Treatment of Tennis elbow

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Some cases of tennis elbow clear up with plenty of rest and support, and by avoiding activities that put more stress on the tendons. Over the counter painkillers can be taken to treat any mild pain. Allowing symptoms to get better without further treatment can take several weeks or months; tendons are slow to heal.

If tennis elbow is particularly painful and making movement difficult, other treatment may be necessary. Steroid injections (usually of cortisone) are commonly given to reduce inflammation. They are delivered into the tender spot in the elbow using a fine needle, and are usually combined with an anaesthetic so that it is not painful. Most people find that the pain is significantly better, or gone completely, within four weeks of the treatment.

Sometimes two or three steroid injections are needed over a few weeks, especially if the first does not work. Some people find that pain returns after steroid injections, which can be a result of putting too much strain on the arm too quickly. As with any injury, you should gently build up to normal activities to prevent the problem coming back.

Your GP may prescribe anti-inflammatory painkillers to ease pain and inflammation. These are often available in creams or gel form, which can be rubbed over the affected joint. Some anti-inflammatory painkillers can be bought over the counter; ask your pharmacist for advice.

In some cases, referral to a physiotherapist or to a specialist may be advised if symptoms persist. Physiotherapy treatment will include exercises to stretch and strengthen the forearm muscles, along with the use of supports to encourage the tendons to heal.

A small number of people require surgery to relieve symptoms.

If the inflammation resulted from playing sport, professional advice on technique may be necessary.