Chapel Hill, NC
Elbow Condition

Tennis Elbow
Treatment

Lateral epicondylitis responds well to regenerative therapies. We treat the underlying tendon damage-not just mask the pain with steroids.

Understanding Tennis Elbow

Tennis elbow (lateral epicondylitis) is damage to the tendons that attach to the outside of the elbow. These tendons connect the forearm muscles that extend your wrist and fingers.

Despite its name, most people with tennis elbow have never played tennis. Any repetitive gripping, twisting, or lifting motion can cause it-typing, using tools, cooking, gardening, or even carrying a briefcase.

Where It Hurts

The pain is located on the lateral (outside) epicondyle-the bony bump on the outside of your elbow. You may also feel pain radiating down your forearm toward your wrist.

Primary pain location: outside of elbow
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Outer elbow (lateral side)

Tennis Elbow vs. Golfer's Elbow

Tennis elbow affects the outside of the elbow (lateral). Golfer's elbow affects the inside (medial). Both respond well to regenerative treatment.

Signs of Tennis Elbow

Pain on Outer Elbow

Burning or aching on the bony bump outside the elbow

Weak Grip Strength

Difficulty holding objects, opening jars, or shaking hands

Pain with Lifting

Worse when lifting objects, especially with palm down

Forearm Pain

Pain radiating from elbow down into the forearm

Morning Stiffness

Elbow feels stiff and painful first thing in the morning

Tenderness to Touch

The outer elbow is painful when pressed

Common Causes

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Racquet sports

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Using hand tools

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Typing / mouse use

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Cooking / chopping

Why Cortisone Doesn't Work

Research Shows Worse Long-Term Outcomes

Multiple studies have shown that cortisone injections for tennis elbow lead to worse outcomes at 6-12 months compared to doing nothing at all. While cortisone provides short-term pain relief, it weakens the tendon tissue and delays the natural healing process.

Cortisone Problems

  • Short-term relief only (weeks)
  • Weakens tendon structure
  • Higher recurrence rates
  • Worse outcomes than wait-and-see

Regenerative Advantages

  • Promotes actual tissue healing
  • Strengthens tendon structure
  • Lower recurrence rates
  • Durable, long-term improvement

Our Treatment Approach

A proven protocol that heals the tendon and restores grip strength.

1

Ultrasound Evaluation

Visualize the Damage

Dr. Buchheit uses diagnostic ultrasound to visualize the tendons at the lateral epicondyle. This identifies the location and extent of tendon damage, tears, or calcification-guiding precise treatment.

2

Ultrasound-Guided PRP

Deliver Healing Factors

PRP (Platelet-Rich Plasma) is injected directly into the damaged tendon using ultrasound guidance. The concentrated growth factors stimulate the body's natural repair process and restore the cytokine balance needed for healing.

3

Eccentric Exercise Program

Strengthen and Prevent Recurrence

A structured exercise program strengthens the forearm muscles and tendons. Eccentric exercises (controlled lowering) are particularly effective for stimulating tendon remodeling.

Wrist Extension Eccentrics

Slowly lower a weight with palm down, then lift with other hand

Grip Strengthening

Progressive resistance to rebuild grip strength

Frequently Asked Questions

Yes, the vast majority of tennis elbow cases heal without surgery. Regenerative therapies like PRP combined with targeted exercises have shown excellent results, often outperforming cortisone injections in long-term studies.

While cortisone provides short-term relief, research shows it leads to worse outcomes at 6-12 months compared to doing nothing. Steroids can weaken tendon tissue and actually delay healing. PRP and other regenerative therapies promote actual tissue repair.

No, tennis elbow affects many people who have never played tennis. It's caused by any repetitive wrist and forearm motion-typing, using tools, painting, cooking, or any activity that involves gripping and twisting.

With regenerative treatment and proper rehabilitation, most patients see significant improvement within 6-12 weeks. Complete recovery typically takes 3-6 months, though this varies based on severity and how long you've had symptoms.

Tennis elbow (lateral epicondylitis) affects the tendons on the outside of the elbow and is related to wrist extension. Golfer's elbow (medial epicondylitis) affects the inside of the elbow and is related to wrist flexion. Both respond well to regenerative treatment.

Related Conditions

Heal Your Tennis Elbow-Don't Just Mask It

Find out if PRP or regenerative treatment is right for your tennis elbow. Schedule a consultation with Dr. Buchheit today.