Pain that persists despite an adequate period of nonoperative treatment is the main indication for surgical intervention. The pain must limit activity and function to the point where the patient's activity level and thus quality of life are unacceptable. The duration of what constitutes an adequate period of nonoperative treatment typically is at least 6 months. Patient compliance with activity modification and therapy exercises is mandatory. Failure to gain relief after corticosteroid injection is no longer considered an absolute indication for surgery.4 Patients who have an acute onset of symptoms often do not respond to nonoperative treatment and may be considered candidates for earlier surgical intervention.
Contraindications to surgical treatment are a noncom-pliant patient who will not modify his or her activities or who has not completed an adequate nonoperative treatment program. Many individuals who have epicondylitis are involved in workers' compensation claims; therefore, secondary gain issues must be considered. Before considering surgical intervention in these patients, the surgeon should examine them many times and should closely monitor their nonoperative treatment program.
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Everything you wanted to know about. How To Cure Tennis Elbow. Are you an athlete who suffers from tennis elbow? Contrary to popular opinion, most people who suffer from tennis elbow do not even play tennis. They get this condition, which is a torn tendon in the elbow, from the strain of using the same motions with the arm, repeatedly. If you have tennis elbow, you understand how the pain can disrupt your day.