The elbow is capable of striking from many angles and various directions. It can be directed in a horizontally left, horizontally right, vertically downwards, vertically upwards, diagonally downwards from the top right to bottom left, diagonally downwards from top left to bottom right, diagonally upwards from bottom left to top right using the left elbow, and bottom right to top left using the right elbow fashion.
It can strike opponents coming in from behind in three different angles. The elbow is capable of swinging in a downward circular motion clockwise and even counter-clockwise towards the body's centerline. Jumping into the air can add power to this technique as well as the other downward moving elbow attacks. It can strike out while the body is facing side wards to the opponent and there is a spinning elbow attack which is used while turning towards the other person. Both elbows can strike straight downwards simultaneously towards the head or shoulders of the opponent and such a technique is called the Double elbow.