Elbow pain and bench pressing

((sorry for the long post, I tried to stay as concise as possible...))

I have a nagging pain in my right elbow... if my palms were turned up, the pain would be mostly on the top and to the outside of my elbow.

The pain seems to flair up mostly when I do bench presses. I read long long ago in somewhere I cant remember that when you bench, you should draw the elbows inward, towards your sides, with your ring finger on the smooth "rings" in the middle of the rough of the bar (wide grip).

I've been thinking that, by doing this, I might be pulling my elbows out from under my wrists... giving a kind of torque motion on my arms (imagine a wide grip triceps down press) ... but then I'm not really sure. Its the best idea I could come up with. I notice when I do push ups that if I flair my elbows out so that they're directly over my wrists I tend not to have so many pain issues...

So anyway I tried this on benching. Instead of pulling my elbows in, I let them flair out, and brought the bar down to my lower chest / upper abs area. 2 things happened.

1. It was hard as hell to bench this way
2. LOT less elbow irritation.

Ok so now I'm a bit confused...

1. Am I not supposed to be drawing my elbows in? Thats the way I learned it 10 million years ago when I first started benching...

2. I guess everything else is contingent upon that first question, but if I am supposed to keep my elbows out, why is it so much harder to bench that way? Is it just because its unfamiliar to me and I have to learn how to bench all over again? Or is this method just plain wrong and THATS why its so hard?

I've tried looking in a mirror while doing both forms... really my elbows dont change that much... just a few inches, and both drawn-in and flaired-out LOOK like they're pretty much under my wrist! Ok so help me out.

Oh and also, when I go home I put ice on my elbow and the pain goes away pretty quick. Dont know if that helps you understand it... same spot hurts when I do pull ups. Strain? Inflamed nerve? Its been getting better lately but it seems I keep re-injuring it on this bench thing.

DrSquat's picture

You're squeezing the bar!

You're squeezing the bar! Let up! Hold the bar as though it were a newborn babe!

Meantime, ice it aggressively. 5-6 times a day for a couple of days.

>> You're squeezing the bar!

>> You're squeezing the bar! Let up! Hold the bar as though it were a newborn babe!

◘ uh... what?

... you're NOT supposed to squeeze the bar?? Are you sure? I remember reading an article on that site... T Nation I think... said something about how tense muscles help other muscles around them get tense. And tension is what you want to lift the bar! Also the more tension you have in the muscles, the more growth you see...

Unless you mean to say that this particular kind of tension should be avoided...

But really, I should open my hands a little or grip the bar lightly? How bout elbow positioning... does that have anything to do with it?

Also I remember reading in your book (doc) that you should alternate the ice with heat. Do you still recommend that, or just ice by itself?

DrSquat's picture

Do NOT squeeze the bar! Ice

Do NOT squeeze the bar! Ice the elbows! Ice/heat is a therapy that I used to recommend because of research. Now, I say ice it because of more recent research. Do it. Frequently.

The information that Kid

The information that Kid Icarus is talking that suggests he should squeeze the bar has been made before. The rationale behind it is if you squeeze hard your mind will believe that it is using alot of power, so it is essentially a mental trick. If Fred's information suggests that that is a bad thing, we should simply find other ways to mentally prepare ourselves for a lift.
God is willing to work with you, but not for you

Sounds like tendonitis to

Sounds like tendonitis to me...If you flair your elbows you put more demand on the shoulder and pecs, which may be ideal from a bodybuilding perspective. bringing the elbows in will allow you to use more lats in addition to the pecs, and for most people will allow them to press more weight. For me, I press best raw with my elbows at about a 45 degree angle from my body, careful not to "tuck" the elbows and keep forearm perpendicular to the ground. With a shirted bench press, tucking the elbows will help make it easier to touch, but will also beat up the tendons in the elbow.

If I were you I would ice the elbows frequently, take a break from anything that irritates them, and after a few weeks come back focused on trying the 45 degree angle with no tucking of the elbows.

As far as gripping the bar, a tight grip seems to help me stay tighter all over, and trying to "pull the bar apart" lets me really engage the back and lats. I try to envision myself wrapping the bar around my chest.

Just my thoughts, take em with a grain of salt.

Vaughn Numrych's picture

Gripping the bar...

I have problems with both wrists and gripping the bar firmly makes it much more comfortable to bench. In fact, I have injured my wrists by gripping loosely so I think there may be more to it, depending upon your own physiology and injury history.

Definitely agree with Yukon about tendonitis. Ice and avoid aggravating it - if you try to train around it you will most likely just lengthen the recovery period.

Good Lifing!

Vaughn

----------------------------------------------------
This isn't happening, it only thinks it's happening.

