Patología específica del codo y la muñeca en el tenis

Common tennis serve errors that increase the risk of tennis elbow

Most serving errors that trigger tennis elbow come from poor grip, stiff wrist action, late toss and over-hitting with a tired arm. Correcting these with small grip and stance changes, cleaner toss mechanics, controlled pronation, appropriate strings and measured training volume reduces stress on the outer elbow and keeps your serve both powerful and safer.

Primary serving faults that elevate tennis elbow risk

  • Using a forehand-style or too-tight grip that locks the wrist and overloads the extensor tendons.
  • Serving from a static stance without real weight transfer, forcing the arm to do all the work.
  • Tossing too far behind or to the left (for right-handers), then arching and yanking with the arm.
  • Snapping the wrist aggressively instead of driving from legs, trunk and shoulder rotation.
  • Choosing stiff frames, tight strings or heavy racquets that increase impact shock into the elbow.
  • Piling up high-intensity serves while fatigued, with no structured progression or recovery.

Grip and wrist errors that overload the extensor tendons

This section is ideal for intermediate players who already rally comfortably and want to serve faster without aggravating the elbow. Skip these drills and see a professional if you have sharp pain at rest, night pain, or you are already under tratamiento codo de tenista from a doctor or physiotherapist.

The main grip and wrist problems that raise tennis elbow risk during the serve are:

  1. Using an eastern forehand grip instead of a continental grip, which forces you to hit with a straight, locked arm.
  2. Squeezing the handle too hard, especially at impact, causing constant tension in the forearm extensor tendons.
  3. Starting the motion with the wrist extended and rigid, then abruptly flexing or snapping at contact.
  4. Letting the wrist lead the motion instead of letting the arm and racquet flow as one relaxed unit.

Safer corrections you can try:

  1. Adopt a true continental grip; mark the bevel with a pen or overgrip line so you can check between serves.
  2. Rate your grip pressure from 1 to 10; keep it around 4-6 before the toss and allow it to rise only slightly at impact.
  3. Practice slow-motion shadow serves focusing on a neutral wrist; the racquet should feel like it lags behind, not like you are flicking it.
  4. Do short, half-speed serves aiming for effortless contact; if you feel forearm tension, reset the grip and reduce power.

If discomfort appears or increases, stop and consider fisioterapia para codo de tenista for a tailored assessment of tendon load and technique.

Common stance and weight-transfer mistakes during the serve

To adjust stance and weight transfer you only need basic court access, your normal racquet and a few balls. A phone camera is useful for slow-motion review. This section is safe if you have only mild discomfort; with stronger pain, prioritise medical guidance and gentle prevención y ejercicios para codo de tenista.

Prepare the following:

  1. Your usual match racquet and shoes, to keep the feel similar to real play.
  2. A clearly marked baseline; use tape or existing lines to check foot alignment.
  3. A smartphone placed behind you or on the side of the court to record 5-10 serves.
  4. Optional: a coach or partner who can give immediate feedback on balance and weight shift.

Key stance and transfer mistakes to watch for in the video:

  • Feet too narrow or too wide, making it hard to push off and forcing the arm to generate power alone.
  • No clear shift of body weight from back foot to front foot during the motion.
  • Landing falling backwards or sideways instead of moving into the court.
  • Holding the trunk rigid instead of using a smooth, co-ordinated leg-hip-torso drive.

To correct these errors, start with standing drills: rehearse loading onto the back leg, then driving forward into a split step without hitting the ball. Add the racquet only once the balance and rhythm feel natural and pain-free.

Flawed toss timing and placement that cause compensatory stress

Before changing toss mechanics, be aware of these simple risks and limits:

  • Do not practise toss work on days when your elbow is already sore from matches or strength training.
  • Stop immediately if pain increases during the session; pushing through can worsen tendon overload.
  • Avoid high-volume serving; keep early sessions short and focus on quality, not speed.
  • If your pain does not improve over time, seek fisioterapia para codo de tenista and medical advice.

Follow these steps to build a safer toss that reduces the need for elbow-heavy compensations:

  1. Define a consistent contact window – Stand without racquet and imagine your ideal contact point slightly in front of you and to the right (for right-handers). This forward position lets the body drive the ball, so the elbow does not have to yank the racquet up behind your head.
  2. Practise the tossing arm path – Keep the tossing arm straight and relaxed, lifting from the shoulder instead of the wrist. Finish with fingers pointing to the sky, then let the arm drop naturally; avoid sudden stops or flicks that disrupt timing.
  3. Refine height and forward placement – Toss the ball so it peaks just above your fully extended racquet would reach, and lands slightly inside the baseline. If the toss drifts behind you or to your left, abandon the serve and start again to avoid compensatory arching and elbow strain.
  4. Synchronise toss with leg drive – Add a gentle knee bend that reaches its lowest point just as the ball peaks. Drive up with the legs while the racquet drops behind your back; this timing shifts load away from the elbow onto the larger leg and trunk muscles.
  5. Integrate with half-speed serves – Hit 5-10 serves at 50-60% effort focusing only on toss location and balance. If you need to reach or twist late to find the ball, your toss is off; correct it before increasing power or volume.

