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Treatment of Lateral Elbow Pain

presented by Ann Porretto-Loehrke

Accreditation Check:

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, PT, DPT, CHT, COMT, CMTPT

      Ann Porretto-Loehrke is a skilled clinician and dynamic instructor. She is the therapy manager of a large department at the Hand to Shoulder Center. Ann is a Certified Hand Therapist (CHT) and a Certified Orthopedic Manual Therapist (COMT) for treatment of the upper quadrant through the International Academy of Orthopedic Medicine (IAOM). She has extensive training in the evaluation and treatment of the upper quadrant. Ann completed a post-professional Doctorate in Physical Therapy (DPT) degree from Drexel University with a specialty in hand and upper quarter rehabilitation. Most recently, Ann has become certified in dry needling through Myopain Seminars, as a Certified Myofascial Trigger Point Therapist (CMTPT). She previously served as the Vice-Chair of the Examination committee for the Hand Therapy Certification Commission (HTCC). Ann also previously served as the Northeast District chair for the Wisconsin Physical Therapy Association from 2004 to 2008. She is a lead instructor who developed the Hand & Upper Extremity Track through IAOM, a set of six manual therapy courses designed specifically for hand and upper extremity specialists. Ann has presented at American Society of Hand Therapists (ASHT) annual conferences, Canadian Hand Conferences, Philadelphia meeting, and Teton Hand Conference.

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    Chapters & Learning Objectives

    Download Learning Objectives
    1. 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.

    2. 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.

    3. 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.