Rubber Band

I have also found that putting a rubber band around your fingers (with all five fingers touching), and then spreading the fingers as far apart as possible and stretching the rubber band has helped my tendenitis in my left elbow. Has not gotten rid of it, but the pain is much less and is decreasing everyday. Also, I am able to lift normally if I do this.

I would as already has been

I would as already has been said not overtly tuck my elbows in. Along with the ice treatment If possible I would try different grip widths on the bench press from close to wider and see what felt better. Though moving the grip with a heavier weight is a recipe for problems so go lighter.

Also what about DB bench presses - do they bother you??? Any other exercises. Hammer curls, pronated curls, different tricep exercises, DB overhead presses, etc. What I would do is carefully attempt to determine where the link was and what may be aggrevating it. In so doing you may find that a particular movement actually makes it feel worse or even bettr and prevent a reoccurance.

My two bits.

I have found that, for me

I have found that, for me and a few others at least, the recipe for fighting back elbow tendonitis is ice (as others have suggested), ibuprofen (up to 2400 mg/day, which is prescription strength but can be reached with over the counter brands), and (probably most important) pumping blood into my forearms with wrist rollers done with the arms hanging down and working up slowly to heavy weights. But do not use so much weight that it hurts. The forearms should feel really pumped when you finish. I have had success with other lifters and even non-lifters with this approach.

Jim

Tendonitis has always been a

Tendonitis has always been a diet issue for me - when I clean up diet, connective tissue problems disappear...

Tendinitis from benching

Hi Kid

Elbow tendinitis will be an imbalance somewhere between the muscles acting on the elbow joint.

How much of the linked thread applies to you?

http://drsquat.com/content/main/training-and-nutrition/tendinitis-bench-...

My elbows are fine now. Hope yours are soon.

Nick

extra

By the way, tsears comments also apply. An alternative to the suggestions he offered is to open your hand in a bucket of sand. To increase resistance, either put your hand deeper or add a bit of water to the sand.

"Work the agonist / antagonist muscles equally" (Todd)

Nick

Ok, I tried the

Ok, I tried the ice-several-times-a-day thing and it worked amazingly well. Had no idea... guess it really is tendinitis. I had also thought about doing curls a few weeks ago. My elbow was REALLY bad... when I started doing curls it got a lot better. Curls + ice means its tremendously better.

I was doing no direct bicep work for a while, just lots and lots of pull ups. Ok guess that's over with now... I'll start doing the ABC routine on my biceps but sticking with power work for most other stuff.

I've been doing wrist curls like crazy. In fact been doing them more than my biceps... starting to look like Popeye.

Curls

For me, it's doing ordinary supinated barbell curls that helped the tendinitis - ez bar curls or dumbells don't have the same effect.

Nick

wlewisj's picture

I decided to give the

I decided to give the aggressive ice treatment a try after spending a few hundred dollars with my ART specialist with no results. After 3 days of constant ice, my elbow is finally feeling better. The last 2 years have been very painful for both of my elbows. But, I am finally on the right track.

So, for pain in the inside forearm just below elbow - Thor's hammer and finger extensions help. For pain above elbow in tricep tendon - icing and curls helps.

So, for the young powerlifters out there, there is a reason to do curls. Man, it's hard to believe that I said that.

Willis Lewis, Jr.
"The man that dreams success is already successful"

As long as...

Quote:

So, for the young powerlifters out there, there is a reason to do curls. Man, it's hard to believe that I said that.

***As long as you don't do them in the squat rack! Or is it that you can't do squats in the curl rack?

wlewisj's picture

You can say that again. We

You can say that again. We have 3 racks in the gym I lift at now. One day all three were being used for curls. Not one of them were even curling much over the bar and they were at it for about 10 minutes. Cheat reps, forced reps, and assisted reps with 65-80 pounds is a funny sight.

Willis Lewis, Jr.
"The man that dreams success is already successful"

Pete Read's picture

Curls? Are'nt those a waste

Curls? Are'nt those a waste of time if you do heavy rows?

Quote: Curls? Are'nt those a

Quote:

Curls? Are'nt those a waste of time if you do heavy rows?

***Not at all! Personally, I like to finish my workouts with concentration curls using the pink dumbbells for an extra pump - sometimes I have to grunt to get thru the last reps, but it's OH so worth it!

Pete Read's picture

You might not even need rows

You might not even need rows either. There was a bodybuilder that beat Arnold. All he did was squat, overhead press, deadlift, bench press for 2 sets of 22 reps each.

http://www.triedandtruefitness.com/the-boring-but-big-training-program-f...

wlewisj's picture

Pete, The curls will ensure

Pete,

The curls will ensure structural balance between the biceps and triceps. I have always done a ton of chins and rows and still developed elbow problems.

