If an exercise is painful there are 2 rules

  • Don’t do that exercise (temporary)
  • Modify the exercise to a pain free variation

So keep moving! Do not stop exercising, just be smart about what you do

Dr. Pieter de Smidt, PT, DPT


We have a few options to modify your work out, based on how much pain and difficulty you have with working out. We start working out just the good the arm and then slowly add load to the injured side, but in a limited range of motion (ROM) and with emphasis on Isometric holds. The we add Blood Flow Restriction (BFR) which allows us to get the same benefit form heavy workouts, but using a much lower intensity. before we go back to normal loading, we may use variable resistance.

  • Train with good arm only
  • BFR
  • Isometrics
  • Limit ROM
  • Variable resistance

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