I had a third cortisone injection for lateral epicondalitis on 3/20/18 after I was told I would need surgery to repair it but I couldn’t do it. I had the injection to get me through pt for a lamenectomy I had 2/14/18. I have had occupational therapy a year and half ago for tennis elbow. I returned to the dr on 3/23/18 with complications of bruising and swelling. I was told he had probably hit an artery and treat with ice. A month later I had an MRI because it didn’t improve. I had the follow up on 4/27/18. I asked the dr about the pain and swelling not getting better and also told him I read the report on my patient portal. I mention it stating no tears in the tendons. He told me the MRI can’t be trusted. He explained tennis elbow can be painful and told me what causes it. He said he will do surgery in a couple of months and to wear a brace in the meantime. He also offered me pain medication when I’m alre taking some prescribed by my back surgeon. I’m wondering if I should get a second opinion? The report is below.

TENDON: The common extensor tendon and lateral collateral ligament are intact.
Vertical longitudinal trace T2 hyperintense fluid collection is seen along the
ulnar border of the common extensor tendon, measuring 1.9 cm in vertical length.
The common flexor tendon and medial collateral ligament are intact.
Biceps tendon is also intact with normal signal, visualized down to the
insertion at the radial tuberosity.

CUBITAL CANAL: In the cubital canal, the ulnar nerve is surrounded by fat
without impingement or displacement.


ORDER #: 0419-0024 MR/MR elbow RT wo con
IMPRESSION:
1. Lateral right elbow soft tissue fluid collection along the ulnar border of
common extensor tendon is seen, could be related to recent steroid injection.
2. No tendon or ligament tear is seen. No evidence of cubital tunnel syndrome.