When to See a Physio vs Surgeon for Tennis Elbow in the UK
Tennis elbow, also known as lateral epicondylitis, is a common overuse injury that affects the tendons in the elbow. The condition can cause pain, tenderness, and limited movement, impacting daily activities and sports performance. When managing tennis elbow, deciding whether to see a physiotherapist or a surgeon is a crucial step in the treatment journey. In this comprehensive guide, we will explore the factors to consider when choosing between physiotherapy and surgical intervention for tennis elbow in the UK.
Understanding Tennis Elbow
Tennis elbow is characterised by pain and tenderness on the outer part of the elbow. It is often caused by repetitive motions of the wrist and arm, leading to micro-tears in the tendons that attach to the lateral epicondyle of the humerus. Common activities that can contribute to tennis elbow include playing racquet sports, manual labour, and activities that involve gripping and twisting motions.
Common Symptoms of Tennis Elbow:
- Pain on the outer part of the elbow
- Tenderness when touching the affected area
- Weakened grip strength
- Difficulty extending the forearm
- Pain worsens with gripping or lifting objects
Initial Steps: Seeing Your GP
If you suspect you have tennis elbow and are experiencing persistent pain and discomfort, your first point of contact should be your General Practitioner (GP). Your GP can assess your symptoms, provide a diagnosis, and recommend an appropriate treatment plan. They may suggest rest, ice, anti-inflammatory medications, and referral to a specialist if needed.
GP Appointment Checklist:
- Describe your symptoms in detail
- Provide information about your daily activities and any repetitive motions that may have caused the injury
- Discuss any previous treatments you have tried
- Ask for a referral to a physiotherapist for further evaluation
Physiotherapy for Tennis Elbow
Physiotherapy plays a key role in the non-surgical management of tennis elbow. Physiotherapists are trained healthcare professionals who specialise in treating musculoskeletal conditions through exercise, manual therapy, and education. When seeking physiotherapy for tennis elbow in the UK, your physiotherapist will conduct a thorough assessment to develop a personalised treatment plan.
Benefits of Physiotherapy:
- Improving flexibility and strength in the affected arm
- Reducing pain and inflammation through targeted exercises
- Educating on proper ergonomics and techniques to prevent re-injury
- Supporting gradual return to activities and sports
Physiotherapy Treatment Plan:
Your physiotherapy treatment plan may include:
1. Eccentric Strengthening Exercises:
Eccentric exercises focus on lengthening the muscle while it is contracting. These exercises can help improve tendon strength and resilience in tennis elbow.
2. Manual Therapy:
Your physiotherapist may use hands-on techniques such as massage, mobilisations, and stretching to reduce pain and improve mobility in the elbow joint.
3. Ultrasound Therapy:
Ultrasound therapy can promote healing by stimulating blood flow to the affected area and reducing inflammation.
When to Consider Surgery
In some cases, tennis elbow may not respond to conservative treatments such as physiotherapy and rest. If your symptoms persist despite appropriate management, your GP may refer you to an orthopaedic surgeon for further evaluation. Surgery for tennis elbow is typically considered when conservative measures have been exhausted, and the condition significantly impacts your quality of life and function.
Indications for Surgery:
- Severe and persistent pain despite conservative treatments
- Loss of function and grip strength
- Significant limitations in daily activities and work
- Rupture or degeneration of the tendon
Surgical Options for Tennis Elbow
Orthopaedic surgeons in the UK may recommend the following surgical procedures for tennis elbow:
1. Arthroscopic Debridement:
This minimally invasive procedure involves removing damaged tissue and debris from the affected area to promote healing and reduce pain.
2. Open Surgery:
In more severe cases, open surgery may be performed to repair or reconstruct the damaged tendon and restore function in the elbow joint.
3. Platelet-Rich Plasma (PRP) Therapy:
Some surgeons may offer PRP therapy as a regenerative treatment option for tennis elbow. PRP involves injecting concentrated platelets from your own blood to stimulate tissue repair.
After Surgery: Post-Operative Care
Following surgery for tennis elbow, your orthopaedic surgeon and physiotherapist will provide guidance on post-operative care and rehabilitation. It is essential to follow their instructions diligently to promote optimal healing and recovery.
Post-Operative Care Tips:
- Attend follow-up appointments with your surgeon and physiotherapist
- Participate in prescribed rehabilitation exercises to regain strength and mobility
- Avoid activities that may strain the elbow during the initial recovery period
- Gradually return to work and sports under professional guidance
Conclusion
Deciding between physiotherapy and surgery for tennis elbow requires careful consideration of your symptoms, lifestyle, and treatment goals. In the UK, the healthcare system offers a range of options to address tennis elbow, from conservative physiotherapy to surgical interventions. By working closely with your healthcare providers and following a tailored treatment plan, you can effectively manage tennis elbow and regain function in your elbow joint.
Remember, early intervention and appropriate treatment can significantly improve outcomes for individuals with tennis elbow. Whether you opt for physiotherapy or surgery, prioritise your recovery and seek support from qualified healthcare professionals in the UK.