Other causes of extensor tendinopathy in tennis are using new racquet, using a racquet that is strung too tightly, or using a racquet that is too heavy, as well as hitting wet or heavy balls or hitting into the wind. It is unclear if a grip that is sized too small or too large contributes to the development of lateral epicondylitis. However a recent, very small study by Rossi et al revealed that there may be an optimal grip size to reduce grip forces as well as reduce extensor tendon loading during a tennis stroke. [ 7 ] In addition, string vibration dampeners have not been shown to decrease the incidence of lateral epicondylitis. [ 8 ]
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