Chronic tendonitis in the elbow, also known as lateral epicondylitis or tennis elbow, can be a debilitating condition affecting one’s quality of life. Elbow surgery may be necessary when conservative treatments fail to alleviate symptoms. This article delves into elbow surgery for chronic tendonitis, covering treatment options, surgical procedures, and recovery tips.

Treatment Options for Chronic Tendonitis

Before considering surgery, a variety of non-surgical treatment options are usually recommended. These include:

• Physical Therapy: Specialized exercises and stretches can strengthen the muscles around the elbow.
• Orthotic Devices: Elbow braces or straps can provide support and reduce strain during activities.
• Medication: Non-steroidal anti-inflammatory drugs (NSAIDs) can help manage pain and inflammation.
• Corticosteroid Injections: These are used to reduce inflammation and provide temporary relief.
• Platelet-Rich Plasma (PRP) Therapy: This innovative treatment involves injecting platelets from the patient’s own blood into the affected area to promote healing.

If these conservative approaches do not yield satisfactory results after several months, elbow surgery may be considered.

Types of Elbow Surgery

There are several surgical techniques used to treat chronic tendonitis, depending on the severity of the condition:

• Open Surgery: This traditional approach involves making a larger incision to remove degenerated tissue and reattach the tendon.
• Arthroscopic Surgery: Utilizing small incisions and a camera, this minimally invasive method allows surgeons to remove damaged tissue while reducing recovery time.
• Tendon Debridement: This procedure involves the removal of damaged tendon tissue to promote healing.
• Tendon Repair or Reconstruction: In severe cases, it may be necessary to repair or reconstruct the damaged tendon for complete recovery.

Recovery After Elbow Surgery

The recovery period following elbow surgery for chronic tendonitis varies based on the type of surgery performed and the individual’s overall health. Generally, recovery includes:

• Initial Rest: Patients are advised to rest the elbow and limit movement for a few days post-surgery.
• Pain Management: Pain relief medication may be prescribed to manage discomfort during the healing process.
• Physical Rehabilitation: Engaging in supervised rehabilitation therapy is crucial for restoring strength and flexibility.
• Gradual Return to Activity: Patients should gradually resume normal activities, allowing time for healing and strength building.

Most individuals can expect a full return to their usual activities within several months, although this can vary widely. Following the surgeon's instructions and participating in physical therapy are essential for a successful recovery.

Conclusion

Elbow surgery for chronic tendonitis can offer significant relief for those who have not found success with conservative treatments. Understanding the types of surgeries available and the recovery process can empower patients to make informed decisions about their treatment plans. If you're struggling with chronic elbow pain, consulting a qualified orthopedic specialist might be your first step towards recovery.