Tennis Elbow
Focus: Pain reduction, tendon healing, strength Pain Management Cryotherapy (ice massage 10–15 min) TENS / IFT (pain relief)
Ultrasound (0.8–1.5 W/cm², pulsed in acute stage) Counterforce brace Mulligan Mobilization with Movement (MWM – lateral glide Helps reduce pain & improve grip strengt Exercise Therapy Strengthening (Progressive)
Isometric wrist extension (initial stage) Concentric → Eccentric exercise Eccentric loading improves pain & function significantly Examples Wrist extension with dumbbellTyler twist (Flexbar) Grip strengthening (ball squeeze. Functional TrainingTask-specific training (grip, lifting) Gradual return to activity Impairment Pain at lateral epicondyle Grip strength Wrist extensor strength Physiotherapy focus:Restore ROM Improve muscle endurance
Improve tendon load capacity (Psychological factors) Fear of movement (kinesiophobia) Chronic pain Management:
Patient education (condition is tendinopathy, not inflammation) Reassurance: recovery takes weeks–months Encourage adherence to exerciseDifficulty in: Holding cup Lifting objectsWriting / typing Rehab approach: ADL modification Ergonomic correction Gradual load progression Affecting work & daily life
Management: Activity modification (avoid repetitive wrist extension) Workplace ergonomics.
Most cases improve with conservative physiotherapy Pain relief → Ice + TENS Stretching → Wrist extensors Strengthening → Isometric → Eccentric Manual therapy → MWM
Functional training .
