Driving After Total Elbow Replacement: Recovery Milestones and Safety Checklist

Return-to-driving after total elbow arthroplasty (TEA) is individualized; no universal timeline. Typical milestones:

1. Sling discontinuation (usually 2–4 weeks).
2. Active ROM ≥100° flexion, functional extension for steering/shifting.
3. Grip strength ≥70% contralateral for brake/steering control.
4. Pain controlled without narcotics during daytime.
5. Surgeon/PT clearance after functional assessment.

Vehicle Adaptations (if needed)

• Spinner knob (one-hand steering).
• Hand controls for brake/accelerator.
• Automatic transmission (avoids clutch).

Graduated Return

1. Empty parking lot practice.
2. Low-traffic daytime routes.
3. Progress to highway/night as confidence returns.

Document clearance in chart; notify insurer if required.