Lateral epicondylitis tennis elbow nonoperative therapy

4 - 8 weeks:

Long Arm splint is applied in 20 degrees of dorsiflexion for continual wear, with the elbow blocked at less than 90 degrees of flexion. Ice and friction massage are started twice daily and ultrasound is instituted three times a week as necessary. Extensor carpi radialis stretching exercises are instituted as well with the wrist in flexion and the elbow in full extension while progressing from full pronation to full supination.

8 - 12 weeks:

Begin gentle progressive resistance to upper extremity using putty, hand helper and theraband.

NOTE: Check with physician before initiating.

Hand Therapy Home page