Adam Seidl, MD - Board Certified Orthopaedic Surgeon - Shoulder and Elbow Specialist

Adam Seidl, MDBoard Certified Orthopaedic SurgeonShoulder and Elbow Specialist

Lateral Epicondyle Debridement and Extensor Repair

Phase I: Early ROM & Protect Repair (0 to 2 weeks)

  • Operative Splint to be removed on Post-op day 2.
  • Universal wrist splint to be placed once operative splint removed and worn at all times other than when performing exercises
  • No strengthening or repetitive exercises
  • Shoulder/Elbow/Wrist/Hand active and passive ROM. Initial focus should be on regaining terminal elbow extension.
  • Use elevation and ice to treat elbow/forearm/hand swelling

Phase II: Full ROM (2-6 weeks)

  • Continue to wear wrist splint for ADLs
  • No strengthening or repetitive exercises
  • Gradually increase A/PROM exercises. Goal to have full ROM by 4-6 weeks post-op. Begin Shoulder isometrics (scapula, abduction, ER, avoid IR resistance)

Phase III: Strengthening a return to activities (>6 weeks)

  • May discontinue wrist splint and wear counterforce brace until asymptomatic with full ROM and normal strength
  • Avoid pain. If exercises are causing pain, drop back to early phase until pain free
  • Continue with ROM and add strengthening exercises starting with isometrics. Advance to resistance exercises and eccentric strengthening as tolerated. Use modalities as needed.
  • Return to full activities is typically 12 weeks after surgery

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Location Map

  • Orthopedics - University of Colorado Hospital

    1635 Aurora Ct,4th Floor
    Aurora, CO 80045

  • Highlands Ranch Hospital

    1500 Park Central Dr #401,
    Highlands Ranch,CO 80129

  • UCHealth Steadman Hawkins Clinic Denver

    175 Inverness Drive West, Suite 200,
    Englewood, CO 80112

Credibility Logos

  • The American Board of Orthopaedic Surgery logo
  • American Academy of Orthopedic Surgeons logo
  • American Shoulder And Elbow Surgeons logo
  • Western Orthopaedic Association logo
  • Alpha Omega Alpha
  • Moon Shoulder