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Elbow Surgery

greaser13

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Sep 9, 2012
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I've got an extremely stubborn case of medial epicondylitis (golfer's elbow) that might need surgery. There are videos like the one linked here where surgeons insert a small device into the area and basically pressure wash the diseased tissue away. It seems much less invasive than cutting and re-anchoring the tendon. Has anyone had anything like this done? If so, would you share your experience? Thanks!

 
Just curious, what else have you tried? I would never condone a surgery like this if a person has not tried physical therapy, rest, ice, NSAIDs.
 
Just curious, what else have you tried? I would never condone a surgery like this if a person has not tried physical therapy, rest, ice, NSAIDs.

This is definitely a last resort for me. I don't want surgery but I suspect I may have no choice. I've tried prolonged periods of rest (months with no pulling exercises), physical therapy (mostly eccentric exercises), and BPC-157. Unfortunately nothing has worked, probably because I let it go for too long.
 
This is definitely a last resort for me. I don't want surgery but I suspect I may have no choice. I've tried prolonged periods of rest (months with no pulling exercises), physical therapy (mostly eccentric exercises), and BPC-157. Unfortunately nothing has worked, probably because I let it go for too long.

What about stretching or various scraping/needling techniques?
 
This is definitely a last resort for me. I don't want surgery but I suspect I may have no choice. I've tried prolonged periods of rest (months with no pulling exercises), physical therapy (mostly eccentric exercises), and BPC-157. Unfortunately nothing has worked, probably because I let it go for too long.

Not trying to beat a dead horse, but there could be a few things to try prior to surgery. Wearing specific brace around your forearm, graston type work, regenerative injections like PRP, infrared laser... are a few treatments I can think of now.

The procedure you mention I have never heard of and usually really good treatments you hear about.

It doesn't make sense that an over-use injury does not get better with true rest. You mention "no pulling" exercises yet you do grasp and flex your wrist when ever you grab a bar or dumbbell to bench or press with triceps etc. It would be a shame to have a surgery if you could have gotten over this with greater rest prior. Maybe you did truly rest the area and tried a lot of things without benefit, I'm just talking it out though.
 
The PT I was working with would do some scraping along my forearm but it didn't seem to do anything.

As far as rest goes, tendonitis can eventually become degenerative tendinopathy where it's just not going to repair on its own, and I fear I'm at that stage, though I'll need an MRI to know for sure. The evidence for PRP is kind of weak from what I've read, and no insurance will cover it. My regular MD just wants to do cortisone shots which do little more than mask the pain and prolonged treatment eventually weakens the tendon so I'm not going to go that route.

I only ever feel pain when doing a curling or pulling/rowing motion, so I didn't see a reason to stop all pressing exercises as well, but you may be correct.
 

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