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 .
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