Understanding Tennis Elbow: When Repetitive Strain Leads to Surgical Intervention
Tennis elbow, medically known as lateral epicondylitis, is a degenerative condition that affects the tendons of the forearm. While its name suggests a link to tennis players, this painful condition affects a wide range of individuals whose work or activities involve repetitive wrist and arm motions. From carpenters and painters to office workers and gym enthusiasts, tennis elbow does not discriminate.
Although many cases resolve with rest, physical therapy, and non-surgical intervention, chronic or severe cases may require orthopedic surgical treatment. With surgical wait times in Canada stretching for months, MedTravel offers expedited access to board-certified orthopedic surgeons in Seattle specializing in elbow tendon repair and minimally invasive techniques.
What Causes Tennis Elbow?
Tennis elbow is caused by repetitive overuse of the extensor carpi radialis brevis (ECRB) tendon, located on the outside of the elbow. Microtears develop in the tendon due to chronic strain, leading to inflammation, pain, and reduced grip strength. Common activities that may trigger this condition include:
Frequent lifting of heavy items
Repetitive typing or use of a computer mouse
Playing racquet sports
Manual labor involving screwdrivers, hammers, or wrenches
Despite its prevalence, many patients ignore early signs, leading to progression of tendon degeneration that is harder to reverse non-surgically.
Symptoms and Diagnosis
Typical signs of tennis elbow include:
Pain and tenderness on the outer part of the elbow
Weak grip strength
Discomfort when lifting objects or shaking hands
Pain that worsens with wrist extension or forearm rotation
Diagnosis typically involves a physical exam, history review, and may be supported by ultrasound or MRI imaging to assess tendon damage.
Conservative Treatment Options
Most patients start with conservative care, which includes:
Rest and activity modification
Physical therapy focused on eccentric loading and forearm stretches
Bracing or splinting to reduce strain
Non-steroidal anti-inflammatory medications (NSAIDs)
Corticosteroid injections or platelet-rich plasma (PRP) therapy
However, if symptoms persist beyond 6–12 months and tendon degeneration progresses, surgical treatment becomes the gold standard.
When Is Surgery Necessary for Tennis Elbow?
Surgery is recommended for cases that fail conservative treatment and involve significant tendon deterioration. Indications include:
Persistent pain lasting >6 months
Failure of at least 2 nonsurgical interventions
MRI-confirmed tendon degeneration
Reduced function in daily activities and work
Surgical options include:
Open debridement and tendon repair
Arthroscopic tendon release and smoothing
Percutaneous tenotomy (minimally invasive)
Outcomes are generally excellent, with >85% of patients achieving long-term relief.
For Canadian patients dealing with prolonged elbow pain and limited access to timely care, MedTravel bridges the gap. We coordinate surgical consultations and procedures with top orthopedic specialists in Seattle, reducing your wait time from months to just weeks.
Fast-track imaging and diagnosis review
Same-day outpatient elbow surgery options
Customized post-op care plans
In partnership with Elite Care Northwest, we also support your recovery and physical therapy needs once you're home.
Tennis elbow is more than just a nuisance—it can disrupt your work, hobbies, and quality of life. When conservative measures fail, timely surgical treatment can restore function and eliminate pain. With MedTravel, you don't have to wait in pain. Our cross-border care model ensures fast, effective, and personalized orthopedic treatment tailored to your needs.
