Treating Tennis Elbow: Effective Options for Relief

Overview

Tennis elbow, also called lateral epicondylitis, is a common condition causing pain on the outer side of your elbow. It’s caused by overuse of the muscles and tendons that bend your wrist backward. While often associated with racket sports, it can affect anyone involved in repetitive gripping or wrist movements.

Most patients can find relief without surgery. Here’s an overview of treatment options:

Non-surgical Treatments

  • Rest: This is crucial to allow the injured tissues to heal. Reduce or stop activities that aggravate the pain for several weeks.
  • Pain medication: Over-the-counter pain relievers like acetaminophen or ibuprofen can help manage discomfort and inflammation.
  • Physical therapy: Specific exercises strengthen the forearm muscles and improve flexibility, aiding healing. Techniques like ultrasound, ice massage, or muscle stimulation might also be used.
  • Bracing: Wearing a brace helps support the forearm muscles and tendons, reducing pain during activities.
  • Steroid injections: Injections of cortisone, a powerful anti-inflammatory medication, can provide significant pain relief.
  • Platelet-rich plasma (PRP) therapy: This involves injecting a concentrated solution of your own platelets into the injured area to promote healing.

Surgical Treatments

If non-surgical options fail to provide relief after 6-12 months, surgery might be considered. It usually involves removing damaged tissue and reattaching healthy muscle to the bone. There are two main approaches:

  • Open surgery: This is the traditional method, involving a larger incision over the elbow for direct access.
  • Arthroscopic surgery: A minimally invasive technique using a camera and small incisions for greater precision and quicker recovery.

Recovery after Surgery

  • Your arm might be immobilized in a splint temporarily after surgery.
  • Exercises are gradually introduced to restore flexibility and strength, starting with gentle stretches and progressing to light strengthening exercises after 2 months.
  • Returning to full activity typically takes 4-6 months, depending on your progress and doctor’s guidance.

Important to Remember

  • Tennis elbow surgery has a high success rate (80-90%), but some loss of strength might occur.
  • Discuss all treatment options with your doctor to determine the best approach for your individual case.
  • Early diagnosis and treatment can help prevent complications and ensure faster recovery.