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Updated: Aug 30, 2026

A Protocol to Acquire the Degenerative Tenocyte from Humans
Published on: June 9, 2018
Elbow tendinopathy: tennis elbow
Robert P Nirschl1, Edward S Ashman
1Georgetown University Medical Center, 4000 Reservoir Road, Washington, DC 20057, USA. nirschl@erols.com
Abstract:
The pathoanatomy of overuse tendinopathy is noninflammatory angiofibroblastic tendinosis. The areas of elbow abnormality are specific, including the ECRB-EDC complex laterally, the pronator teres, flexor carpi radialis medially, and triceps posteriorly. The goals of nonoperative treatment are to revitalize the unhealthy pain-producing tendinosis tissue. The key to nonoperative treatment is rehabilitative resistance exercise with progression of the exercise program. If rehabilitation fails, the surgical interventions as described are highly successful.
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