SYMPTOMS OF TENNIS AND GOLFER'S ELBOW
At the Asheville Regenerative Orthopedics & Sports Medicine, our goal is to diagnose your issue properly and provide alternative treatment options that can potentially alleviate your pain and provide lasting results.
- Pain on the inside or outside of your elbow
- Discomfort that’s worse at the end of the day
- Decreased range of motion and stiffness
Tennis Elbow is an overuse injury that results in pain over the lateral, or outside, aspect of the elbow that worsens when squeezing objects. Although it’s quite common among tennis players, it can also affect other athletes and individuals as well.
Golfer’s elbow is similar to a tennis elbow, but occurs at the medial, or inside, aspect of the elbow. Pain may be worse with moving the wrist up and down.
"Excellent treatment and results, Had 3 rotator cuff tears which Dr. Lehman treated with plasma and stem cell injections. 4 months later no pain and full range of motion! Much better option than surgery! Highly recommend Dr. Lehman and her expertise."- Anonymous / Vitals / Dec 05, 2020
"Dr. Lehman is Awesome!, Several months ago I started having pain in my hips, to find out later, I have acute bursitis and a tare on my tendon. After trying cortisone and other shots to relieve the pain, I spoke with Dr. Lehman about my problem and we decided to try platelet gel. It has been 3 weeks since my platelet gel injection in my left hip and it has really helped! I recommend platelet gel to treat joint pain, bursitis, and many other sore spots you may have. Thank you so much Dr. Lehman for your time and help."- Anonymous / Vitals / Dec 04, 2020
"Reovered use of shoulder without surgery and extensive recovery time, how thrilled I am with how the stem cell/platelets treatment you provided has restored my shoulder rotator cuff tear to 85% or better of former use! I recently chain sawed and stacked about 20 logs for firewood, happily dig in the garden, lift heavy objects, and can even sleep on that shoulder."- Anonymous / Vitals / Sep 28, 2020
"Wonderful person, doctor and treatment!, After three cortisone injections into my shoulder over a 12 month period, it was time to go the next step and have the stem cell/PRP procedure. Now, three months later my shoulder is dramatically improved. Not sure how long it will be relatively painless, but for now ,I’m very, very happy!"- Anonymous / Vitals / Sep 27, 2020
"First I must mention that I've never had to wait for my scheduled appointment. The staff members are very professional and efficient, Dr. Lehman is personable and I am never rushed. She listens carefully to what I feel I need to explain... and she explains everything to me so that I totally understand. The injections are delicately done.. I would recommend her highly to anyone in need of her type of services..."- B.I. / Healthgrades / Sep 18, 2020
DIAGNOSING THE CAUSE OF YOUR PAIN
When you arrive for the evaluation of your elbow pain, our priority will be to determine exactly what’s causing your discomfort. To that end, we’ll begin by asking you detailed questions about your symptoms – including when they first appeared and if any activities seem to make them worse.
From there, we’ll perform a physical examination of the joint, evaluating the area for tenderness, pain, and swelling. In-office ultrasound evaluation will be performed and consideration for further imaging - possibly Xray or MRI if needed.
HOW DO YOU TREAT TENNIS AND GOLFER'S ELBOW?
Treatment options depend upon the severity of the injury, past medical history, access to medical care, and your physician’s preferences. In general, it is always best to start with conservative therapy. Treatment options include:
- CONSERVATIVE TREATMENT: This includes activity modification, ice, heat, and physical therapy. Nitric oxide patches have been shown to be helpful as well.
- MEDICATIONS: When conservative treatment options fail, NSAIDs and steroid injections are often recommended. The toxic effects of NSAIDs or anti-inflammatories are discussed in depth here. Steroids are powerful anti-inflammatory agents that can provide short term benefits but at a cost. A study here looked at data from many other studies and showed that steroid (cortisone) shots may actually make tennis elbow worse in the long run.
- SURGERY: Many different surgical options exist depending upon the severity of the injury including stripping away a portion of the tendon sheath to promote healing. The goal is to clean out any dead tissue as well as repair any tendon tears. In most cases, this should be the option of last resort.
- PRP SHOWN TO BE BETTER THAN STEROIDS: PRP injections have been shown in multiple clinical studies to be more effective than steroids (see review study here). Dr. Lehman is an expert in the treatment of Tennis and Golfers elbow. Under ultrasound guidance, PRP is injected into the areas of injury and tears to reduce swelling, promote healing, and accelerate recovery. See my Facebook post here.
Elbow pain can be debilitating. Treatment options include conservative care, medications, steroid injections, and surgery. PRP is an effective, non-surgical option that is becoming the standard of care for tennis elbow and avoids the risks of surgery, and extensive rehabilitation. In addition, PRP injections avoid the risk of viral infection associated with operating rooms, hospitals, and ambulatory surgery centers. Don’t let elbow pain keep you on the sidelines. Let your own cells heal your ongoing elbow pain.
If you have elbow pain and are interested in effective, noninvasive, and exciting new treatments, request an appointment with ARO.
Supplements for Healthy Joints
Learn Dr. Lehman's preferred dietary supplements for joint health.Read
PRP Preferred Treatment Over Steroid Injection For Tennis Elbow
A recently published article looked at 8 studies that looked at the effects of corticosteroid injection.Read
New Platelet Rich Plasma (PRP) Study On Tennis Elbow (Lateral Epicondylitis)
Gosens & Sluimer from the Netherlands, just reported on a prospective, double blinded, randomized study comparing PRP to cortisone injections.Read