Should You Train Through Elbow Pain? Expert Tips from Online Coaches

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Last updated: 18/05/2025
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  • Author: Zoe Patler
    Medically reviewed by Maria Vasquez, NASM Certified Personal Trainer and Sports Nutrition Coach with expertise in Functional Training and Running Coaching. CPR/AED certified for safe, effective workouts. Dedicated to helping you achieve strength, endurance, and optimal health.
That nagging ache in your elbow. It starts as a whisper during your push-ups, crescendos with every dumbbell curl, and screams when you reach for your coffee cup. You're motivated, committed to your fitness goals, but elbow pain throws a wrench in your routine. The burning question: Should you push through the pain or hit pause?
The answer, frustratingly, isn't a simple yes or no. Training with elbow pain requires nuance, understanding the cause, and intelligent modifications. Ignoring it can turn a minor niggle into a debilitating injury. Training smartly, however, can sometimes be part of the recovery process. Drawing on expertise from Mywowfit's certified online coaches and established guidelines, this guide will help you navigate wrist and elbow pain training tips with elbow pain safely and effectively.

table of contents

 injury support

Medical Disclaimer: The information provided in this article is for educational purposes only and does not constitute medical advice. Always consult with a qualified healthcare professional, such as a doctor or physical therapist, for any persistent pain, injury, or before starting a new exercise program, especially if you have an existing condition like elbow pain. The guidance from online coaches complements but does not replace professional medical diagnosis and treatment.

Understanding the Enemy: Common Causes of Elbow Pain During Exercise

Before deciding whether to train, we need to identify the likely culprit. Most exercise-related elbow pain stems from overuse and inflammation of tendons – the tough cords connecting muscle to bone.

  1. Lateral Epicondylitis (Tennis Elbow): Despite the name, it's not just for tennis players! This affects the tendons on the outside of the elbow, often aggravated by repetitive gripping, wrist extension, and activities like backhand swings, typing, or even excessive mouse use. Pain radiates from the outer bony bump (lateral epicondyle) down the forearm.
  2. Medial Epicondylitis (Golfer’s Elbow): Pain centers on the inside bony bump (medial epicondyle) of the elbow. It’s caused by repetitive wrist flexion and gripping – think golf swings, throwing, hammering, or performing heavy bicep curls or pull-ups with poor form.
  3. General Overuse/Strain: Sometimes, the pain isn't pinpointed to a specific tendon but results from simply doing too much, too soon, or with poor technique. This can involve muscles and tendons around the joint without meeting the full criteria for epicondylitis.

The Golden Rule: When to Train, When to Rest

The National Academy of Sports Medicine (NASM) and the American Council on Exercise (ACE) emphasize a pain-aware training approach. This isn't about ignoring pain, but intelligently responding to it.

STOP and Rest (Seek Medical Advice):
  • Sharp, stabbing, or severe pain.
  • Pain that wakes you up at night.
  • Significant swelling, bruising, or visible deformity around the elbow.
  • Pain that persists or worsens at rest.
  • Numbness or tingling radiating into the hand or fingers (could indicate nerve involvement).

Generally Safe to Continue (Focus on Form & Alternatives):
  • No pain during daily activities.
  • No pain during or after modified exercises that avoid stressing the elbow tendons.
  • This is where safe upper body workouts for elbow injury, focusing on legs, core, cardio, and intelligently modified upper body work and elbow pain workout modifications.
  • The 24-Hour Rule: Pay close attention to how your elbow feels the day after tennis elbow exercises. Increased pain, stiffness, or swelling indicates you overdid it and need to dial back further or rest.

Mywowfit understands that everyone's fitness journey is unique. We offer two ways to help you achieve your goals. Connect with a certified trainer through Zoom for personalized support and instant feedback. This option is perfect if you enjoy direct interaction and learn best with guidance in real time. Access customized elbow injury recovery workout plans designed just for you, available anytime through our app. This choice gives you flexibility and independence to train whenever and wherever it suits your schedule. No matter which path you choose, we're here to help you overcome any obstacles and achieve lasting results.

  • Truly personalized, human coaching
  • Flexible, anytime-anywhere training
  • Lifelong consistency: no burnout, no injuries

1-on-1 Workouts & Custom Fitness Plans with Online Personal Trainer

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Your Blueprint for Safe Training: Modifications & Alternatives

This is where intelligent programming makes all the difference. The goal is to maintain overall fitness and strength while allowing the irritated elbow tendons to heal. Training with elbow pain doesn't mean stopping everything; it means strategic changes and elbow pain workout modifications.

