Rehabilitation Tennis / Golfers Elbow Release

Tennis Elbow / Golfers Elbow release (Open and Arthroscopic)

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

Immediately post op.

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

2/52 -6/52

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

6/52 +

Increase heavy loading >2-3kg

2/52     Return to work for sedentary / low manual jobs

6/52     Full ROM wrist and elbow

2-6/52  Driving dependent on pain levels and ROM

6/52     Return to work for manual jobs

6/52     Swimming any stroke

3/12     Racquet sports