Medial Epicondyle Debridement — Medial Epicondyle Surgery

Orthopedic & Sports Medicine Specialists (OSMS)

Weight-Bearing

Sling for comfort

Key Restrictions

Avoid forceful PROM in extension or flexion Phase II; no swimming, throwing, or overhead serves until 12 weeks

Timeline & Phases

Phase I (surgery-2 wks): sling, grip strengthening, gentle forearm/wrist ROM, walking/Stairmaster with sling on, full passive ROM; Phase II (2-4 wks): full discontinuation of sling, shoulder strengthening/ROM, gentle elbow strengthening with active motion and submaximal isometrics, PROM advanced to AAROM with eccentric common flexor stretching, ball squeezes; Phase III (4-6 wks): task-specific functional training, strengthening with weights/bands, end-range/passive overpressure ROM, counterforce bracing, return to throwing/swimming at 12 wks, throw from pitcher's mound at 18 wks

Notes

OSMS Rehabilitation Guidelines; also known as golfer's elbow surgery; progressed quickly to prevent elbow stiffness (most common cause of failure)