Tennis Elbow (Lateral Epicondylitis): From Supportive Therapy to Surgery

Tennis elbow, or lateral epicondylitis, is a condition that can significantly impact one's daily activities. It is characterised by pain and tenderness on the outside of the elbow, often exacerbated by gripping or lifting. Understanding the full spectrum of treatment options, from supportive therapy to tennis elbow surgery, is vital for those affected by this condition.

Understanding Tennis Elbow

Tennis elbow arises from overuse of the forearm muscles and tendons, leading to inflammation and micro-tears. It's not limited to athletes; anyone who engages in repetitive arm movements is at risk. Symptoms include elbow pain that worsens over time, radiating pain to the forearm and wrist, and a weakened grip. Early intervention with tennis elbow supportive therapy can prevent the condition from worsening and potentially avoid the need for surgery for tennis elbow.

"Tennis elbow is a misnomer, as it affects not only athletes but also those engaged in repetitive arm activities." – Mayo Clinic

Initial Steps: Diagnosis and Conservative Treatments

Diagnosis typically involves a medical history review and physical examination, with imaging tests if necessary. Conservative treatments are the first line of defence and include:
- Rest and activity modification to alleviate stress on the tendons.
- Physical therapy, focuses on exercises and stretches to strengthen the forearm.
- Tennis elbow supportive therapy, such as braces or orthotic devices, to offload the affected tendons.
- Medications like NSAIDs to manage pain and inflammation.

"Prevention of tennis elbow is key and involves ergonomic adjustments and proper equipment." – Healthline

Tennis Elbow Supportive Therapy

Supportive therapies are integral to managing tennis elbow. Physical therapy techniques aim to improve strength and flexibility, while braces provide necessary support during healing. Ergonomic adjustments at work or during sports can also prevent further strain.

Surgery for Tennis Elbow

When conservative treatments do not yield improvement after several months, surgery for tennis elbow may be considered. The goal is to remove damaged tissue and promote healing. Surgical options include open surgery or arthroscopic surgery, both typically performed as outpatient procedures. Recovery involves a period of rest followed by physical therapy to regain strength and function.

When to Consider Surgery for Tennis Elbow

Surgery for tennis elbow is generally considered when conservative treatments have not provided relief, and the quality of life is significantly affected. Indications for surgery include persistent pain, weakness, and functional impairment despite exhaustive non-surgical management for at least 6 to 12 months. Surgical options include open surgery, arthroscopic surgery, and percutaneous surgery, all of which have shown high success rates in improving patients' range of motion and reducing pain.

Recovery and Rehabilitation Post-Surgery

The recovery timeline following tennis elbow surgery varies, with most patients returning to typical activity levels around 12 weeks post-operation. However, sports and heavy lifting may be delayed for an additional 4 to 10 weeks. Rehabilitation is important, involving physical therapy to rebuild range of motion and strength. This process can take an additional 6 to 8 weeks. Tips for a successful recovery include resting when needed and closely following the prescribed exercise programme to avoid damaging the healing tissue.

Preventing Tennis Elbow Recurrence

Preventing future tennis elbow injuries involves strategies such as using proper technique and equipment during sports and activities, incorporating strengthening and stretching exercises, and making ergonomic adjustments for repetitive tasks. Regular breaks and using equipment that suits one's height and weight can also help mitigate the risk.

"The success of tennis elbow surgery is high, with most patients returning to normal function." – WebMD

How Odcy Can Help

Odycy, offers assistance in finding, comparing, and booking medical services that will help guide in the diagnosis and treatment of Tennis Elbow. With Odycy, users can easily access healthcare services including initial consultation with General Physician (GP), imaging such as CT/MRI, specialist review and physiotherapy. You can book a consultation at the best provider according to your needs - price, and available appointment times ensuring timely and effective medical care.