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                   The SUPER Tennis Elbow Brace Instructions for use (Open -End Model)

The supination Forearm brace is used for the medical condition known as lateral epicondylitis, or ‘tennis elbow’.  Wear the brace several hours daily on the affected arm.  The brace may also be used while doing activities.  ***While the brace is intended for relief of the condition known as tennis elbow, the injury also requires resting the affected arm.
Instructions:

1) Place one end  of the brace on the top of the wrist, Velcro and plush surface side up .  

(Diagram is for left handed use).

                      Figure 1                                                          Figure 2                                                                    

     

                                                                                   Figure 3 
2) Wrap the brace around the wrist, fixing it to the exposed Velcro-side.  
3) From the back of the hand, pull the brace laterally around the forearm in a spiral fashion toward the back of the elbow, (Figure 3).

Figure 4     

                                                   FIgure 5                                                   
                                                                                                                                                                  
4) Wrap the brace around the back part of arm behind the elbow, then cross back over the spiral portion of the band on the forearm, (Figure 4).
5) Continue wrapping the distal end of the brace around the forearm once more.  Attach the Velcro end of the brace to the band part of the brace at a resistance level most comfortable, (Figure 5).  The spring like tension of the band acts to oppose the forearm pronator muscles, relaxing on the supinator and extensor muscles of the forearm.
          
Lateral epicondylitis affects 1-2% of the population.  The cause is felt to be from repetitive overuse of the muscles originating on the lateral epicondyle.  The Supination Brace utilizes elastic tension to encourage the user’s arm in both supination and extension to alleviate forces affecting the extensor tendons such as the extensor carpi radialis brevis muscle that originates from the lateral epicondyle.  

Warning: Temporary numbness and tingling of the fingers and hand may occur with prolonged use.  Should this occur, loosen or remove the braceuntil symptoms resolve.

The Supination Forearm Brace for “Tennis Elbow”
Instructions for use FIxed loop Model
The supination Forearm brace is used for the medical condition known as lateral epicondylitis, or ‘tennis elbow’, by encouraging the user’s forearm to the position of anatomic supination and dorsiflexion.   

The brace is placed on the arm by the following instructions:

1) The notched loop is placed on the thumb of the injured arm.  Make sure to place the correct side of the notched loop, tag side up, onto the thumb (Figure 1, diagram is for left handed use)
Figure 1

2) Wrap the brace onto the back of the hand in a spiral direction, pulling the brace laterally around the forearm in a spiral fashion toward  the back of the elbow, (see Figure 2)
Figure 2



3)  Continue wrapping the brace around the back part of the elbow.  (Figure 3).  
Figure 3


4) The  band then crosses  back over the spiral portion of the band on the forearm. The velcro surface   on the band portion of the brace should be seen face up on the forearm. (Figure 4).   

Figure 4


Figure 5

5) Continue wrapping the distal end of the brace around the forearm once more.  Attach the end of the brace (velcro loop) to the velcro on the band part of the brace. (Figure 5).

The spring like tension of the band acts to oppose the forearm pronator muscles, relaxing on the supinator and extensor muscles of the forearm.  If the tension becomes too great on the hand, the notched loop may be removed from the thumb while still wearing the brace (Figure 6).
Figure 6

Other ways to wear the brace loop around the entire hand,    Fig. 7, 8.            
                                                                                                                             Figure 7
       Figure 8                                    
   Or place the brace loop around the wrist  , Fig.  9                                       Figure 9


Wear the brace several hours daily on the affected arm.  The brace may also be used while doing activities.  ***While the brace is intended for relief of the condition known  tennis elbow, the injury also requires resting the affected arm.