The management of tennis elbow has changed over the years. The etiology is still debatable. One needs to think of D/D of RADIAL TUNNEL SYNDROME AND RADIOCAPITELLAR SYNOVITIS which can be ruled out clinically or if needed MRI
One starts with wrist brace to immobile the extensors or counterforce brace if wrist brace can't be used. ice pacs. NSAIDs local cream and physio.
if no relief consider Inj of platelet rich plasma or steroids the choice is given to the patient as well as availability of PRP.
At 6 months if the pain is still troubling consider an arthroscopic release of the ERCB which retracts as shown above exposing the muscle belly.The advantage over open release is that there is less likely hood of lateral collateral ligament damage. Some do repair the capsular defect which I am unsure is needed. I am impressed by the surgical results so far in recalcitrant tennis elbow
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