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This guideline is intended to assist clinicians and patients through the non-operative course of care for Medial and Lateral Epicondylitis/Epicondylalgia. This protocol is time based (dependent upon tissue healing) as well as criterion based (dependent upon patient tolerance).
WHAT ARE THE TREATMENT OPTIONS FOR LATERAL EPICONDYLITIS? Lateral epicondylitis typically improves with non-surgical treatment, although it can take time to heal especially if symptoms have present for long periods. The most important component of treatment is a progressive active exercise program that builds strength and endurance in the ...
Lateral epicondylitis, also known as "Tennis Elbow", is a common overuse syndrome in the elbow. It is a tendinopathy involving the extensor muscles of the forearm; extensor carpi radialis brevis (ECRB), extensor digitorum communis (EDC), extensor carpi radialis longus (ECRL) and supinator.
Avoid pain. If exercises are causing pain, drop back to early phase until pain free. Continue with ROM and add strengthening exercises starting with isometrics. Advance to resistance exercises and eccentric strengthening as tolerated. Use modalities as needed. Return to full activities is typically 12 weeks after surgery.
Discontinue sling at two weeks. • Modalities as needed for inflammation. • Advance tissue mobilizations within tolerance over common extensor tendon. Begin passive wrist range of motion in all planes as tolerated. Begin active shoulder range of motion, emphasize protraction and retraction.
Physical Therapy. Exercises to strengthen the forearm muscles can begin as soon as the pain subsides. Building strength will help protect the injured tendon and prevent the Injury from happening agam. Medication. Sometimes anti-inflammatory medication helps reduce the pain.
Both tennis elbow (lateral epicondylitis) and golfer’s elbow (medial epicondylitis) are painful conditions caused by overuse. Over time, the forearm muscles and tendons become damaged from repeating the same motions again and
