MANAGEMENT PLAN

Diagnosis: Subacute constant moderate right elbow medial epicondylitis

Orthopaedic intervention is not yet inclusive in this treatment plan, as this condition is in the sub-acute phase with no
prior treatment it is best to initially treat with a conservative approach and assess if it is improving the condition.
Orthopaedic intervention should be considered when non-surgical modalities are failing to reduce the pain or improve
function of the elbow.
Timeline Treatment Rehabilitation Progression PROMs/Home
advice
Phase 1 Education: cease all activities that Tissue sparing; 2 treatments ICE: apply ice for 15-
(2 weeks) reproduce pain / caused pain decrease strain and per week until 20 min 3 times per
Recovery further injury, perform pain free ROM day
phase Taping of elbow: to decrease tasks with elbow in a is reached
strain on the tendon and flexed position VAS: 6/10 every 4th
ligaments of elbow visit
Education on pain free
Electrotheraphy; to assist with ROM and the benefits of DASH:
tissue regeneration healing compared Every 4th visit
against “no pain, no
Mobilisation / manipulation of gain”
elbow/hand/shoulder to regain
ROM

Myofascial release

Phase 2 Education: new phase of Isometric exercises: Once per 2/52 VAS and DASH:
(4 weeks) treatment directed towards performed initially with when pain free Every 3rd visit
Rebuilding passive care, building stability the elbow in a flexed isometric
phase and coordination of muscles position. exercises and Exercises to be
around joint stability completed 3 sets of
Concentric / eccentric reached 15, performed twice
PNF / PIR stretching of the exercises: once pain daily
flexors, extensors of forearm free isometric exercises
are achieved
Mobilisation / manipulation of progression onto
elbow/hand/shoulder concentric / eccentric

Myofascial release
Phase 3 Education: return to activities in Continue Once per 4/52 Short PAR-Q
(2 weeks) pain free range of motion. concentric/eccentric until VAS and DASH
Return to Reassess technique to prevent exercises DASH is 0 VAS
play further injury, teach appropriate Continue home
warm up exercises Isotonic exercises. exercise program as
previously instructed

This report is used only for educational purposes with the CQ University Chiropractic Clinic System.