Tennis elbow surgery
What is tennis elbow?
Tennis elbow (medical term: lateral epicondylitis) is a condition that causes pain on the outside of the elbow. It happens when the tendons that attach to the bony bump of your elbow become irritated or damaged, often from repetitive use of the forearm and wrist. Despite its name, you don’t need to play tennis to develop it—any activity involving repeated gripping or lifting can cause it.
Causes of Tennis Elbow
Tennis elbow is caused by tiny tears in the tendon that attaches the forearm muscles to the outside of the elbow. These tears develop over time from repetitive strain or sudden overload.
In most cases, tennis elbow is not caused by a single injury, but by repeated stress over time.
When is surgery considered?
Most people improve with non-surgical treatments such as rest, physiotherapy, bracing, or injections. Surgery is only recommended if:
The Surgical Procedure
Tennis elbow surgery is done to remove damaged tendon tissue and help the elbow heal. It can be performed in two main ways:
- Open surgery : A small incision is made over the elbow to access and clean out the injured tendon.
- Arthroscopic surgery : Tiny instruments and a small camera are inserted through small cuts to repair the tendon.
The procedure usually takes less than an hour, and most patients go home the same day.
Recovery and Rehabilitation
- Day of surgery: Most patients go home the same day. Your elbow will be wrapped, and pain/swelling are managed with medication, ice, and rest.
- Weeks 1–2: Stitches are removed. Gentle movements begin to prevent stiffness.
- Weeks 2–6: Physiotherapy starts to restore flexibility and strength. Light activities such as typing or eating are usually possible by 6–8 weeks.
- Months 3–6: Strengthening continues. Most people return to sports, heavy lifting, or manual work within 4–6 months.
Frequently Asked Questions
Can tennis elbow come back after surgery?
It is uncommon, but symptoms can return if the tendon is stressed again without proper healing or strengthening.
Do I need physiotherapy after surgery?
Yes. Physiotherapy is essential for regaining movement, strength, and preventing recurrence.
Will I regain my previous level of performance?
Most athletes return to their pre-injury level or higher, provided they commit to physiotherapy and gradual return-to-play protocols.
Have questions about tennis elbow surgery, recovery, or treatment options? I’m here to help.