Tennis Elbow Release

This conventional technique involves a 3–4 cm incision over the outer elbow (lateral epicondyle). It allows the surgeon to directly visualise and address the damaged tendon by removing abnormal tissue and reattaching healthy tendon to the bone. Open surgery is particularly effective for thoroughly assessing the joint and managing significant tendon damage.

This minimally invasive approach involves small incisions and the use of a camera to guide the procedure. The surgeon examines the joint, performs the tendon release, and can address additional joint issues if present. Arthroscopic release typically results in minimal post-operative scarring.

A comprehensive evaluation includes blood tests, an ECG, and a review of medical history. Patients undergo a physical examination to confirm diagnosis and rule out other conditions affecting the elbow joint.

Anti-inflammatory medications and blood thinners require adjustment or cessation 7-10 days before surgery. Patients should provide a complete list of current medications, including supplements and herbal remedies.

Avoid all food and drink for 6-8 hours before surgery. Clear fluids may be allowed up to 2 hours before the procedure based on anaesthetic requirements.

The procedure is usually performed under regional anaesthesia with sedation. The anaesthetist numbs the nerves in the arm to ensure the patient remains pain-free and comfortable during the surgery.

The surgeon makes an incision based on the chosen technique, carefully separating soft tissues to expose the affected tendon. Damaged tissue is then removed (debrided) while preserving healthy structures to ensure proper function.

The healthy edges of the tendon are reattached to the bone using sutures or anchors, restoring proper tension and mechanics for improved function.

The incision is closed with sutures, and sterile dressings along with a compression bandage are applied to protect the area and promote healing.

The elbow remains immobilised in a splint for 1-2 weeks. Patients receive instructions for pain management and wound care. Regular ice application helps control swelling and discomfort.

After splint removal, gentle range-of-motion exercises begin under the guidance of a physiotherapist to restore flexibility and protect the repair. Strength training is introduced around 6–8 weeks post-surgery, with exercises gradually increasing in intensity to rebuild strength and prevent reinjury.

Light activities resume at 8-12 weeks. Full return to sports or heavy manual work typically occurs at 4-6 months, depending on individual recovery and job demands.