Lateral Epicondylitis When Injection Therapy Has Not Relieved Pain

This protocol addresses patients with lateral epicondylitis whose lateral elbow pain persists after injection-based management — specifically when autologous blood or platelet-rich plasma (PRP) injection at the lateral epicondyle tendon failed to achieve adequate short-term pain relief.

Previous Treatment — Insufficient Response

The prior intervention was autologous blood injection or platelet-rich plasma (PRP) injection at the affected lateral epicondyle tendon. Escalation to the next treatment line is indicated when short-term lateral elbow pain relief was not achieved with this approach.

Next Step — Treatment Overview

The next step involves a surgical intervention directed at the affected tendon at the lateral epicondyle. Several surgical techniques exist and the appropriate approach is determined by clinical evaluation. The goals are resolution of lateral elbow pain, restoration of normal elbow range of motion, and return to full activity.

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References

Surgical intervention can be an option for patients with persistent pain and disability that have failed appropriate nonoperative management.

There are mainly three surgical approaches, i.e., open, percutaneous, and arthroscopic techniques.

Eighty-four percent of elbows were reported little or no pain, and 92% patients returned to normal elbow range of motion, while 93% of patients could return to their sports.

DOI: 10.1155/2020/6965381 View source ↗