Treatment of Lateral Elbow Pain

Presented by Ann Porretto-Loehrke

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This course is part of our CHT Prep Program. Learn more about the full prep program here: MedBridge CHT Prep Program.

Why is treating a “simple” tennis elbow diagnosis sometimes so difficult? Let this course help to guide you through a systematic approach to addressing impairments found within the clinical examination. This course provides the tools for treating issues arising from a musculotendinous, articular and neural origin. Gain clinical confidence in efficiently evaluating lateral elbow pain and optimizing your patient’s outcomes.

CHTs, when submitting this for recertification through HTCC, this course can be used for CAT B (hand therapy courses < 3 hours in length); however, if this course certificate is submitted with the following course certificates listed below, they can be submitted under CAT A (hand therapy courses > 3 hours in length)

  • Differential Diagnosis of Lateral Elbow Pain (2 hours)
  • Treatment of Lateral Elbow Pain (1.5 hours)


  • Meet your instructor

    Ann Porretto-Loehrke

    Ann Porretto-Loehrke is a skilled clinician with a passion for teaching and clinical treatment of upper extremity disorders. She has been practicing for 30 years and teaching continuing education courses for the past 20. She is the Clinical Development Coordinator at the Hand to Shoulder Center in Appleton, Wisconsin. Ann is…

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    Chapters & learning objectives

    Treatment of Musculotendinous Issues at the Lateral Elbow

    1. Treatment of Musculotendinous Issues at the Lateral Elbow

    This chapter covers treatment for a musculotendinous issue at the lateral elbow using transverse friction massage, and rhythmic stretching, in addition to providing an overview of the literature regarding strengthening.

    Treatment of Articular Issues at the Lateral Elbow

    2. Treatment of Articular Issues at the Lateral Elbow

    This chapter provides treatment methods to address issues at the humeroradial joint: manual techniques to address both hypomobility and hypermobility, which can contribute to lateral elbow pain.

    Treatment of Radial Nerve Issues at the Lateral Elbow

    3. Treatment of Radial Nerve Issues at the Lateral Elbow

    This chapter provides additional special tests to determine if a radial nerve irritation is present, followed by a treatment proposal consisting of neural flossing, addressing underlying mechanics at the HRJ, and a brief overview of ergonomic considerations.