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Nov 244 min read

Why Comprehensive Imaging Is Key to Effectively Treating Tennis Elbow: Why a Blind Injection into the Tendon May Not Be Enough

Updated: 6 days ago






By Deborah Westergaard, MD

Pain Experts


The Problem: Incomplete Diagnosis and Treatment of Tennis Elbow


Tennis elbow, or lateral epicondylitis, is often misdiagnosed or treated with outdated approaches. Many doctors rely solely on physical exams and blind injections into the extensor tendon using steroids or platelet-rich plasma (PRP). While this may provide temporary pain relief, it often misses key issues like joint involvement, ligament instability, or cartilage damage that could exacerbate the condition and lead to recurring pain or long-term complications.

Steroid injections, in particular, can weaken tendons and cartilage over time, increasing the risk of further injury. Without comprehensive imaging, critical factors contributing to pain and dysfunction may go untreated, resulting in incomplete healing and missed opportunities for long-term recovery.


A Personal Note: A Lesson from Cabo


While vacationing in Cabo this past weekend, I had lunch by the ocean and ran into an old acquaintance who loved golf. During our conversation, he mentioned he was dealing with tennis elbow and planned to see a respected colleague of mine for treatment. The plan was to inject either steroids or PRP directly into the tendon. However, my acquaintance had not undergone an MRI or any advanced imaging to assess the full scope of his condition.

This approach concerned me because it risks missing the bigger picture. If the joint or other supporting tendons are involved, treating only the extensor tendon may provide short-term relief but fail to address the root cause of the issue. Worse, it could lead to earlier and more severe arthritis if joint space involvement goes unnoticed. This was a missed opportunity to possibly provide longer-lasting results and prevent further complications.


The Solution: Advanced Imaging and Comprehensive Treatment Plans


At Pain Experts, we prioritize a thorough understanding of your condition. By incorporating advanced imaging like MRI and ultrasound stress tests, we ensure that all potential contributing factors are evaluated and addressed. Here’s why this matters:

  1. MRI for Comprehensive Evaluation:

    • Uncover Hidden Damage: MRI can reveal injuries to supporting structures, such as ligaments, cartilage, and bone, that physical exams often miss.

    • Assess Bone and Cartilage Health: MRI can identify bone lesions or cartilage degradation, ensuring that all sources of pain are considered in the treatment plan.

  2. Ultrasound Stress Testing for Real-Time Insights:

    • Evaluate Joint Stability: Dynamic ultrasound tests assess how ligaments and tendons respond to movement, revealing areas of instability.

    • Guide Targeted Treatment: Ultrasound-guided injections ensure that PRP or other regenerative therapies are delivered precisely where needed.

  3. Whole-Joint Approach:

    • Treat All Affected Structures: By addressing every inflamed or damaged area, including the joint, cartilage, and nearby tendons, we provide comprehensive care.

    • Avoid Harmful Treatments: We do not use steroids, which can accelerate tendon and cartilage degeneration, opting instead for regenerative medicine that promotes natural healing.


What This Means for Patients


If you’re dealing with tennis elbow, don’t settle for quick fixes or outdated treatments. Comprehensive imaging ensures that all aspects of your condition are evaluated and treated, reducing the risk of recurring pain and long-term complications like arthritis.

At Pain Experts, we use advanced diagnostics and personalized treatment plans to help you achieve sustainable healing and get back to the activities you love. Our regenerative therapies strengthen tendons and restore function, addressing the root causes of pain rather than just the symptoms.


What This Means for Doctors


For physicians, embracing comprehensive imaging and regenerative therapies allows for more accurate diagnoses and superior patient outcomes. Advanced imaging tools like MRI and ultrasound provide a complete picture of the joint, enabling more precise and effective treatment plans. By moving away from steroids and adopting a whole-joint approach, doctors can deliver innovative care that earns patient trust and improves long-term results.


Discover How our Personalized Approach can Address the Root Causes of Your Pain


At Pain Experts, we combine advanced diagnostics with state-of-the-art regenerative medicine to provide comprehensive care for tennis elbow and other joint conditions. Contact us today to schedule a consultation and discover how our personalized approach can address the root causes of your pain, helping you achieve lasting relief and avoid long-term complications. Together, we’ll develop a treatment plan tailored to your needs, so you can return to the activities you love with confidence.



Disclaimer

This post is for informational and educational purposes only and should not be taken as specific medical advice. Each individual patient is unique, and medical conditions vary greatly. The content shared here does not replace a personalized evaluation by a qualified healthcare professional. If you have a health concern or are considering treatment options, please consult your physician or specialist for a comprehensive assessment tailored to your individual needs.

Please note that some treatments or approaches mentioned may not be appropriate for all patients or may not be available in all regions. Always seek professional advice before making any decisions about your health or treatment plan.

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               Deborah Westergaard, MD

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