[Percutaneous microtenotomy and platelet rich plasma for epicondylitis]

Epicondylitis is common in young patients and athletes. It is usually addressed with uneffective or very aggressive treatments. Due to the recurrence of the condition and the disability it causes its management is very demanding.

Five patients ages 30-45 years with diagnosis of epicondylitis were treated and followed-up. An outpatient procedure was performed under general anesthesia consisting of percutaneous release of the annular ligament and injection of 5cc of platelet rich plasma from the patient following the centrifugation of a blood sample. Following the injection the patient was referred to physical therapy and rehabilitation with a specific program consisting of isotonic exercises aimed at muscle strengthening.

At the two-week follow-up, important subsidence of symptoms was reported, with full ranges of motion, intact muscle strength, and full resumption of daily life and sports activities.

This alternative method is a good and not very invasive option for patients with epicondylitis, and it may help avoid surgical treatment. An appropriate rehabilitation program contributes to optimize the results and helps patients return sooner to their activities of daily living.