The so-called "Tennis elbow" is a frequent condition which, unfortunately, does not always answer positively to conservative treatment, Very often it becomes a chronic pathology that causes severe problems for some patients.
In many people, symptoms improve over time just by stopping activities that bring on the symptoms. Painkillers may help to ease the pain until the condition improves. Other treatments are sometimes used if symptoms persist: Physiotherapy, Supports and splints, Steroid injection, Shock wave therapy, Autologous blood injection, Botulinum toxin A injection. Only a small number of people require surgery to relieve symptoms
If the symptoms persist for some time and are really troublesome, then there is a place for surgery. Open release of extensor carpi radialis brevis (ECRB) is the most common but there is insufficient evidence to support or refute the effectiveness of surgery for lateral elbow pain. Cochrane Database Syst Rev. 2011 Mar 16;(3):
Thank you, Nelson. I share your opinion entirely. Only a small number of cases need surgery. In the past we applied the open release of Hohmann. Now we cut the insertion of extensor carpi radialis brevis percutaneously using a small curved lancet. I think this is a contribution to the mini-invasive trends in orthopedics and traumatology. The prelimiary results are encouraging.