Conservative Treatment Protocol

  • Phase 1
    • Reduce pain and inflammation if the pain is severe. 
    • Use a wrist immobilization splint and a counterforce brace to reduce tension over the common extensor tendon.
    • Use heat 2 times a day for 10-minute sessions to help with pain. 
    • Gentle manual massage for 5-minute sessions twice a day.
    • Recognize activities that cause pain and modify or discontinue those activities to reduce stress on the elbow. (Ex: Grasp objects with the palm up instead of with the palm down)
    • Exercise: walk, strengthen shoulders and trunk. 
  • Phase 2 (3 weeks)
    • Heat before stretching
    • Active Stretching of wrist and FA. 4 x’s a day for 10 reps.  15 sec holds
  • Phase 3 (4-6 weeks)
    • Passive stretching and strengthening
    • Passive stretches to comfort level.
    • Eccentric strengthening every other day.

Exercises for Conservative Management

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