Physical Medicine and Rehabilitation for Epicondylitis Follow-up

Updated: Aug 30, 2018
  • Author: Sharon J Gibbs, MD; Chief Editor: Stephen Kishner, MD, MHA  more...
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Follow-up

Further Outpatient Care

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  • The patient should be seen for follow-up about 2-3 weeks after the initial evaluation to make sure that symptoms are subsiding and to determine whether the patient is ready to begin the reconditioning phase of his/her rehabilitation.

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Deterrence

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  • Patient education is a key element in preventing the recurrence of symptoms. Patients often have to modify the activities or the particular techniques that have led them to develop ME.

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Prognosis

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  • Overall, the prognosis is good, with few patients needing to progress to steroid injection and even fewer (typically less than 10%) needing surgical intervention to find relief. [15]

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Patient Education

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  • Patient education is an essential part of the rehabilitation process and is an important means of preventing the recurrence of symptoms. Patient education includes the following elements:

    • Modifying equipment (for example, increasing grip size on equipment, such as tennis rackets, golf clubs, and hammers) and using flexible shafts in golf

    • Modifying activities (such as avoiding repetitive activities that cause medial elbow stress), decreasing grip pressure, decreasing topspin in tennis, and evaluating throwing techniques may be appropriate.

  • For excellent patient education resources, see eMedicineHealth's patient education article Tennis Elbow.

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