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 Elbow Epicondylitis Rehabilitation

Phase I - Acute Phase

Goals: - Decrease inflammation - Promote tissue healing - Stop muscular atrophy

Cryotherapy, Whirlpool
Stretching to increase flexibility: wrist extension/flexion; elbow extension/flexion; forearm supination/pronation
Isometrics: wrist extension/flexion; elbow extension/flexion; forearm supination/pronation

High Voltage Galvanic Stimulation
Phonophoresis ultrasound and Friction Massage
lontophoresis (with anti-inflammatory, i.e., dexamethasone)
Avoid painful movements (i.e., gripping, etc)

 

Phase II - Subacute Phase

Goals: Improve flexibility
Increase muscular strength/endurance

Increase functional activities/return to function

Exercises:

  • Emphasize Concentric/Eccentric Strengthening

  • Concentration on involved muscle group

  • Wrist extension/flexion

  • Forearm pronation/supination

  • Elbow flexion/extension

  • Initiate shoulder strengthening (if deficiencies are noted)

  • Continue flexibility exercises

  • May use counterforce brace

  • Continue use of Cryotherapy after exercise/function

  • Gradual return to stressful activities, Gradually re-initiate once painful movements

     

Phase III - Chronic Phase

Goals: - Improve muscular strength and endurance - Maintain/enhance flexibility

Exercises: - Gradual return to sport and high level activities

  • Continue strengthening exercises (emphasize eccentric/concentric) • Continue to emphasize deficiencies in shoulder and elbow strength • Continue flexibility exercises

  • Decrease use of counterforce Brace

  • Use of cryotherapy as needed

  • Gradual return to sport activity

  • Equipment Modification (grip size, string tension, playing surface) • Emphasize maintenance program

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