Orthopaedic Surgeon
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:
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Emphasize Concentric/Eccentric Strengthening
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Concentration on involved muscle group
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Wrist extension/flexion
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Forearm pronation/supination
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Elbow flexion/extension
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Initiate shoulder strengthening (if deficiencies are noted)
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Continue flexibility exercises
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May use counterforce brace
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Continue use of Cryotherapy after exercise/function
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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
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Continue strengthening exercises (emphasize eccentric/concentric) • Continue to emphasize deficiencies in shoulder and elbow strength • Continue flexibility exercises
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Decrease use of counterforce Brace
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Use of cryotherapy as needed
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Gradual return to sport activity
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Equipment Modification (grip size, string tension, playing surface) • Emphasize maintenance program