Tennis Elbow Repair (Lateral Epicondylitis Surgery, Lateral Epicondylitis Release)
A Surgical Procedure to Relieve Pain and Restore Function in Chronic Tennis Elbow
Tennis elbow repair involves the surgical removal or repair of damaged tendon tissue at the outer elbow. It may also include releasing tension on the tendon by detaching and reattaching it or removing scar tissue.
Common Reasons for Surgery
- Persistent pain on the outer elbow that does not improve with non-surgical treatments.
- Difficulty performing daily activities due to pain or weakness in the arm.
- Tendon degeneration (tendinosis) or chronic inflammation identified through imaging.
Goals of the Procedure:
- Relieve pain caused by chronic tendon damage.
- Improve strength and function in the arm.
- Enable a return to normal activities and physical tasks.
Preparation for Surgery
Proper preparation ensures a smoother surgical experience and optimises recovery.
Steps in Preparation:
- Pre-Surgical Consultations:
- Dr Ben McGrath will assess your condition through a physical examination and may recommend imaging such as an MRI or ultrasound to confirm tendon damage.
- Pre-Operative Instructions:
- You may be asked to fast for a specified period before surgery.
- Certain medications, such as blood thinners, may need to be paused before the procedure.
- Lifestyle Adjustments:
- Maintaining a healthy weight and avoiding smoking can help reduce the risk of complications.
- Exercises to strengthen the surrounding muscles may be recommended before surgery.
What Happens During the Surgery?
Tennis elbow repair is usually performed as a minimally invasive procedure, though open surgery may sometimes be required.
Surgical Steps:
- Anaesthesia:
- Regional or general anaesthesia is administered to ensure comfort during the procedure.
- Tendon Repair or Release:
- Damaged portions of the tendon are removed or repaired.
- If necessary, tension on the tendon is released by detaching and repositioning it.
- Incision Closure:
- The incisions are closed with sutures or adhesive strips, and a sterile dressing is applied.
- Duration:
- The procedure typically lasts 30–60 minutes.
Understanding the Risks
Tennis elbow repair is generally a safe procedure, but like all surgeries, it carries some risks.
Common Risks:
- Temporary swelling, stiffness, or tenderness around the surgical site.
- Mild bruising or discomfort during recovery.
Rare but Serious Risks:
- Infection at the surgical site.
- Nerve or blood vessel damage.
- Formation of scar tissue affecting mobility.
Dr McGrath will take steps to minimise these risks and provide instructions for post-operative care.
What to Expect After Surgery
Immediate Post-Operative Care:
- Pain management with prescribed medications and ice packs.
- The arm may be immobilised temporarily with a sling or brace for comfort.
Discharge Instructions:
- Keep the surgical site clean and dry.
- Avoid heavy lifting or repetitive arm movements during the initial recovery period.
Rehabilitation and Recovery
Recovery times can vary based on the severity of the condition and individual factors.
Recovery Timeline:
- First 2 Weeks:
- Focus on rest and protecting the elbow.
- Begin gentle range-of-motion exercises as advised by Dr McGrath or your physiotherapist.
- Weeks 2–6:
- Gradually reintroduce light activities.
- Continue physiotherapy to improve strength and mobility.
- Months 2–3:
- Return to regular activities and low-impact sports, depending on your progress.
Restrictions During Recovery:
- Avoid heavy lifting or strenuous activities until cleared by Dr McGrath.
- Adhere to your physiotherapy program to ensure optimal healing.
Long-Term Outcomes
Tennis elbow repair is often effective in reducing pain and restoring elbow function, allowing individuals to return to their normal activities.
Expected Improvements:
- Reduced pain and improved strength in the arm.
- Enhanced ability to perform everyday tasks and recreational activities.
- Improved quality of life with restored mobility.
Maintenance of Results:
- Engage in regular stretching and strengthening exercises for the elbow.
- Avoid repetitive or excessive strain to prevent re-injury.