Rehabilitation Tennis / Golfers Elbow Release

Tennis Elbow / Golfers Elbow release

Indications: 

• Refractory tennis or golfers elbow not relieved by physiotherapy or PRP injection.

Protocol:

Immediately Post Operation

• Full active ROM into elbow flexion / extension / supination / pronation
• Full active wrist flexion / extension within comfort, should only feel a mild stretch at the end of range.
• Bandage can be taken down after 48 hours

2 - 6 weeks

• Elbow strengthening into flexion / extension
• Graduated resistance programme for wrist extension / flexion. All exercises should be in pain free ROM with good quality movement and muscle activation, (remembering mid prone position)
• Eccentric protocol initially
• Progress to concentric loading
• Graduated strengthening program into pronation
• Ensure adequate pain control

6 weeks +

• Increase heavy loading

Milestones:

2 weeks     

• Return to work for sedentary / low manual jobs

2 - 6 weeks

• Driving dependent on pain levels and ROM

6 weeks    

• Full ROM wrist and elbow
• Return to work for manual jobs
• Swimming any stroke

12 months    

• Racquet sports / Golf

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