Brief Answer: Most cases improve with conservative method Detailed Answer: Hi Thanks for writing After going through your query, most cases have success with the conservative method, it involves – 1. Rest-Avoid lifting heavy object and stop playing sports like badminton, tennis, squash. 2. Tennis elbow brace and kinaesia tape. Along with wrist stretching exercises with elbow extended (straight). 3. Medicine like Ibuprofen, trypsin/chymotrypsin to reduce pain and swelling. Steroids, such as cortisone, are very effective anti-inflammatory medicines. These are injected into the damaged muscle to relieve your symptoms. 4. Physiotherapy-. Specific exercises are helpful for strengthening the muscles of the forearm. Physiotherapist may also perform ultrasound, ice massage, or muscle-stimulating techniques to improve muscle healing. 5. If you participate in a racquet sport, then get your equipment checked for proper fit. Stiffer racquets and looser-strung racquets often can reduce the stress on the forearm, which means that your forearm muscles do not have to work as hard. If you use an oversized racquet, change it to smaller one. The other method is surgical. If your symptoms do not respond after 6 to 12 months of nonsurgical treatments and if patient’s demands then surgery is the option with very good to excellent result. The basic principle in surgery is to remove the diseased/inflamed muscle and reattaching the healthy muscles to bone. This can be done by– 1. Open method 2. Arthroscopic that is through minimum incision. Hope this information helps you. Take care and I shall be glad to answer any further query. Regards Dr XXXXXXX chugh (http://bit.ly/drmchugh)

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Brief Answer: Platelet rich plasma therapy lack's evidence Detailed Answer: Hi It’s good to see you After going through your suffering, there are tall claims regarding plasma rich platelet (PRP), role in Tennis elbow but lacking adequate evidence. Having said that, the risks associated with it are minimal. And are same as with cortisone injection. These ares- 1. Increased pain at injection site. 2. Infection, tissue damage and nerve injuries My advice would be you may have the PRP injection as the risk is same as with cortisone. But the final decision will be yours. Take care and wish you good health. Regards Dr.chugh Orthopaedic surgeon http://bit.ly/drmchugh

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