Ask a PT Response: "Regaining motion at the elbow will require some patience and hard work as gains can sometimes be slow. Range of motion gains will significantly be dependent on the severity of the osteoarthritis at your elbow. Bony spurs or other structural deficits at the elbow can affect the ability to obtain additional range of motion. For my patients who have deficits with range of motion at the elbow, I would often prescribe static strethcing along with the use of a hot pack. For example, I would have my patient hold a weight in his/her hand and let the weight stress the elbow into extension. I would also have them utilize the uninvolved upper extremity as well to assist with stretching. Joint mobilization techniques could also be performed to the elbow joint of the patient as well. Since you are concerned about avoiding surgery, it may be a good idea to work with a PT to see if you can achieve additional gains with ROM and function. Best of luck to you."