Tennis Elbow Surgery: Indications, Techniques, and Recovery

Lateral epicondylitis (tennis elbow) is managed conservatively initially (rest, ice, physiotherapy, analgesics). Surgery is reserved for refractory cases failing 6–12 months of nonoperative care.

Surgical Options

  1. Open Release: Incisional access for tendon debridement/repair; direct visualization
  2. Percutaneous Release: Needle-based minimally invasive release; often ultrasound-guided
  3. Arthroscopic/Endoscopic: Camera-assisted via portals; visualization on monitor
  4. Tendon Transfer: Healthy tendon rerouted to reinforce severely damaged tendon
  5. Lateral Epicondylectomy: Bony prominence resection for impingement-related pain

Approach selection depends on severity, patient factors, and surgeon expertise. Postoperative rehabilitation is essential for functional recovery.

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