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LATERAL EPICONDYLITIS (TENNIS ELBOW) PROTOCOLName: _________________________________________________________________________ Diagnosis: ______________________________________________________________________ Date of Surgery: _________________________________________________________________ Frequency: 1 2 3 4 times / week Duration: 1 2 3 4 5 6 Weeks______Weeks 0-6:? Elbow immobilizer / splint work for first 10 days post-op then passive ROM as tolerated? Gentle hand/wrist/elbow/shoulder stretching? Isometric hand/elbow/shoulder strengthening? Avoid active wrist extension for 6 weeks ______Weeks 6-8: ? Increase elbow/wrist ROM to full? Begin active wrist extension (no resistance yet)? Advance hand/elbow/shoulder strengthening exercises to maintain flexibility / ROM______Weeks 8+: ? Begin resisted wrist extension ? Gradual return to full activitySignature _______________________________________________ Date: ______________________ ................
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