Is there a device, strap, tool, whatever, that would allow someone to use dumbbells but shift the load off the hand? Even powerlifting straps are a problem.
To press or pull?
Both. Weight canāt be on the hand. Anything proximal from the wrist is fine.
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Yowzers. Temporary or permanent?
Is barbell lifting a problem?

This is helping. ITās short term. Real bad lateral epicondylitis. Airrosti and ART have helped a little. Oh well. Price of getting old
