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Throwing activities are usually limited for approximately 6 to 8 weeks. The actual length of rest depends on the degree of soreness. In approximately 7 to 10 days, the athlete may begin a light stretching program. The stretches should include the wrist flexors (figure 2), wrist extensors (figure 3) and elbow flexors (figure 4). In addition, a light strengthening program is initiated. The athlete should begin with isometric strengthening and perform these exercises for one week. Then, at 3 weeks, the athlete may begin an isometric strengthening program. The Thrower’s Ten Program is commonly prescribed.

Once the athlete exhibits full non-painful range of motion, normal strength and no tenderness over the injured area, the athlete may begin an interval-throwing program. The throwing athlete should begin throwing from 45 feet and gradually increase the distance over the next several weeks.

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