ones that close it, your grip, have taken over big time.

I'm four days into this, and there is no pain left at all, none, after off and on strain for four years. I carry a band in my pocket, and use it whenever I don't need the hand for something else, like waiting at a stoplight etc. Start off with 5 to 10 reps, open your fingers and hold them open, then slowly relax, open, hold, close slowly till you begin to feel the effect. By no means continue after you feel any pain at all. Any pain, more damage, any pain at all. Start slowly, carefully, and work up to it.

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