‘Tennis elbow, or lateral epicondylitis,’ is a condition where the outer part of the elbow becomes painful and tender. This occurs due to the overuse of the muscles and tendons of the forearm near the elbow joint, leading to tiny tears in the tendons attaching to the lateral epicondyle.
The primary symptoms include,
- Pain and tenderness on the outside of the elbow,
- A weakened grip,
- Discomfort when lifting or bending the arm, or when twisting the forearm, like turning a doorknob.
In terms of treatment, traditionally, we start with conservative methods which include,
-rest, ice application, anti-inflammatory medications, and physical therapy.
Physical therapy often focuses on stretching and strengthening exercises for the forearm muscles.
When these measures don’t suffice, other interventions like corticosteroid injections might be considered, although they offer only temporary relief and can potentially weaken the tendons over time.
Now, focusing on regenerative treatments;
These have garnered attention for their potential to promote healing by repairing damaged tissues rather than just relieving symptoms.
One such treatment is Platelet-Rich Plasma (PRP) therapy. In this procedure, a small amount of the patient’s blood is drawn, processed to concentrate the platelets, and then injected into the affected tendon area. Platelets release growth factors that aid tissue repair and regeneration. Studies have shown mixed results, but many patients report significant improvement.
Stem cell therapy, is another promising option. It involves harvesting stem cells from the patient’s bone marrow or adipose tissue and injecting them into the damaged area. These cells have the potential to differentiate into various types of tissue and facilitate healing. While still largely experimental, early research suggests potential benefits.
Extracorporeal shock wave therapy (ESWT), uses sound waves to stimulate healing. This non-invasive treatment is thought to promote blood flow and accelerate the repair process of the tendon tissue.
In some cases, autologous blood injections are used, where the patient’s blood is injected into the site of pain to stimulate a healing response. The idea is similar to PRP but without the concentration process.
Lastly a novel approach being explored is the use of orthobiologics, which includes a range of biological substances like hyaluronic acid and certain cytokines that may enhance the body’s ability to heal. These treatments are still in their infancy and require more research.
In summary, while conservative treatments remain the first line of defense against tennis elbow, regenerative therapies offer exciting potential for those with chronic or severe cases. However, it’s essential to consult with a healthcare professional to determine the most appropriate treatment based on individual circumstances.
