Is Arthroscopic Surgery the Right Choice for My Tennis Elbow?

Q: Is Arthroscopic Surgery the Right Choice for My Tennis Elbow?

Hello： In response to your question, what is commonly known as "tennis elbow" is actually caused by repetitive motions of the wrist, leading to inflammation at the tendon attachment point on the lateral epicondyle of the elbow. <br>Treatment methods include： 1. <br>Rest. <br>2. <

My elbow is stiff?

Dear Doctor, I have tennis elbow and have received several steroid injections, but there has been no improvement even after the medication wore off.
My elbow continues to swell and hurt, even when I'm not working.
Am I a suitable candidate for arthroscopic surgery? My job relies heavily on the use of my hands, and I cannot afford to lose my job.
Will there be any complications after the surgery? This is very important to me.
Thank you.

Mr. Du, 30~39 year old female. Ask Date: 2006/09/21

Dr. Li Wenlin reply Orthopedics

Hello: In response to your question, what is commonly known as "tennis elbow" is actually caused by repetitive motions of the wrist, leading to inflammation at the tendon attachment point on the lateral epicondyle of the elbow.
Treatment methods include: 1.
Rest.
2.
Medication.
3.
Use of supportive devices.
4.
Rehabilitation therapy.
5.
Surgical intervention.
Surgery is usually considered only after conservative treatment has failed, which often occurs due to insufficient rest or improper use of supportive devices.
Theoretically, an effective functional elbow brace should apply pressure approximately four centimeters below the lateral epicondyle, rather than directly on it, and should be worn during activity, not at rest.
As for surgery, the most common approach involves making a small incision to address the inflamed area of the tendon and then reattaching the healthy tendon.
There are also arthroscopic techniques available, which are not considered major surgery.
The only thing to be cautious about is that if the method of performing activities does not change, there is still a possibility of recurrence even after surgery!

Reply Date: 2006/09/21

More Info

When considering whether arthroscopic surgery is the right choice for your tennis elbow (lateral epicondylitis), it's essential to weigh the benefits and risks associated with the procedure, especially given your reliance on your hands for work. Tennis elbow is characterized by pain and inflammation on the outer part of the elbow, typically caused by repetitive motion or overuse.
Arthroscopic surgery is often considered when conservative treatments—such as rest, physical therapy, corticosteroid injections, and anti-inflammatory medications—fail to provide relief after a reasonable period, usually around six months. Since you have already undergone several steroid injections without improvement, you may be a candidate for surgery.
The primary goal of arthroscopic surgery for tennis elbow is to remove degenerated tissue and promote healing. The procedure involves making small incisions around the elbow and using a camera (arthroscope) to guide the surgeon in addressing the affected area. This minimally invasive approach generally results in less postoperative pain and quicker recovery compared to open surgery.

However, it is crucial to understand that surgery is not a guaranteed solution. While many patients experience significant relief from symptoms and improved function post-surgery, there are risks involved. Potential complications include infection, nerve damage, stiffness, and the possibility that the pain may not resolve completely. Some patients may also experience a recurrence of symptoms, particularly if they return to activities that contributed to the condition without proper rehabilitation.

In terms of recovery, most patients can expect to return to light activities within a few weeks, but full recovery may take several months. Physical therapy is often recommended post-surgery to strengthen the muscles around the elbow and improve flexibility, which can help prevent future issues.

Given your situation, where your work heavily relies on hand function, it is vital to have a thorough discussion with your orthopedic surgeon. They can evaluate your specific condition, including the extent of tissue damage and any other contributing factors, to determine if surgery is the best option for you. They may also suggest alternative treatments or rehabilitation strategies that could help alleviate your symptoms without the need for surgery.

In conclusion, while arthroscopic surgery can be an effective treatment for tennis elbow, it is essential to consider your unique circumstances, including your job demands and the potential risks and benefits of the procedure. Engaging in a detailed conversation with your healthcare provider will help you make an informed decision that aligns with your health goals and lifestyle.

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