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How I Manage Tennis and Golfer's Elbow.

J A Hannafin¹, P H Schelkun

¹The Hospital for Special Surgery, New York City, NY, 10021, USA.

The Physician and Sportsmedicine

|January 21, 2010

Summary

Lateral and medial epicondylitis, common in sports and work, often improve with conservative treatments like rest and medication. A small percentage require surgery, which typically yields excellent outcomes for forearm pain.

Area of Science:

Orthopedics
Sports Medicine
Rehabilitation

Background:

Lateral and medial epicondylitis are prevalent conditions affecting the elbow.
These conditions stem from repetitive gripping or acute forearm force, impacting daily activities if untreated.

Purpose of the Study:

To summarize the common treatments and outcomes for lateral and medial epicondylitis.
To highlight the effectiveness of conservative management and surgical interventions.

Main Methods:

Review of conservative treatment modalities including activity modification, cryotherapy, pharmacotherapy, and physical therapy.
Analysis of outcomes for the subset of patients requiring surgical intervention.

Main Results:

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The majority of patients achieve symptom relief through early conservative treatment.

Approximately 5% of patients do not respond to conservative care and necessitate surgical procedures.

Conclusions:

Conservative management is the primary and effective approach for most epicondylitis cases.
Surgical outcomes for refractory epicondylitis are generally excellent, restoring function.