Excessive use of wrist snap and pronation imbalances

Use this short checklist after a serving session to verify that wrist and forearm mechanics are elbow-friendly:

  • Your wrist feels relaxed and lightly tired, not burning or tight along the outer forearm.
  • Slow-motion video shows the racquet accelerating mainly from shoulder and trunk rotation, not from a flicky wrist.
  • You see smooth forearm pronation after contact, without a sudden, forced snap into the ball.
  • Your follow-through finishes across the body or on the same side, not frozen abruptly after impact.
  • On kick and slice serves, you still feel drive from legs and core, not only from twisting the forearm.
  • You can reduce power by half without changing your basic motion, which suggests control over force, not desperate arm-hitting.
  • Elbow and forearm feel at least as good the next morning as they did immediately after play.
  • If you already use órtesis y coderas para codo de tenista, you notice that they support comfort but you still prioritise technical correction.

Equipment and stringing choices that amplify impact forces

Even perfect technique cannot fully protect your elbow if equipment is harsh or mismatched. These are the most common racquet and string mistakes that increase impact forces into the outer elbow tendons:

  • Choosing an overly stiff racquet frame that transmits more shock on hard and artificial courts common in Spain.
  • Stringing with full polyester at high tension, which reduces dwell time and increases vibration.
  • Using a racquet that is too heavy or too head-heavy for your current strength and timing.
  • Playing with dead, old strings that have lost elasticity and feel.
  • Ignoring grip size, leading to either over-gripping a handle that is too small or fighting a handle that is too large.
  • Switching models or string setups abruptly without a gradual adaptation period in training.
  • Copying professional players' specs without considering your own level, physique and injury history.

Whenever you adjust equipment, track how your elbow feels during and 24 hours after play. Combine softer strings, moderate tension and an appropriate frame with técnica-focused clases de tenis para mejorar el saque y evitar lesiones to reduce risky shock loads.

Training volume, fatigue and progression errors that precipitate injury

When the tendon is already irritated, reducing serving load is more effective than any technical tweak alone. Consider these safer alternatives and progressions:

  1. Replace full serving sessions with targeted shadow swings and low-intensity service returns for one or two weeks, while continuing prevención y ejercicios para codo de tenista such as forearm strength and shoulder control work prescribed by a professional.
  2. Shift some practice volume from flat first serves to second-serve patterns and placement drills at reduced speed, protecting the elbow while still improving your tactics.
  3. Use shorter sets of 5-8 serves with longer rest intervals instead of long, continuous baskets; stop if technique deteriorates because of fatigue.
  4. During flare-ups, focus on footwork, backhand and net skills and let medical staff guide decisions about tratamiento codo de tenista, including possible fisioterapia and temporary use of órtesis y coderas para codo de tenista.

Practical answers on preventing serve-related elbow strain

How can I tell if my serve is overloading the outer elbow?

Warning signs include soreness on the outside of the elbow when gripping, lifting a bag, or after serving sessions, plus a feeling of stiffness the next morning. Video from behind that shows lots of arm-only effort and late toss adjustments is another indicator.

Should I completely stop serving if I feel early tennis elbow symptoms?

Reduce or pause serving as soon as pain appears, especially flat first serves. You can normally keep light groundstroke and footwork practice, but only if pain stays mild and does not increase during or after the session.

Are serving lessons really useful for elbow prevention?

Yes. Well-structured clases de tenis para mejorar el saque y evitar lesiones help you build leg drive, trunk rotation and clean toss mechanics, so the elbow is not the main power source. This lowers tendon stress while still improving speed and accuracy.

What role do exercises away from the court play in protection?

Targeted prevención y ejercicios para codo de tenista, such as progressive forearm, shoulder and scapular strength work, prepare your tissues to tolerate serving loads. A physiotherapist can adapt the difficulty to your level and pain response.

When is it time to seek professional treatment for tennis elbow?

If pain lasts more than a couple of weeks, worsens with daily tasks, or returns quickly after you resume serving, consult a sports doctor or physiotherapist. Early tratamiento codo de tenista usually shortens recovery and guides safe technical changes.

Do braces or elbow supports allow me to keep serving normally?

Órtesis y coderas para codo de tenista may reduce symptoms temporarily, but they do not fix poor technique, high volume or harsh equipment. Use them only as part of a plan that includes load management, technical coaching and, if needed, fisioterapia para codo de tenista.

How can I safely increase serve speed without hurting my elbow?

First stabilise technique and comfort at moderate speed. Then increase pace gradually by adding leg drive and trunk rotation while keeping a relaxed grip and neutral wrist. Track how your elbow feels 24 hours after practice and only progress if it remains comfortable.