Our Summary

This research paper discusses the condition known as tennis elbow, which is an injury caused by overusing the muscles in your forearm and wrist. This condition typically gets better on its own, but in severe cases, surgery may be recommended. The article looks at both surgical and non-surgical treatment options for tennis elbow.

FAQs

  1. What is tennis elbow and what causes it?
  2. What are the non-surgical treatment options for tennis elbow?
  3. When is surgery recommended for severe cases of tennis elbow?

Doctor’s Tip

One helpful tip a doctor might tell a patient about elbow surgery is to follow the post-operative care instructions closely. This may include keeping the elbow elevated, doing prescribed exercises, and attending follow-up appointments. By following these instructions, the patient can help ensure a successful recovery and optimize the results of the surgery.

Suitable For

Patients who are typically recommended for elbow surgery are those who have severe cases of tennis elbow that do not respond to non-surgical treatments such as rest, physical therapy, and medications. These patients may experience persistent pain, weakness, and limited range of motion in their elbow despite trying conservative treatments. Additionally, patients who have significant structural damage to the tendons in their elbow, such as tears or degeneration, may also be candidates for surgery. It is important for patients to discuss their symptoms and treatment options with their healthcare provider to determine the best course of action for their specific situation.

Timeline

Before Elbow Surgery:

  1. Patient experiences symptoms of tennis elbow, such as pain and tenderness on the outer part of the elbow.
  2. Patient may try conservative treatments such as rest, ice, physical therapy, and anti-inflammatory medications.
  3. If symptoms persist and are severe, patient may be referred to a surgeon for evaluation.

Elbow Surgery:

  1. Patient undergoes a thorough evaluation by a surgeon to determine if surgery is necessary.
  2. Surgical options for tennis elbow may include arthroscopic debridement, open surgery, or tendon repair.
  3. Patient undergoes pre-operative testing and preparation for surgery.
  4. Surgery is performed, typically on an outpatient basis.
  5. Patient may require physical therapy or rehabilitation post-surgery to regain strength and mobility in the elbow.

After Elbow Surgery:

  1. Patient experiences pain and discomfort immediately following surgery.
  2. Patient may require pain medication and follow-up appointments with the surgeon.
  3. Patient begins physical therapy to improve range of motion and strength in the elbow.
  4. Recovery time varies depending on the type of surgery performed, but most patients can resume normal activities within a few weeks to a few months.
  5. Patient follows a post-operative care plan provided by the surgeon to ensure optimal healing and recovery.

What to Ask Your Doctor

  1. What are the risks and potential complications associated with elbow surgery?
  2. How long is the recovery period after elbow surgery?
  3. What type of anesthesia will be used during the surgery?
  4. Will physical therapy be necessary after the surgery? If so, for how long?
  5. What are the expected outcomes of the surgery in terms of pain relief and improved function?
  6. Are there any alternative treatments or procedures that could be considered instead of surgery?
  7. What is the success rate of the surgery for treating tennis elbow?
  8. How many times have you performed this type of elbow surgery?
  9. Are there any restrictions or limitations that will need to be followed after the surgery?
  10. How soon can I return to normal activities, such as sports or work, after the surgery?

Reference

Authors: Ahmed AF, Rayyan R, Zikria BA, Salameh M. Journal: Eur J Orthop Surg Traumatol. 2023 Feb;33(2):201-206. doi: 10.1007/s00590-021-03181-z. Epub 2022 Jan 15. PMID: 35031850