Sample Upper Body Modifications by Pain Level

General Principles for Safe Upper Body Workouts for Elbow Injury

  1. Neutral Grip is Best: Try holding weights with your palms facing each other (like you're shaking hands) whenever possible. This position puts less stress on the sensitive parts of your elbow.
  2. Go Lighter and Shorter: Using lighter weights and not going through a full range of motion, especially for exercises targeting biceps and triceps, can make things easier on your tendons. Partial repetitions can still be effective!
  3. Slow and Steady Wins the Race: Take it slow when lowering the weight – this controlled movement is gentler on your tendons than sudden, jerky motions.
  4. Warm Up Your Arms: Before you start lifting, spend some extra time warming up your shoulders, elbows, and wrists with movements like arm circles and wrist rotations. A little light resistance band work can also help.
  5. Ice it Down: After your workout, apply ice to your elbow for 15-20 minutes. This can help reduce inflammation, especially if you're experiencing any soreness.
  6. Pay Attention to Your Body: The most important thing is to listen to what your body is telling you. If an exercise hurts, stop doing it! There are always alternative exercises that you can try.
  7. Remember, taking care of your elbows will help you stay active and injury-free for the long haul.
Owen, Joint Replacement
Owen's experience playing various sports, even reaching provincial levels in rugby and athletics, makes him a great motivator. He understands the ups and downs of physical activity and is there to offer support, help you manage frustrations, and keep you on track for a safe and healthy recovery.

How Mywowfit Online Coaches Guide You Through Elbow Pain Recovery

At Mywowfit, we understand that injuries like elbow pain aren't just physical setbacks; they're mental hurdles too. Our certified trainers specialize in injury-aware coaching. Through personalized assessment, intelligent modifications, and constant communication, we empower you to train confidently and recover effectively, turning your pain point into a point of resilience. Our expertise in virtual trainer injury support ensures you get professional guidance, tailored to your unique situation, right from home.

To best suit your preferences and needs, we offer two distinct online coaching for elbow pain formats:


  • Live 1-on-1 Sessions: Receive personalized support and real-time guidance from a certified instructor via Zoom. Perfect for those who thrive with direct interaction and immediate feedback.
  • To-Go Trainer-Led Plans: Access customized workout plans and support through our app. Ideal for those who value independence and flexibility in their training schedule.

Dealing with injury is mentally tough. Your coach provides encouragement, helps manage frustration, and keeps you accountable to the smart path to recovery, not the rushed one.

  • Truly personalized, human coaching
  • Flexible, anytime-anywhere training
  • Lifelong consistency: no burnout, no injuries

1-on-1 Workouts & Custom Fitness Plans with Online Personal Trainer

★★★★★ 4.8 out of 5 across 600+ reviews

Client Success Story

Mark T.
I developed a terrible golfer's elbow from overdoing pull-ups and push-ups. I was terrified I'd lose all my upper body strength. My Mywowfit coach didn't just tell me to rest; she gave me a whole plan – modified rows, specific stretches, and even leg workouts that kept me motivated. She analyzed my form over video and fixed the tiny errors causing the strain. Within 8 weeks, the pain was gone, and I was back to modified pull-ups, stronger and smarter. The virtual trainer injury support was incredible

Conclusion

Elbow pain doesn’t have to derail your fitness journey, if you approach it with patience, knowledge, and expert guidance. The key is to listen to your body, distinguish between safe discomfort and harmful pain, and make intelligent modifications to your training. Whether you're dealing with tennis elbow, golfer’s elbow, or general overuse, the right adjustments can help you stay active while allowing your tendons to heal.

  • Truly personalized, human coaching
  • Flexible, anytime-anywhere training
  • Lifelong consistency: no burnout, no injuries

1-on-1 Workouts & Custom Fitness Plans with Online Personal Trainer

★★★★★ 4.8 out of 5 across 600+ reviews

Frequently Asked Questions

Can I still work out with elbow pain?
Yes, but with modifications. Avoid pushups with elbow pain and movements that directly aggravate the pain (e.g., heavy pressing, pull-ups, or wrist-intensive exercises). Focus on lower-body, core, and modified upper-body workouts that minimize elbow strain.

Should I stop lifting weights completely?
Not necessarily. Reduce weight, adjust grip (neutral is best), and avoid full-range motions that stress the tendons. Light resistance bands, machines, and partial reps can help maintain strength safely.

What exercises should I avoid with tennis/golfer’s elbow?
  • Tennis Elbow (Lateral Pain): Avoid heavy backhands (in sports), wrist extensions, and exercises like dips or skullcrushers.
  • Golfer’s Elbow (Medial Pain): Skip heavy gripping (deadlifts, pull-ups), wrist curls, and excessive bicep curls.

Are push-ups bad for elbow pain?
Standard push-ups can aggravate elbow pain if form is off (flared elbows). Try incline push-ups or bench presses with a neutral grip to reduce strain.

Responses (9)

  • MARCUS
    Feeling less freaked out about keeping my routine on lockdown during injury now.
  • no name
    Here’s the tea: training through pain won’t make you a hero, it’ll just make you hurt more.

References / Sources
  1. Tennis elbow - mayoclinic.org
  2. Medial Epicondylitis. Evaluation and Management - journals.lww.com

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