While many cases of tennis elbow respond to non-surgical treatments, severe or chronic cases may require surgery to restore full function and relieve pain. Surgical treatment for tennis elbow, also known as lateral epicondyle release, can provide lasting relief and help patients regain strength and mobility. For residents of Nebraska and Iowa dealing with persistent tennis elbow symptoms, here’s a detailed guide to the surgical treatment and recovery process.
When is Surgery Recommended for Tennis Elbow?
Tennis elbow surgery is typically considered only after several months of conservative treatments, such as physical therapy, anti-inflammatory medications, and bracing, have failed to relieve symptoms. Surgery may be recommended if you experience:
- Persistent Pain: Ongoing pain that interferes with daily activities or sleep.
- Loss of Function: Difficulty with routine movements, gripping, or lifting due to elbow weakness.
- Severe Tendon Damage: Imaging tests reveal extensive damage or degeneration in the affected tendon.
Preparing for Tennis Elbow Surgery in Nebraska and Iowa
Before undergoing surgery, your orthopedic specialist will provide specific preoperative instructions:
- Pre-Surgical Consultation: During this visit, you will review the procedure details, discuss anesthesia options, and address any questions.
- Preoperative Instructions: Follow guidelines on fasting, adjusting medications, and arranging for someone to drive you home after the procedure.
- Home Setup for Recovery: Create a comfortable recovery area with essentials within reach, as you may experience limited use of your arm during the initial healing period.
The Surgical Procedure
Tennis elbow surgery typically takes about 30 minutes and is performed as an outpatient procedure. Here’s an overview of what to expect:
- Anesthesia: Most patients receive general anesthesia.
- Tendon Repair: The surgeon carefully removes any damaged tissue and may perform repair the tendon down using anchors.
- Closure: The incision(s) are closed with sutures, and a dressing or bandage is applied to protect the area.
Recovery and Postoperative Care
After surgery, recovery typically includes a combination of rest, pain management, and physical therapy.
- Immediate Post-Surgery Care
- Pain Management: Prescription pain medications are usually provided for the first few days, followed by over-the-counter options as needed.
- Elevation and Ice: Elevate the arm and apply ice packs to minimize swelling and discomfort.
- Sling or Brace: You may need to wear a sling for the first few weeks to protect the elbow and aid healing.
- Physical Therapy and Rehabilitation
- Initial Phase (2-4 Weeks Post-Surgery): Gentle range-of-motion exercises to prevent stiffness in the elbow and wrist.
- Strengthening Phase (4-12 Weeks Post-Surgery): Therapy progresses to include light resistance exercises to rebuild strength and flexibility in the elbow.
- Full Rehabilitation (3-6 Months): With successful therapy, most patients can return to normal activities within 3-6 months, although full strength recovery may take up to a year.
Long-Term Outcomes of Tennis Elbow Surgery
Most patients experience a significant reduction in pain and improved strength and function after surgery. Surgical treatment for tennis elbow has a high success rate, especially when combined with a diligent physical therapy program. However, it’s essential to follow your postoperative care plan and gradually ease back into activities to avoid re-injury.
