What Is Tennis Elbow?
Tennis elbow, also known as lateral epicondylitis, is one of the most common causes of elbow pain. Despite its name, most patients who suffer from tennis elbow are not tennis players.
This condition results from degeneration and overload of the extensor tendons of the forearm, particularly where they attach to the outer side of the elbow.a
Repetitive movements, lifting activities, sports, manual work, prolonged computer use, and overuse can all contribute to tendon irritation.
Symptoms of Tennis Elbow
Typical symptoms include:
- Pain on the outer side of the elbow
- Pain when lifting objects
- Weak grip strength
- Pain during twisting movements
- Difficulty performing repetitive hand activities
- Forearm tightness and muscular overload
In chronic cases, the tendon may become degenerative rather than simply inflamed.
My Treatment Philosophy
In my practice, treatment focuses on identifying the true source of pain and restoring tendon function progressively.
Many patients are told they need surgery too early, while in reality most cases improve with a structured conservative approach.
The Role of Dry Needling
Dry needling is particularly useful in patients with associated muscular tension in the forearm.
The forearm muscles often become overloaded and develop trigger points that increase stress on the tendon insertion. Treating these muscular imbalances may significantly reduce pain and improve recovery.
Dry needling is frequently combined with rehabilitation exercises to optimize tendon healing.
Ultrasound-Guided Infiltration and PRP
When symptoms persist despite physical therapy, infiltration treatments may be considered.
Corticosteroid Infiltration
Corticosteroid injections may provide short-term pain relief in highly inflammatory phases. Ultrasound guidance improves precision and safety.
PRP Infiltration
For chronic degenerative tendinopathy, Platelet-Rich Plasma (PRP) may stimulate biological healing of the damaged tendon tissue.
PRP is especially useful in resistant chronic cases where tendon degeneration is present.
When Is Surgery Considered?
Surgery is only indicated after failure of prolonged conservative treatment.
The surgical procedure generally involves removing degenerative tendon tissue and stimulating healing.
Fortunately, the majority of patients improve without surgery when treatment is personalized and progressive.
Treating the Cause, Not Only the Symptoms
My approach combines:
- Detailed clinical evaluation
- Ultrasound assessment when needed
- Rehabilitation
- Dry needling
- Ultrasound-guided infiltrations
- Surgery only as a final option
The objective is to help patients return to daily activities, sports, and work safely while avoiding unnecessary invasive treatment whenever possible.