Tennis elbow surgery - discharge
Lateral epicondylitis surgery - discharge; Lateral tendinosis surgery - discharge; Lateral tennis elbow surgery - discharge
You have had surgery for tennis elbow. The surgeon made a cut (incision) over the injured tendon, then removed (excised) the unhealthy part of your tendon and repaired it.
At home, be sure to follow your surgeon's instructions on how to take care of your elbow. Use the information below as a reminder.
I'm Dr. Alan Greene and let's talk for a moment about tennis elbow. Tennis elbow is a kind of tendonitis. It's an inflammation and injury to the tendons usually on the outside of the elbow. Tendons are those fibrous bands that connect the muscle into the bone. When those tendons get damaged, as they often can in racquet sports or also in baseball, sometimes over using a screwdriver, a lot of ways you can do it, we typically call it tennis elbow or tendonitis. How do you prevent it? When you are playing tennis one of the most important things is to avoid putting too much stress on that tendon on the outside of the elbow. The problem usually comes with your backhand. So if you do a two-handed backhand, you can greatly reduce the stress. You can also reduce the stress by using a racquet that has the right size grip for your hand. Don't play with somebody else's racquet very often. And make sure the strings are not over tightened. It puts too much stress when the ball hits suddenly with over tightened strings. If you have a tendency to get tennis elbow, it could also be very useful immediately after playing to ice the elbow and take some ibuprofen to prevent swelling and inflammation. Now, if you do develop tennis elbow how do you treat it? It comes down to a combination of rest, ice, compression, and elevation. In terms of rest, you want to completely rest your elbow for at least a couple of days and really for as long as it is still sore. In terms of ice that first day, ice very frequently. It's great even every 15 minutes to have an ice pack on there briefly and for the next couple of days, at least every 3 or 4 hours if you can. It will help speed the healing. Wearing a bandage on there to help support the elbow is good. It can also be good when you are playing tennis to help prevent tennis elbow. The wrap on there can help support the elbow and keep it warm and make it less likely to injure. And finally when you are having the severe pain at the beginning especially, keeping your elbow elevated above your heart can help as well and hopefully this will get you back out and physically active again very quickly.
What to Expect
Soon after surgery, severe pain will decrease, but you may have mild soreness for 3 to 6 months.
Place an ice pack on the dressing (bandage) over your wound (incision) 4 to 6 times a day for about 20 minutes each time. Ice helps keep swelling down. Wrap the ice pack in a clean towel or cloth. Do not place it directly on the dressing. Doing so, may cause frostbite.
Taking ibuprofen (Advil, Motrin) or other similar medicines may help. Ask your surgeon about using them.
Your surgeon may give you a prescription for pain medicines. Get it filled on your way home so you have it when you need it. Take the pain medicine when you start having pain. Waiting too long to take it allows the pain to get worse than it should.
The first week after surgery you may have a thick bandage or a splint. You should begin moving your arm gently, as recommended by your surgeon.
After the first week, your bandage, splint, and stitches will be removed.
Keep your bandage and your wound clean and dry. Your surgeon will tell you when it is OK to change your dressing. Also change your dressing if it gets dirty or wet.
You will likely see your surgeon in about 1 week.
Activity and Exercise
You should start stretching exercises after the splint is removed to increase flexibility and range of motion. The surgeon may also refer you to see a physical therapist to work on stretching and strengthening your forearm muscles. This can begin after 2 to 3 weeks. Keep doing the exercises for as long as you are told. This helps ensure tennis elbow will not return.
You may be prescribed a wrist brace. If so, wear it to avoid extending your wrist and pulling on the repaired elbow tendon.
Most people can return to normal activity and sports after 4 to 6 months. Check with your surgeon on the timeline for you.
When to Call the Doctor
After the operation, call the surgeon if you notice any of the following around your elbow:
- Severe or increased pain
- Changes in skin color around or below your elbow
- Numbness or tingling in your fingers or hand
- Your hand or fingers look darker than normal or are cool to the touch
- Other worrying symptoms, such as increase in pain, redness, or drainage
Adams JE, Steinmann SP. Elbow tendinopathies and tendon ruptures. In: Wolfe SW, Hotchkiss RN, Pederson WC, Kozin SH, Cohen MS, eds. Green's Operative Hand Surgery. 7th ed. Philadelphia, PA: Elsevier; 2017:chap 25.
Cohen MS. Lateral epicondylitis: arthroscopic and open treatment. In: Lee DH, Neviaser RJ, eds. Operative Techniques: Shoulder and Elbow Surgery. 2nd ed. Philadelphia, PA: Elsevier; 2019:chap 54.
Last reviewed on: 11/12/2020
Reviewed by: C. Benjamin Ma, MD, Professor, Chief, Sports Medicine and Shoulder Service, UCSF Department of Orthopaedic Surgery, San Francisco, CA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.