The majority of patients get better with conservative treatment, however if surgery is required then it may be 8 weeks before the patient has recovered.
Mr. Elliot Sorene MBBS FRCS (Tr & Orth) EDHS Consultant Orthopaedic, Hand & Upper Limb Surgeon talks about Surgery for Tennis Elbow.
Tennis elbow surgery
Both golfers elbow and tennis elbow are approached surgically in a simliar manner. Breakdown of the tendon can occur in people who undertake unaccustomed or hard exercise putting strain on the elbow. The vast majority of cases of tennis elbow do respond to conservative treatment of rest, ice, ultrasound and occasionally a steroid injection.
Also these days patients can be treated with platelet rich plasma injections where blood is taken form the patient themselves and with a centrifuge the clotting and healing factors of the patients blood are injected into the area on the elbow where the tendon has frayed.
However, more simple methods such as physiotherapy, rest, changing activities and avoiding provoking activities are the preferred method of treatment initially. Wearing an epicondylitis clasp or tennis elbow support can also take the strain off the injury allowing it to heal.
Surgical treatment of tennis elbow consists of recessing and releasing the portion of frayed or diseased tendon, removing it from the bone whether it be on the inside for golfer's elbow or the outside for tennis elbow. More modern techniques undertake the same operation using endoscoptic or keyhole surgery where a very small incision is made rather than opening up the area. The principle of tennis elbow surgery is the same though whatever the surgical technique and that is to release the damaged tendon from the bone.
Chiropractor Dr Maria Madge talks about tennis elbow.
Tennis elbow is a very generic term describing an area of pain on the outside of the elbow. You do not have to be a tennis player to get it.
Pain is usually local although can radiate up and down the arm. There may also be problems in the neck and shoulder as well. Tennis elbow is an irritation of the tendon where it attaches to the bone, like a tendinosis. The whole area will be very tender and any movement with the wrist and elbow will aggravate it more.
A chiropractor can localize the area that's painful and get better movement in the joint and improve the nerve supply from the neck down. They can also use massage and trigger point therapy to release some of the muscle tension.
Tennis elbow is on the outside of the elbow, pain on the inside is called golfers elbow. Again you don/t have to play golf to get it!
Susan Findlay of the North London School of Sports Massage talks about the use of sports massage in the treatment of tennis elbow.
Sports massage can be very beneficial in the treatment of tennis elbow. The reason for tennis elbow is usually a technique problem or an overuse injury. Massage flushes out the area, frictions break down the tension, soft tissue release and transverse techniques realign the fibres. Maintenance treatment is important as stretching the area yourself is difficult.