Willis Lewis, Jr.
"The man that dreams success is already successful"

Awesome blog. I enjoyed

Awesome blog. I enjoyed reading your articles. This is truly a great read for me. I have bookmarked it and I am looking forward to reading new articles. Keep up the good work!

Lakeside Home Search

Todd Wilson's picture

Assuming that 2 sets of 22

Assuming that 2 sets of 22 reps was all Chet did. Arnold's physique continued to improve. WHat happened Chet? And there's no indication of Arnold adopting the "good ole" 2by22 method.

Nothing wrong with a routine like that for a short microcycle, but as a way to train it's a joke.

besides, Arnold was 18 or 19 then.

Pete Read's picture

True...but its just amazing

True...but its just amazing that a someone actually won a major bodybuilding contest without doing any direct bicep or lat work. Of course it was the 60s though. Thats not happening these days.

Pete Read's picture

"To really appreciate just

"To really appreciate just how strong this man was, consider this: Chet Yorton did 22 reps with 225lbs for his first set of bench presses and 22 reps with 325lbs for the second set."

Not bad!

A bump. Todd is it correct

A bump.

Todd is it correct as written in this thread that thor's hammer is mostly to address pain below the elbow joint (ie. not above/near triceps tendon)?

I do Thor's hammer to both sides, pronations and supinations.
My elbows are generally good. I take a good deal of care for them. Ice following WO, thorough warm up, tiger balm, elbow sleeves, as relaxed grip as possible on presses without losing grip of course, massage the forearm muscles (esp carpe extensor ulna), etc.

But my left elbow is "chronically" a bit more hurting than the left one following elbow extension heavy workouts. I don't wanna work around the problem, I wanna fix the problem.

I do Thor's hammer. I do lots of back training with biceps in pronated or neutral grip and everything in between and also biceps work supinated. But the left triceps tendon issue seems to remain.

What issue should probably be addressed?

Interestingly the left elbow is also the one that "pops" (on the inside of the elbow near biceps tendon I think) when pronating the underarm, as relayed in my thread that you answered in recently. I emailed the ART provider and asked him to specify EXACTLY where and what was popping but he hasn't replied it...

wlewisj's picture

Thor's hammer fixes problems

Thor's hammer fixes problems in the forearm.

You need to undergo aggressive ice treatment as Doc described for pain related to tricep tendinitis.

Willis Lewis, Jr.
"The man that dreams success is already successful"

Todd Wilson's picture

Thor's hammer is great, but

Thor's hammer is great, but it doesn't necessarily work every time...... If it's chronic, be mindful of unilateral arm work. The slightest difference in technique or grip could be affecting it. Are you certain your bench grip is even? Are you certain you're pulling yourself to the center on pull ups? Are you supinating with the same ROM on db curls? Are your handles on your sled the exact same length? Do always drive with your left hand on top of the steering wheel? Believe it or not, I've fixed at least a half dozen elbow problems with that last one. Including my own!

You have to get anal retentive about paying attention to what you do with your arms for a week or two. Do you have a car trunk that opens funny? Could be any weird thing.

Or you could be a loser geek doomed to skinnydom.... It's just genetic in some folks you know?

Well my arm is almost 19

Well my arm is almost 19 inches in this pic (drug free) so I do not think it should be the loser geeek doomed to skinnydom, but that is the verdict for some folks true.
http://imagenic.net/viewer.php?file=z95a9pbpuoebuht02jbn.jpg

Bear in mind, I am so focused on remaining injury free that I take note of the slightest asymmetry, ie. left elbow feeling a bit more taxed than the left one.

Todd I DO think I have an issue. Because doing preacher curls as well as "preacher" curls with the resting pad more vertical I found that my RIGHT arm tended to be 1 rep stronger or so. Meaning I started with the left one. How to address this problem specifically?

Btw, how do you feel about Arnold's trick of making the DB slightly heavier in one end, thus adding weight to the supination when doing DB curls?

I write this commit without

I write this commit without meeting or knowing you OR your work outs, even your pro skill. This is only a commit. 'Set-backs' are a hinderance that to me can be taught to others that the same may not happen to the reading/listening audience. Therefore mine is a matter of prospective. You are very far ahead of me in strength. I would like to know your technique to come close to your former passed.
Power & Dominion

Todd Wilson's picture

If there is a unilateral

If there is a unilateral imbalance, use dumbbells for everything, start with the weakest side, and never perform more work wih the strongest side.

As for Arnie. Ok for variation, you achieve essentially the same effect by gripping the DB with either your palm or thumb against the plates. Effectively off-setting your grip. Use such a grip with Zottman curls.