Tennis elbow is usually diagnosed by clinical examination and history. The doctor will consider your symptoms, medical background, and the type of activities you do. In some cases, imaging such as an X-ray or MRI may be performed to rule out other possible causes of the pain.
Treatment
In most cases, tennis elbow can be successfully treated without surgery. Treatment options may include:
- Immobilization: Reduction of stress on the affected arm and wrist joints.
- Physiotherapy: Exercises and techniques that can strengthen and stretch the muscles and tendons.
- Painkillers: Anti-inflammatory drugs (NSAIDs) can be used to relieve pain and inflammation.
- Local injections: Corticosteroid injections may provide temporary relief.
- Shockwave therapy: High-energy shock waves are directed at the affected area to stimulate healing.
- Bandages and orthoses: Special bandages or orthotics can be used to reduce stress and relieve pressure on the affected area.
When is surgery necessary?
In most cases, symptoms improve with conservative treatment within weeks to months. However, if there is no improvement despite appropriate conservative therapy and the pain becomes chronic or disabling, surgery may be considered. Surgery may vary depending on the individual case and may include removal of damaged tendons, tendon reconstruction, or other procedures.
Tear out at the base or origin
If there is a tear of the tendon at the attachment or origin, this may affect the severity of the injury. The exact diagnosis and treatment depend on the extent of the tear and the structures involved.
Treatment duration
The duration of treatment depends on the severity of the injury, response to therapy, and other individual factors. In most cases, mild to moderate cases of tennis elbow can be improved with conservative measures within weeks to a few months. However, in more severe cases or after surgery, recovery may take several months.
It is important to see a doctor if you have pain or suspect you have tennis elbow to get an appropriate diagnosis and treatment to meet your individual needs.