Lateral epicondylitis, commonly known as tennis elbow, is a prevalent ailment resulting from repetitive strain on the elbow tendons. This condition often results in discomfort and restricted functionality, especially in the dominant arm.

Individuals experiencing tennis elbow must stay informed about the treatment options that can facilitate their recovery. There are non-surgical and surgical interventions available in Singapore, with the selection of treatment being contingent upon the severity of the condition and the individual’s response to initial treatments.

Discover the treatment options available for this elbow pain in Singapore, and learn how an orthopaedic specialist can help with your condition.

Non-Surgical Treatments for Tennis Elbow

Non-surgical treatments are the first line of defence for most patients. These methods aim to reduce inflammation, manage pain, and promote tendon healing. Orthopaedic doctors generally recommend starting with these conservative approaches.

Rest and Activity Modification

The first step in managing tennis elbow is reducing activities that exacerbate elbow pain. Avoiding repetitive wrist and elbow movements, especially those that involve gripping or lifting, can give the tendons time to heal. Orthopaedic doctors may advise workplace or lifestyle adjustments to minimise strain.

Physical Therapy

Physiotherapy plays a critical role in tennis elbow treatment. Therapists focus on strengthening the forearm muscles, enhancing flexibility, and teaching proper movement techniques to avoid re-injury. Many orthopaedic clinics offer specialised physical therapy programs for patients with tennis elbow. This conservative approach is practical in managing mild to moderate cases.

Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)

Medications such as ibuprofen and naproxen can reduce inflammation and alleviate pain. These are often prescribed alongside physical therapy to relieve symptoms during the recovery phase. However, these drugs only manage symptoms temporarily and do not address the underlying cause of tennis elbow.

Corticosteroid Injections

Corticosteroid injections may be administered for patients experiencing significant pain. These injections target inflammation directly and can provide temporary relief. However, repeated use is generally discouraged due to potential side effects, including weakening of the tendons over time. Most orthopaedic doctors use corticosteroids cautiously and as part of a broader treatment plan.

Extracorporeal Shockwave Therapy (ESWT)

Shockwave therapy has gained favour as a non-invasive treatment for chronic tennis elbow. The procedure involves applying pressure waves to the affected area to stimulate blood flow and tendon healing. Orthopaedic doctors commonly recommend ESWT for patients who do not respond sufficiently to initial therapies. It is a safe option with minimal downtime, though multiple sessions may be required to achieve results.

Platelet-Rich Plasma (PRP) Therapy

PRP therapy is a non-surgical option that uses the patient’s own blood to promote tendon healing. The blood is processed to concentrate platelets and then injected into the damaged area. While still considered experimental in some regions, PRP therapy is offered by several orthopaedic specialists as part of their tennis elbow treatment plans. The efficacy of this treatment may vary, but it is generally considered when other non-surgical methods fail.

When to Consider Surgical Treatment for Tennis Elbow

While non-surgical treatments are effective for the majority of patients, surgery may be required for those who do not respond to conservative methods after six to twelve months. Orthopaedic doctors in Singapore typically recommend surgery if the pain persists and significantly affects daily activities.

Arthroscopic Surgery

Arthroscopic surgery is a minimally invasive technique used to treat tennis elbow. The procedure involves inserting a small camera and instruments into the elbow joint to remove damaged tissue and repair the tendons. Many orthopaedic doctors prefer arthroscopy due to its low complication rate and prompt recovery compared to open surgery. Patients can typically return to light activities within a few weeks, with full recovery taking several months.

Open Surgery

In severe cases where arthroscopic surgery is not feasible, open surgery may be performed. This procedure involves making a larger incision to access the affected tendon, removing damaged tissue, and reattaching the healthy portion of the tendon to the bone. While sufficient, open surgery requires an extended recovery period, and patients may need ample rehabilitation to regain full strength and mobility.

Post-Surgical Rehabilitation

Regardless of the surgical method, post-surgical rehabilitation is essential for restoring function. Physical therapy will be required to enhance the elbow’s strength, flexibility, and range of motion. Most orthopaedic doctors work closely with physiotherapists to create personalised rehabilitation plans for surgical patients. Full recovery can take several months, depending on the extent of the surgery and the patient’s overall health.

Recovery Time: Non-Surgical vs. Surgical Treatments

Recovery from non-surgical treatments generally takes a few weeks to several months, depending on the severity of the tennis elbow and adherence to treatment protocols. Patients who follow physical therapy and modify their activities may see significant improvement within 6 to 12 weeks.

In contrast, recovery from surgery is typically extended, with patients resuming full activities after three to six months. Surgical treatment also carries risks, such as infection and stiffness, though these are rare when performed by professional orthopaedic doctors.

Conclusion

Tennis elbow is a prevalent ailment that can lead to considerable pain and restrict everyday functions. Patients have access to both non-surgical and surgical tennis elbow treatment alternatives, with the majority experiencing progress through conservative methods such as physical therapy, medication, and adjustments to their lifestyle. Surgical intervention is typically considered only for severe instances that fail to enhance with non-surgical treatments after several months. It is critical to consult with a qualified orthopaedic specialist to establish the ideal treatment strategy tailored to your condition.

Contact Auspicium Orthopaedic Centre to start your journey to pain-free living!