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Physiotherapist Olivia Hadfield
Updated 7-7-25
How Often
Complete three times per week
Exercises 2, 3 and 4 have different schedules.
When to Stop
Discontinue if pain exceeds 3/10
Additional Notes
Gym:
- Brace/ tape on for all upper body sessions
- Reduce weight to reduce excess grip load
- Keep the wrist neutral! Avoid flexion under load ie. bicep curl. INSTEAD trial ex's with the wrist neutral >> seated row. Cease push ups and exercises in an extended position.
1Wrist Flexion
3 sets of 6 reps
1kg-2
  • Sit or stand comfortably with your forearm supported on a table or bench, palm facing upwards. Allow your wrist and hand to extend slightly off the edge of the surface.
  • Hold a light dumbbell in your hand with a relaxed grip.
  • Using your opposite hand, assist your wrist into full flexion (bending your wrist upwards).
  • Gradually lower the dumbbell by allowing your wrist to extend slowly in a controlled manner. Focus on resisting gravity as your wrist moves downwards.
  • Once your wrist is in a fully extended position, repeat the movement by assisting it back into flexion with your other hand.
  • Complete repetitions as prescribed by your physiotherapist.

2Grip Neutral
3 reps
20 seconds
Once / day
  • Come into a comfortable sitting position with the target limb positioned palm down with the elbow bent to 90 degrees.
  • Bending through the knuckles to grip the object of choice, squeeze inwards to the palm.
  • Hold the contraction as indicated by your Physiotherapist.
Olivia Hadfield Peak Physio

Daily / or as needed for symptom relief. Moderate pressure to ensure pain-free

3Wrist Extension
3 sets of 8 reps
2kg
Once / day
  • Position yourself with the affected limb positioned on a bench or as shown below or resting on the knee.
  • The elbow should be bent to approximately 90 degrees.
  • Using a hand weight prescribed by your physiotherapist, slowly extend the wrist and lower it past the level of the table or knee.
  • Repeat this extension for the determined number of repetitions.
Olivia Hadfield Peak Physio

If there are no issues with the lateral elbow pain these can continue otherwise see the next exercise!

4Wrist Extension
3 sets of 8 reps
2kg
Once / day
  • Position yourself with the affected limb positioned on a bench or as shown below or resting on the knee.
  • The elbow should be bent to approximately 90 degrees.
  • Hold the weight with the wrist in a flexed position.
  • Using the unaffected arm lift the wrist into an extended position.
  • Remove the support of the unaffected arm and slowly lower to the starting position.
  • The unaffected arm must be used each time to elevate the wrist into the extended position.
  • Control the return and repeat.
5Wrist Flexion
2 sets of 8 reps
  • Locate a sturdy table or bench top at hip height.
  • Place both palms of your hands onto the bench and ensure weight distribution is equal on each side.
  • Ensure the amount of weight you put through your hands is appropriate to your wrist strength and does not provoke your symptoms.
  • From this position pull your finger down into the bed, whilst maintaining a straight hand position in order to elevate your palms off of the bed.
  • Slowly lower the palms of your hands back down to the bed.
  • Complete this exercise for the repetitions prescribed by your Physiotherapist.
  • When completing this exercise ensure the appropriate weight is still being pressed through the hands throughout the entire movement.
6Towel Wring – Flexion
10 reps
  • Find a towel that you can comfortably hold within both hands.
  • Stabilise the towel with one hand whilst griping the towel with the other.
  • Rotate the towel forwards with the gripping hand so that your knuckles will point towards the ground.
  • Release the towel with your gripping hand, ensuring the tension is maintained within the towel.
  • Grasp the towel again with your knuckles pointing towards the roof and complete the previous motion again twisting the towel forward and increasing tension within the towel.
  • Repeat this process as many time as your Physiotherapist has prescribed.
Olivia Hadfield Peak Physio

Contact/cease if painful