Rehabilitation Protocol
Elbow Arthroscopy
Protocol Overview
Elbow arthroscopy typically allows for faster recovery than many shoulder procedures. Early motion is encouraged to prevent stiffness, which is a common complication following elbow surgery. This protocol provides general guidelines—specific modifications may apply based on the procedure performed (loose body removal, debridement, contracture release, etc.).
Important: This protocol is provided as a guideline. Always follow the specific recommendations from Dr. Joshi and your physical therapist, as modifications may be necessary based on your individual surgery and healing progress.
Phase 1
Initial Recovery
Days 0-7Goals
- Control pain and swelling
- Protect incisions
- Maintain range of motion
- Prevent stiffness
Exercises
- Active elbow flexion/extension (within comfort)
- Forearm rotation (pronation/supination)
- Wrist and hand range of motion
- Grip exercises
- Shoulder range of motion
Precautions
- Ice and elevation
- Splint for comfort if provided
- Avoid heavy gripping
- No lifting
Criteria for Next Phase
- Pain controlled
- Maintaining baseline ROM
- Swelling decreasing
Phase 2
Motion Restoration
Weeks 1-4Goals
- Restore full range of motion
- Begin gentle strengthening
- Return to light activities
Exercises
- Active-assisted stretching for extension
- Flexion stretching
- Pronation/supination stretching
- Light resistance exercises
- Grip strengthening
- Wrist curls
Precautions
- Avoid pain with stretching
- No heavy lifting
- Gradual progression
Criteria for Next Phase
- Full or near-full ROM
- Minimal pain with motion
- Good strength base
Phase 3
Strengthening & Return to Activity
Weeks 4-8Goals
- Full strength
- Return to normal activities
- Sport-specific training if applicable
Exercises
- Progressive strengthening all directions
- Biceps and triceps exercises
- Forearm strengthening
- Sport-specific activities
- Work simulation
Precautions
- Gradual return to high-demand activities
- Monitor for any recurrence of symptoms
Criteria for Next Phase
- Full ROM and strength
- No pain with activities
- Return to work/sport
Return to Activity Guidelines
- Driving: 1-2 weeks
- Desk work: 1-2 weeks
- Light manual work: 4 weeks
- Heavy manual work: 6-8 weeks
- Golf: 4-6 weeks
- Tennis: 6-8 weeks
- Throwing: 8-12 weeks
All return to activity timelines are estimates and require clearance from Dr. Joshi based on your individual progress.
Questions About Your Recovery?
Contact our office or discuss with your physical therapist if you have questions about your rehabilitation.
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