At the Carolina Orthobiologics, our goal is to diagnose your issue properly, and provide alternative treatment options that can potentially alleviate your pain and provide lasting results.
SYMPTOMS OF TENNIS AND GOLFER'S ELBOW
- Pain on the inside or outside of your elbow
- Discomfort that’s worse at the end of the day
- Decreased range of motion and stiffness
Tennis elbow is an overuse injury that results in pain over the lateral, or outside, aspect of the elbow that worsens when squeezing objects. Although it’s quite common among tennis players, it can also affect other athletes and individuals as well.
Golfer’s elbow is similar to tennis elbow, but occurs at the medial, or inside, aspect of the elbow. Pain may be worse with moving the wrist up and down.
DIAGNOSING THE CAUSE OF YOUR PAIN
When you arrive for evaluation of your elbow pain, our priority will be to determine exactly what’s causing your discomfort. To that end, we’ll begin by asking you detailed questions about your symptoms – including when they first appeared and if any activities seem to make them worse.
From there, we’ll perform a physical examination of the joint, evaluating the area for tenderness, pain and swelling. In-office ultrasound evaluation will be performed and consideration for further imaging - possibly xray or MRI if needed.
HOW DO YOU TREAT TENNIS AND GOLFER'S ELBOW?
Treatment options depend upon the severity of the injury, past medical history, access to medical care and your physician’s preferences. In general, it is always best to start with conservative therapy. Treatment options include:
This includes activity modification, ice, heat, and physical therapy. Nitric oxide patches have been shown to be helpful as well.
When conservative treatment options fail, NSAIDs and steroid injections are often recommended. The toxic effects of NSAIDs, or antiinflammatories are discussed in depth here. Steroids are powerful anti-inflammatory agents that can provide short term benefits, but at a cost. A study here looked at data from many other studies and showed that steroid (cortisone) shots may actually make tennis elbow worse in the long run.
Many different surgical options exist depending upon the severity of the injury including stripping away a portion of the tendon sheath to promote healing. The goal is to clean out any dead tissue as well as repair any tendon tears. In most cases, this should be the option of last resort.
PRP SHOWN TO BE BETTER THAN STEROIDS
Dr. Lehman is an expert in the treatment of Tennis and Golfers elbow. Under ultrasound guidance, PRP is injected into the areas of injury and tears to reduce swelling, promote healing and accelerate recovery. See my facebook post here
If you have elbow pain and are interested in effective, noninvasive and exciting new treatments, request an appointment with Carolina Orthobiologics.
18 Medical Park Drive
Asheville, North Carolina 28803