Lateral Epicondylitis

Tennis elbow usually develops over time due to repetitive motion involving the elbow, especially activities requiring gripping, twisting, or extending the wrist. This can cause microscopic tears in the tendon, leading to inflammation and pain.

The primary symptom is pain and tenderness on the outside of the elbow, which may extend down the forearm. This pain can be triggered by lifting, gripping, or twisting objects. Over time, grip strength may weaken, and it may be difficult to hold objects such as a cup or utensils.

Lateral epicondylitis can often heal on its own with rest and avoidance of activities that cause pain. However, this healing process can be slow, taking several weeks or months.

Diagnosis usually involves a physical examination, where Dr. Mayo will assess pain points, range of motion, and grip strength. In some cases, imaging tests like X-rays or MRIs may be used to rule out other conditions.

The first line of treatment typically involves rest, physical therapy exercises, and non-steroidal anti-inflammatory drugs (NSAIDs). Other options include bracing, injections of either corticosteroid or platelet-rich-plasma (PRP), and shock wave therapy. In cases resistant to conservative management, surgery may be considered.

Surgery is generally reserved for patients whose symptoms do not improve with conservative treatment after six to twelve months. The timing of surgery depends on the individual’s specific circumstances and severity of symptoms.

Surgery can be performed using open, arthroscopic, or percutaneous techniques. The goal of surgery is to remove damaged tissue, promote healing, and alleviate pain.

Recovery varies depending on the surgical approach, but generally involves a period of rest followed by rehabilitation exercises to restore strength and flexibility. Full recovery can take a few months, and patients may need to modify their activities or techniques to prevent recurrence.